A Controlled Trial of InteractiVe Exergames in Diabetes

INTERVENTION: A structured programme of Nintendo Wii Sport, specifically, tennis in groups of 4 participants. Supervised by an exercise physiologist. Duration of 30 minutes in week 1 and 2, and increasing to 40 minutes in week 3, twice per week, over a 4 week period. CONDITION: Diabetes Mellitus Type 2 PRIMARY OUTCOME: To assess the efficacy of Nintendo Wii Game Technology to increase physical activity levels as measured by the International Physical Activity Questionnaire in participants with Diabetes Mellitus Type 2. SECONDARY OUTCOME: a) To assess the efficacy of Nintendo Wii Game Technology to increase health status in participants with Diabetes Mellitus Type 2. Assessment is by the SF‐36 Health related‐quality of life questionnaire. b) To assess the efficacy of Nintendo Wii Game Technology to increase quality of life in participants with Diabetes Mellitus Type 2. Assessment is by the EuroQoL EQ‐5D quality of life questionnnaire. c) To assess the efficacy of Nintendo Wii Game Technology to increase fitness in participants with Diabetes Mellitus Type 2. Assessment is by functional performance measures namely Body Mass index, handgrip strength, timed up and go test, 30 second repeated chair rise test, FICSIT‐4 balance test, heart rate. d) To assess the safety of Nintendo Wii Game Technology in participants with Diabetes Mellitus Type 2. Assessment is by the McGill Pain questionnaire short‐form, Borgs rating of perceived exertion, adverse event report form. e) To inform the design of a planned randomised controlled trial. This study will also allow testing of recruitment techniques, compliance, testing of questionnaires for burden and ease of use. Assessment is by questionnaires containing open questions on the participants experience of the intervention, time to complete questionnaire will be recorded, a log recording number of particpants approached,screened, eligible will be taken to assess recruitment strategy. f) To evaluate the experience of the participants on the experience of playing active video games via qualitative interview. INCLUSION CRITERIA: a) Participant is capable of giving informed consent; b) Aged >= 18 years and < 75 years; c) Diagnosed with stable type 2 diabetes mellitus; d) Are sedentary (sedentary behaviour for this study includes activities that do not involve energy expenditure greater than 1.0‐2.9 metabolic equivalent units (METs). Potential participants are eligible if they have NOT participated in any “brisk walking or more energetic activity in the previous month”) e) Reside in the Ipswich Area; f) Can attend exercise classes during working hours g) Has GP advice that they are well enough to participate in moderate‐to‐vigorous physical activity