RT Journal Article T1 Cognitive-behavioral intervention via interactive multimedia online video game for active aging: study protocol for a randomized controlled trial A1 Vázquez González, Fernando Lino A1 Torres Iglesias, Ángela J. A1 Otero Otero, Patricia A1 Blanco Seoane, Vanessa A1 López Ares, Lara A1 García Casal, Antonio A1 Arrojo Romero, Manuel K1 Older adults K1 Video game K1 Active ageing K1 Health promotion K1 Study protocol AB BackgroundDue to the progressive aging of the population, programs to promote active aging have been recommended. However, older adults have difficulty accessing them. Interventions administered through online video games may increase their accessibility, and complementing these with a smartphone app will likely increase adherence and allow for ongoing professional monitoring. The objective of this study is to evaluate the efficacy of a cognitive-behavioral intervention for active aging administered through an online interactive multimedia video game that includes a smartphone app companion. The secondary objectives are to analyze the moderators and mediators of the change in the outcome variables and to evaluate the adherence to the intervention.Methods/designA randomized controlled clinical trial will be conducted. Adults 45 years and older will be randomly assigned to a cognitive-behavioral intervention administered through an online multimedia video game that includes a smartphone app companion or to a control group that will receive online information on active aging (274 participants per group). The intervention will be administered in eight weekly 45-min modules. An investigator-blinded evaluation will be conducted using online self-administered tests at baseline, post-intervention, and 6- and 12-month follow-ups. The primary outcome will be mental health status as evaluated using the 36-item Short-Form Health Survey (SF-36) at post-intervention. Secondary outcomes will be emotional well-being, depressive symptoms, reinforcement, negative thoughts, self-reported memory, cognitive task performance, sleep hygiene behaviors, physical activity, eating habits, body mass index, social support, dropout, treatment adherence, and satisfaction with the intervention.DiscussionIf the results are favorable, this study would involve the development of the first evidence-based active aging promotion intervention based on a video game that includes a smartphone app companion, providing evidence on its efficacy, accessibility, and clinical utility. PB BMC YR 2019 FD 2019 LK http://hdl.handle.net/10347/20907 UL http://hdl.handle.net/10347/20907 LA eng NO Vázquez, F.L., Torres, Á.J., Otero, P. et al. Cognitive-behavioral intervention via interactive multimedia online video game for active aging: study protocol for a randomized controlled trial. Trials 20, 692 (2019) NO The development of this protocol was funded by grant EXP - 00091195/ ITC20161137 from Center for Industrial Technological Development of Spain and the European Regional Development Fund, and grant 2018-PU054 from Department of Culture, Education and University Regulation DS Minerva RD 24 abr 2026