Objective: The study aims to compare the usability of a newly developed exergame application designed for people with Parkinson’s disease (PD) to existing commercial games, and to investigate the experiences after testing with focus on further improvising the acceptability and feasibility of the newly developed prototype as a rehabilitation tool for people with PD.

Background: Regular exercise has found to have positive impact on PD symptoms and could potentially delay disability onset. However, compliance to a long-term exercise programme remains challenging. Exergaming, which refers to as exercising with gamified components could potentially improve motivation and adherence.

Method: A qualitative descriptive research design with semi-structured interview was used.  10 patients with PD participated in the study and tested a custom-made exergame application and three other commercial games before participating in a focus group discussion. Data were analysed through thematic analysis.

Results: All participants (mean age (SD) = 62.8 (74) years; 77.8% men; Hoehn & Yahr stage 2) completed the sessions without any adverse events. Two main themes emerged from the interview data: (1) Perceived benefits through engagement and usability, and (2) Implementing exergame in rehabilitation. Participants experienced fulfilment by achieving game goals and were motivated to exercise during the gaming session. Participants perceived benefits for the use of exergame as a rehabilitation tool. Potential enablers identified include feasibility of exercising at their own home and own pace, user friendliness of the technology, adaptability to individual’s ability to ensure effectiveness and safety, and remote monitoring by health professional.

Conclusion: The findings from this qualitative study suggest that exergaming is acceptable and is perceived to be beneficial as a form of rehabilitation for people with PD. Usability, customisation to individual rehabilitation needs and capabilities, and remote monitoring are considered as important elements for optimal efficacy, adherence and safety.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/a-qualitative-study-exploring-the-feasibility-of-exergames-among-persons-with-parkinsons-disease/