Purpose: Regular daily exercise is recognized as important in patients with heart failure (HF). The use of exergames (games to improve physical exercise) might be an encouragement for HF patients, especially for people who may be reluctant to engage in more traditional forms of exercise. It is known that participation motives are important factors in able to become more physical active. Therefore the purpose of this study is to examine gender differences in participation motives before access to an exergame computer and the exercise motives after access to an exergame computer at home.
Methods: The Wii was installed in the home of HF patients for a period of 12 weeks and patients were instructed to exergame 20 minutes a day (e.g. virtual bowling or tennis). Patients completed a questionnaire on baseline and 12 weeks which included the exercise motivation index (EMI), which measured participation motives. The EMI consists of 15 statements; each statement is followed by a five-point verbal rating from 0 (not important) to 4 (extremely important). Chi-square test was performed to look in gender in participation motives of the EMI and the ESE. P-values<.05 was considered significant.
Results: Thirty-two HF patients (age 64 ± 14, 10 female) were included. The exercise motives which scored important or extremely important on baseline were: ‘I want to be in better shape so that my clothes sit better’, ‘I want the ageing process to slow down and feel younger’, ‘Exercise increases my overall well-being’ and ‘I want to be healthier and live longer’. After 12 weeks access to the Nintendo Wii only the participation motive: ‘I want to be healthier and perhaps life longer’ scored important or extremely inportant. Gender differences were found in participation motives at baseline. Female patients significant agreed more on 6 participation motives compared to men: I want to be in better shape so my clothes fit better (3 vs 1), I am proud of myself when I exercise regularly (3 vs 1), I want to look good (2 vs. 1), I want to be as active as my family and my friends (2 vs 1), I feel successful when I am on better shape (3 vs 1) and I want to feel less physical vulnerable (3 vs 1). At 12 weeks there were fewer differences in participation motives. Difference were found where women agreed more on 2 participation motives than men: I want to be as active as my family and my friends (2 vs 1) and People who are in good shape will be admired, I want to be admired too (2 vs 1).
Conclusion: This study shows gender differences in the participation motives in becoming physical active and exergaming. Women have more participation motives than men. After 12 weeks access to the Nintendo Wii we found less difference in the participation motives between men and women. Gender differences in participation motives in exergaming were due to social facilitation and I want to be admired, where women agreed more than men.
Lisbon: None , 2014.