title: Adherence to a Videogame-Based Physical Activity Program for Older Adults with Schizophrenia.
abstract: OBJECTIVE
  Adults with schizophrenia are a growing segment of the older adult population. Evidence suggests that they engage in limited physical activity. Interventions are needed that are tailored around their unique limitations. An active videogame-based physical activity program that can be offered at a treatment facility can overcome these barriers and increase motivation to engage in physical activity. The purpose of this report is to describe the adherence to a videogame-based physical activity program using the Kinect(®) for Xbox(®) 360 game system (Microsoft(®), Redmond, WA) in older adults with schizophrenia.
  
  
  METHODS
  This was a descriptive longitudinal study among 34 older adults with schizophrenia to establish the adherence to an active videogame-based physical activity program. In our ongoing program, once a week for 6 weeks, participants played an active videogame, using the Kinect for Xbox 360 game system, for 30 minutes. Adherence was measured with a count of sessions attended and with the total minutes attended out of the possible total minutes of attendance (180 minutes).
  
  
  RESULTS
  Thirty-four adults with schizophrenia enrolled in the study. The mean number of groups attended was five out of six total (standard deviation=2), and the mean total minutes attended were 139 out of 180 possible (standard deviation=55). Fifty percent had perfect attendance.
  
  
  CONCLUSIONS
  Older adults with schizophrenia need effective physical activity programs. Adherence to our program suggests that videogames that use the Kinect for Xbox 360 game system are an innovative way to make physical activity accessible to this population.
authors.affiliation: Department of Physiological Nursing, University of California , San Francisco, San Francisco, California.
authors.forename: Heather
authors.initials: H
authors.lastname: Leutwyler
authors.affiliation: Department of Physiological Nursing, University of California , San Francisco, San Francisco, California.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Hubbard
authors.affiliation: Department of Physiological Nursing, University of California , San Francisco, San Francisco, California.
authors.forename: Glenna A
authors.initials: GA
authors.lastname: Dowling