ClinicalTrials.gg
RecruitingNCT07909564Updated Nov 2, 2026

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

An interventional study of Ring Fit Adventure-based Exercise Program in Functional Decline, sponsored by Tungs' Taichung Metroharbour Hospital. Recruiting at 1 site in Taiwan. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Tungs' Taichung Metroharbour Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jun 2026, registered Oct 2026).
  • Started Jun 2026; still recruiting 4 months later.
Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study 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.

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.

02

Conditions studied

  • Functional Decline

Keywords

  • Ring Fit Adventure
  • Exergaming
  • Functional Disability
  • Balance
  • Randomized Controlled Trial
03

In context

Lead sponsor

Tungs' Taichung Metroharbour Hospital is the lead sponsor of 24 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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.

Exclusion criteria

Exclusion Criteria:

  • Participants with cardiovascular, musculoskeletal, or neurological conditions;
  • Participants with severe cognitive impairments (e.g., 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.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Ring Fit Adventure Exercise Group

    Participants 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.

    Behavioral: Ring Fit Adventure-based Exercise Program

  • No intervention
    Usual Activity Control Group

    Participants in this arm will not receive the standard Ring Fit Adventure-based exercise intervention during the study period.

Interventions

  • BehavioralRing Fit Adventure-based Exercise Program

    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.

06

What researchers measure

Primary outcomes

  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.

    Time frame: Baseline, Week 8, Week 12, and Week 24

Secondary outcomes

  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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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").

    Time frame: Baseline, Week 8, Week 12, and Week 24

Other outcomes

  1. Change in heart rate

    Heart rate will be measured in beats per minute (bpm) before and after each intervention session. For each session, the within-session change will be calculated as the post-session value minus the pre-session value. The reported value is the average of these within-session changes across the 8 weeks interven. Positive values indicate an increase in heart rate after the session.

    Time frame: During the 8-week intervention period

  2. Change in peripheral oxygen saturation

    Peripheral oxygen saturation will be measured as a percentage (%) before and after each intervention session. The reported value will be the mean change from pre-session to post-session peripheral oxygen saturation during the 8-week intervention period.

    Time frame: During the 8-week intervention period

  3. Change in systolic blood pressure

    Systolic blood pressure will be measured in mmHg before and after each intervention session. The reported value will be the mean change from pre-session to post-session systolic blood pressure during the 8-week intervention period.

    Time frame: During the 8-week intervention period

  4. Change in diastolic blood pressure

    Diastolic blood pressure will be measured in mmHg before and after each intervention session. The reported value will be the mean change from pre-session to post-session diastolic blood pressure during the 8-week intervention period.

    Time frame: During the 8-week intervention period

07

Study locations

1 of 1 sites recruiting
  • Qingshui Digital Opportunity Center
    Taichung, Taichung City 436, Taiwan
    Recruiting
08

References and documents

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 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because no data-sharing plan was established in the study protocol and informed consent process.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Nov 2026, 5 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 15, 2026
First posted
Nov 2, 2026
StartActual
Jun 18, 2026
Primary completionEst.
Nov 19, 2026
CompletionEst.
Nov 19, 2026
Last update
Nov 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07909564
Lead sponsor
Tungs' Taichung Metroharbour Hospital
Responsible party
Sponsor
First posted
Nov 2, 2026
Start date
Jun 18, 2026
Primary completion
Nov 19, 2026 (estimated)
Completion
Nov 19, 2026 (estimated)
Last update
Nov 2, 2026

Study contacts

Fang Chi Hsu, Master
Contact
monster7561@gmail.com
+886 923730320

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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