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Functional DeclineNCT07909564

Ring Fit Adventure for Functional Decline and Fall Risk in Community-Dwelling Older Adults

A study testing Ring Fit Adventure-based Exercise Program in people with Functional Decline, run by Tungs' Taichung Metroharbour Hospital at 1 site in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Falls and decline in physical function are common problems in community-dwelling older adults. Exercise programs may help improve balance, mobility, and physical function and may reduce fall risk. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Functional Decline
What is being tested?
Ring Fit Adventure-based Exercise Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteTaiwan
Study dates
18 Jun 2026to 19 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Older adults aged 65 or above;
  • Mild functional impairments, such as a Timed Up and Go (TUG) test time exceeding 12 seconds or at least one fall within the past year;
  • Able to walk independently (walking aids are not permitted, but canes may be used);
  • Visual and hearing sufficient to operate the game and follow instructions;
  • Fluent in Mandarin or Taiwanese with clear communication skills.

Who cannot join

  • Participants with cardiovascular, musculoskeletal, or neurological conditions;
  • Participants with severe cognitive impairments (e.g., MoCA score≤17) who have difficulty understanding training instructions;
  • Participants who have received formal balance or muscular strength physical treatment or engaged in motion-based gaming research within three months;
  • Participants with severe visual or hearing impairments.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Fang Chi Hsu, Master contact

+886 923730320

monster7561@gmail.com

Taiwan1 site, 1 recruiting
  • Qingshui Digital Opportunity Center

    Taichung, Taichung City, 436

    Recruiting

Other trials in Taiwan

About this study

Official title: Effects and Feasibility of an AI-Assisted Multicomponent Exergame Intervention in Older Adults: A Study Protocol for a Randomized Controlled Trial

Falls and decline in physical function are common problems in community-dwelling older adults. Exercise programs may help improve balance, mobility, and physical function and may reduce fall risk.

This study aims to evaluate the effects and feasibility of an 8-week Ring Fit Adventure-based exercise program in community-dwelling older adults with functional decline and risk of falls. Eligible participants will be assigned to experimental and control groups and followed for 24 weeks.

The study will examine whether this exercise program can improve balance, physical function, and fall risk. Outcomes will be assessed at multiple time points, including before the intervention, after the intervention, and during follow-up.

Read the detailed description

Falls and functional decline are major health concerns among community-dwelling older adults. Reduced balance, decreased mobility, and lower physical performance may increase the risk of falls and loss of independence. Exercise-based interventions have been used to improve balance and physical function in older adults. Ring Fit Adventure is an interactive exercise program that combines game-based tasks with physical activity and may provide a feasible and engaging approach for this population.

The purpose of this study is to evaluate the effectiveness and feasibility of a Ring Fit Adventure-based exercise intervention for community-dwelling older adults with functional decline and fall risk.

This study will enroll 100 participants. Participants will undergo study assessments at baseline and follow-up time points. The intervention period is 8 weeks, and the total follow-up period is 24 weeks. Outcome assessments are planned at baseline (T0), post-intervention (T1), and follow-up time points (T2 and T3).

The study will evaluate changes in balance, physical function, and fall risk after participation in the intervention. The Brief-BESTest will be used as one of the main outcome measures. Additional outcome measures will be collected according to the study protocol.

The findings of this study may help determine whether a game-based exercise intervention is a practical and beneficial approach for improving function and reducing fall risk in community-dwelling older adults.

Being tested
Ring Fit Adventure-based Exercise Program
Keywords
Ring Fit Adventure, Exergaming, Functional Disability, Balance, Randomized Controlled Trial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ring Fit Adventure-based Exercise ProgramBehavioural

    Participants will receive an 8-week Ring Fit Adventure-based exercise program designed for community-dwelling older adults. The intervention uses structured exergame-based physical activity to improve balance, physical function, and fall risk.

Study groups in NCT07909564
Study groupRoleWhat they receive
Ring Fit Adventure Exercise GroupExperimentalParticipants in this arm will receive an 8-week AI-assisted movement classification using Ring Fit Adventure-based exercise intervention designed to improve balance, physical function, and fall risk in community-dwelling older adults.
Receives: Behavioral: Ring Fit Adventure-based Exercise Program
Usual Activity Control GroupNo interventionParticipants in this arm will not receive the standard Ring Fit Adventure-based exercise intervention during the study period.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Balance performance measured by Brief-BESTest

    Balance performance will be assessed using the Brief Balance Evaluation Systems Test (Brief-BESTest), which evaluates 6 domains of postural control. Each item is scored from 0 to 3, with a total score ranging from 0 to 24. Higher scores indicate better balance performance.

    Measured: Baseline, Week 8, Week 12, and Week 24

Secondary outcomes (6)
  1. Cognitive function measured by Montreal Cognitive Assessment

    Cognitive function will be assessed using the Montreal Cognitive Assessment (MoCA). The total score ranges from 0 to 30, with higher scores indicating better cognitive function.

    Measured: Baseline, Week 8, Week 12, and Week 24

  2. Attendance rate

    Attendance will be assessed as the number of completed intervention sessions out of the total planned sessions during the 8-week intervention period.

    Measured: During the 8-week intervention period

  3. Adherence to the intervention

    Adherence will be defined as attendance at at least 80% of the planned intervention sessions.

    Measured: During the 8-week intervention period

  4. Completion rate

    Completion will be assessed as the proportion of participants who complete the intervention program and follow-up assessments.

    Measured: Up to Week 24

  5. Acceptability measured by RFA-AFSPEQ

    Acceptability will be assessed using the self-designed Ring Fit Adventure Acceptability, Feasibility, Safety, and Participation Experience Questionnaire (RFA-AFSPEQ). Higher scores indicate greater acceptance of the intervention.

    Measured: Week 8

  6. The 5-item Brief Symptom Rating Scale (BSRS-5)

    It serves as an assessment of psychological distress and mental health status. Each item is evaluated using a 5-point Likert scale ranging from 0 ("not at all") to 4 ("extremely").

    Measured: Baseline, Week 8, Week 12, and Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Nov 2026
  2. Study start18 Jun 2026
  3. Primary completion19 Nov 2026 (estimated)
  4. Study completion19 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07909564
Sponsor's protocol ID
TTMHH-R1150054
Status last verified
Oct 2026
First submitted
15 Oct 2026
Last updated
2 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared because no data-sharing plan was established in the study protocol and informed consent process.

Publications

  • Wang YH. Understanding Senior Adults' Needs, Preferences, and Experiences of Commercial Exergames for Health: Usability Study. JMIR Serious Games. 2024 Apr 5;12:e36154. doi: 10.2196/36154.

    PubMed 38578674
  • Song R, Fan X, Seo J. Physical and cognitive function to explain the quality of life among older adults with cognitive impairment: exploring cognitive function as a mediator. BMC Psychol. 2023 Feb 22;11(1):51. doi: 10.1186/s40359-023-01087-5.

    PubMed 36814329
  • Tuan SH, Chang LH, Sun SF, Li CH, Chen GB, Tsai YJ. Assessing the Clinical Effectiveness of an Exergame-Based Exercise Training Program Using Ring Fit Adventure to Prevent and Postpone Frailty and Sarcopenia Among Older Adults in Rural Long-Term Care Facilities: Randomized Controlled Trial. J Med Internet Res. 2024 Jul 18;26:e59468. doi: 10.2196/59468.

    PubMed 39024000
  • Chan AW, Tetzlaff JM, Gotzsche PC, Altman DG, Mann H, Berlin JA, Dickersin K, Hrobjartsson A, Schulz KF, Parulekar WR, Krleza-Jeric K, Laupacis A, Moher D. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ. 2013 Jan 8;346:e7586. doi: 10.1136/bmj.e7586.

    PubMed 23303884
  • Rytterstrom P, Stromberg A, Jaarsma T, Klompstra L. Exergaming to Increase Physical Activity in Older Adults: Feasibility and Practical Implications. Curr Heart Fail Rep. 2024 Aug;21(4):439-459. doi: 10.1007/s11897-024-00675-9. Epub 2024 Jul 18.

    PubMed 39023808
  • Yu TC, Chiang CH, Wu PT, Wu WL, Chu IH. Effects of Exergames on Physical Fitness in Middle-Aged and Older Adults in Taiwan. Int J Environ Res Public Health. 2020 Apr 8;17(7):2565. doi: 10.3390/ijerph17072565.

    PubMed 32276515
  • Blasco-Peris C, Fuertes-Kenneally L, Vetrovsky T, Sarabia JM, Climent-Paya V, Manresa-Rocamora A. Effects of Exergaming in Patients with Cardiovascular Disease Compared to Conventional Cardiac Rehabilitation: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Mar 15;19(6):3492. doi: 10.3390/ijerph19063492.

    PubMed 35329177
  • Yeh TP, Lin YK, Bai D, Kuo FL, Liu PJ, Chen IH. Multidomain Benefits of Exergaming for Sarcopenia Management in Institutionalized Older Adults: Physical, Psychological, and Social Outcomes. Arch Phys Med Rehabil. 2026 Jun 29:S0003-9993(26)00791-4. doi: 10.1016/j.apmr.2026.06.018. Online ahead of print.

    PubMed 42372958
  • Valenzuela PL, Saco-Ledo G, Morales JS, Gallardo-Gomez D, Morales-Palomo F, Lopez-Ortiz S, Rivas-Baeza B, Castillo-Garcia A, Jimenez-Pavon D, Santos-Lozano A, Del Pozo Cruz B, Lucia A. Effects of physical exercise on physical function in older adults in residential care: a systematic review and network meta-analysis of randomised controlled trials. Lancet Healthy Longev. 2023 Jun;4(6):e247-e256. doi: 10.1016/S2666-7568(23)00057-0. Epub 2023 May 11.

    PubMed 37182530
  • Adcock M, Sonder F, Schattin A, Gennaro F, de Bruin ED. A usability study of a multicomponent video game-based training for older adults. Eur Rev Aging Phys Act. 2020 Jan 11;17:3. doi: 10.1186/s11556-019-0233-2. eCollection 2020.

    PubMed 31938075
  • Xu Q, Ou X, Li J. The risk of falls among the aging population: A systematic review and meta-analysis. Front Public Health. 2022 Oct 17;10:902599. doi: 10.3389/fpubh.2022.902599. eCollection 2022.

    PubMed 36324472
  • Wang J, Li Y, Yang GY, Jin K. Age-Related Dysfunction in Balance: A Comprehensive Review of Causes, Consequences, and Interventions. Aging Dis. 2024 Jan 24;16(2):714-737. doi: 10.14336/AD.2024.0124-1.

    PubMed 38607735
  • Erickson ML, Allen JM, Beavers DP, Collins LM, Davidson KW, Erickson KI, Esser KA, Hesselink MKC, Moreau KL, Laber EB, Peterson CA, Peterson CM, Reusch JE, Thyfault JP, Youngstedt SD, Zierath JR, Goodpaster BH, LeBrasseur NK, Buford TW, Sparks LM. Understanding heterogeneity of responses to, and optimizing clinical efficacy of, exercise training in older adults: NIH NIA Workshop summary. Geroscience. 2023 Feb;45(1):569-589. doi: 10.1007/s11357-022-00668-3. Epub 2022 Oct 15.

    PubMed 36242693
  • Rodrigues F, Domingos C, Monteiro D, Morouco P. A Review on Aging, Sarcopenia, Falls, and Resistance Training in Community-Dwelling Older Adults. Int J Environ Res Public Health. 2022 Jan 13;19(2):874. doi: 10.3390/ijerph19020874.

    PubMed 35055695

Questions about this trial

What is this clinical trial studying?

A study testing Ring Fit Adventure-based Exercise Program in people with Functional Decline, run by Tungs' Taichung Metroharbour Hospital at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Fang Chi Hsu, Master (+886 923730320, monster7561@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Balance performance measured by Brief-BESTest (time frame: Baseline, Week 8, Week 12, and Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07909564, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2026.

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