Mii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii™) to increase activity levels, vitality and well-being in people with MS

ISRCTN ISRCTN49286846
DOI https://doi.org/10.1186/ISRCTN49286846
Secondary identifying numbers 13130
Submission date
17/10/2012
Registration date
18/10/2012
Last edited
04/10/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Sarah Thomas
Scientific

Bournemouth University
Royal London House
Christchurch Road
Bournemouth
BH1 3LT
United Kingdom

Email saraht@bournemouth.ac.uk

Study information

Study designRandomised interventional trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleMii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii™) to increase activity levels, vitality and well-being in people with MS
Study acronymMii-vitaliSe
Study hypothesisPeople with MS (pwMS) often find it difficult to exercise for a variety of different reasons (physical, social, psychological, environmental). Physical activity is important in maintaining health and in pwMS can help combat fatigue. The Nintendo Wii™ is an increasingly popular gaming system that offers possibilities for increasing physical activity at home in a fun, engaging way; perhaps leading to benefits in well-being and quality of life. Using the Wii™ in conjunction with individual support from a physiotherapist will help to ensure that pwMS use it in a safe and effective long-term way.

The main aim of this project is to conduct a small pilot randomised controlled trial comparing:
1. pwMS using the Wii™ with physiotherapist support
2. pwMS not using the Wii™

We will follow up participants for up to a year and assess their use of the Wii™, their physical functioning, quality of life and general well-being. This pilot study will be a vital step in reducing uncertainties in designing and preparing for a much larger definitive study. For example, we will develop specific guidance for pwMS on using the Wii™ and test out procedures for a full-scale study.
Ethics approval(s)1. NRES South Central Southampton B Research Ethics Committee, 28/08/2012, IRAS Ref: 1369
2. NRES South Central Southampton B Research Ethics Committee, substantial amendment approval, 06/12/2012
ConditionNervous system disorders
InterventionMii-vitaliSe
Week 1: Orientation to the Wii™ (hospital).
Week 2: Training and individualised assessment (hospital).
Week 3: Physiotherapist home visit; Wii™ equipment installed

Independent home use with 2 home reviews visits and regular telephone monitoring.

Participants receiving Mii-vitaliSe will continue to have access to services available as part of their usual local care.
Intervention typeProcedure/Surgery
Primary outcome measureDemographic/descriptor variables measured at baseline and 6 months
Secondary outcome measures1. 2 minute timed walk measured at baseline and 6 months
2. ActivPAL accelerometer measured at baseline and 6 months
3. Adherence measured throughout study duration
4. Adverse events measured throughout study duration
5. Euroqual 5 Dimensions-5 Levels measured at baseline and 6 months
6. Fatigue Symptom Inventory measured at baseline and 6 months
7. Gait-stride time rhythmicity measured at baseline and 6 months
8. Godin Leisure Time Questionnaire measured at baseline and 6 months
9. Hospital Anxiety and Depression Scale measured at baseline and 6 months
10. Multiple Sclerosis Impact Scale measured at baseline and 6 months
11. Multiple Sclerosis Self-Efficacy Scale measured at baseline and 6 months
12. Nine hole peg test measured at baseline and 6 months
13. Semi structured interviews measured at 6 months (12 months immediate group only)
14. Static Posturography measured at baseline and 6 months
15. Steady Stance test measured at baseline and 6 months
16. Step test measured at baseline and 6 months
17. The Medical Outcomes Short-Form Survey version 2 measured at baseline and 6 months
18. The Spinal Cord Injury Exercise Self-Efficacy Scale measured at baseline and 6 months
19. Timed Up and Go measured at baseline and 6 months
Overall study start date01/11/2012
Overall study end date01/09/2014

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsUK Sample Size: 30
Participant inclusion criteria1. Clinically definite diagnosis of MS
2. Aged 18 or above
3. 'Inactive' (typically physically active for 30 mins or more on fewer than 5 days/week
4. Living within Poole/Bournemouth conurbations
5. Fulfil risk assessment criteria - this will be undertaken by a Senior Physiotherapist in the home setting
6. Participants who can maintain independent static standing balance with eyes open for 1 minute
7. The physiotherapist clinically judges that the particpant can demonstrate adequate balance reactions while on the Wii™ balance board and are able to step off safely backwards and sidewards
8. The participants' home environment is suitable (with minor modifications, if appropriate and possible) for using the Wii™ equipment safely for exercise
9. Male or female particpants
Participant exclusion criteria1. If only have mild symptoms (equivalent to an Adapted Patient Determined Disease Steps Scale of 1 (EDDS of 1) Require at least intermittent assistance (cane, crutch or frame) to walk 100 metres with or without resting (Equivalent to an APDDS and EDSS score of 6 or more).
2. Relapse within past 3 months requiring corticosteroids
3. Already participating in exercise/rehabilitation research
4. Medical condition placing participant at risk – this will be based on their neurologist's judgement
5. Owns a Wii™ and uses it regularly (weekly or more)
6. Unwilling or unable to comply with protocol
7. Not in possession of a suitable television
Recruitment start date01/11/2012
Recruitment end date01/09/2014

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Bournemouth University
Bournemouth
BH1 3LT
United Kingdom

Sponsor information

Poole Hospital NHS Foundation Trust (UK)
Hospital/treatment centre

Dorset Research and Development Support Unit
Cornelia House
Longfleet Road
Poole
BH15 2JB
England
United Kingdom

Website http://www.poole.nhs.uk/
ROR logo "ROR" https://ror.org/03kdm3q80

Funders

Funder type

Charity

Multiple Sclerosis Society (UK)
Private sector organisation / Associations and societies (private and public)
Alternative name(s)
Multiple Sclerosis Society of Great Britain and Northern Ireland, The MS Society, MS Society UK, Multiple Sclerosis Society UK, MS Society
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 07/05/2014 Yes No
Results article results 27/09/2017 Yes No

Editorial Notes

04/10/2018: Publication reference added.
06/03/2014: The overall trial end date was changed from 01/07/2013 to 01/09/2014.