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Completed

NCT Number: NCT06965959

Effects of Exergaming and Autogenic Relaxation on Psychological Well-Being in Nursing Home Residents

This interventional clinical trial was conducted to evaluate the effects of Antroyun (exergaming) and autogenic relaxation techniques on psychological well-being and life engagement among older adults living in nursing homes. Participants were randomly assigned to one of three groups: Antroyun intervention group, autogenic relaxation group, and a control group. Interventions were applied twice per week for eight weeks.

The results indicated that both interventions had a significant effect on improving psychological well-being and life engagement. The Antroyun group showed faster and more marked improvements in earlier follow-ups, while the autogenic relaxation group demonstrated sustained benefits in later follow-ups. The control group did not show any significant changes over time. Additionally, in the Antroyun group, the number of game wins was positively correlated with improvements in psychological well-being and life engagement scores.

This study was carried out as part of a doctoral dissertation at Sivas Cumhuriyet University.

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Key information

Conditions

Psychological Well-being Aging Behavior Exergaming Health Promotion Mind-Body Therapies Nursing Homes Residents Personal Satisfaction Quality of Life

Age range

65 year–95 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sivas Cumhuriyet University, Institute of Health Sciences

Sivas, Central, 58140, Turkey (Türkiye)

About this study

This study was registered retrospectively due to its nature as a doctoral dissertation and institutional administrative timelines. Although participant enrollment and data collection had already started, the study protocol and outcome measures were pre-specified and ethically approved prior to implementation. No interim analysis was conducted prior to registration. This registration is intended to enhance research transparency and integrity.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 65 years or older
  • Residing in a nursing home
  • Able to communicate and follow instructions
  • Scoring 24 or above on the Standardized Mini Mental Test (SMMT)
  • Voluntary participation and written informed consent obtained

Exclusion criteria

  • Diagnosed with advanced cognitive impairment (SMMT score < 24)
  • Diagnosed with severe psychiatric disorders (e.g., schizophrenia, severe depression)
  • Having physical disabilities that prevent participation in the interventions (e.g., immobility, severe visual or auditory loss)
  • Refusal or inability to provide informed consent

Treatment and study plan

Exergaming Intervention Group

Behavioral

A behavioral intervention involving the use of motion-based digital games such as table tennis, boxing, skiing, and bowling. Participants performed exergaming sessions twice per week for eight weeks. Each session lasted approximately 15 minutes and was conducted in pairs under supervision. The intervention aimed to promote physical activity, cognitive engagement, and social interaction among older adults in a nursing home setting.

Autogenic Relaxation

Behavioral

A behavioral mind-body intervention in which participants practiced standardized verbal relaxation techniques focused on passive concentration and bodily awareness. Sessions were conducted in quiet rooms in small groups, twice per week for eight weeks, each lasting approximately 15 minutes. The goal was to enhance psychological well-being and reduce emotional tension in institutionalized older adults.

Primary outcomes

  1. Change in Psychological Well-Being Score

    Time frame: Baseline, Week 4, Week 8, and Week 16 (4 follow-ups total)

    Psychological well-being was measured using the Elderly Psychological Well-Being Scale. The scale evaluates emotional, cognitive, and social well-being. Higher scores indicate better psychological well-being.

  2. Change in Life Engagement Score

    Time frame: Baseline, Week 4, Week 8, and Week 16 (4 follow-ups total)

    Life engagement was assessed with the Life Engagement Scale for Older Adults, which measures the degree of purpose, activity, and connectedness perceived by the elderly.

  3. Standardize Mini Mental Test

    Time frame: Baseline

    Cognitive function was evaluated using the Standardized Mini Mental Test (SMMT), which assesses orientation, registration, attention, recall, and language. The test was used to monitor cognitive stability during the study.

Sponsors and collaborators

Lead sponsor

Cumhuriyet University

Other

Registry information

Official study title

The Effect of Exergaming Application and Autogenic Relaxation Technique on Psychological Well-Being and Life Engagement of Nursing Home Residents

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
May 11, 2025
Registry last updated
Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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