Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder

Abstract Background Suboptimal physical activity levels and tolerance, poor motor skills and poor physical health are demonstrated in children with Autism Spectrum Disorder (ASD). We speculate that social interaction and communication deficits in children with ASD are two major factors that hinder t...

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Main Authors: Clare C. W. Yu, Simpson W. L. Wong, Farica S. F. Lo, Raymond C. H. So, Dorothy F. Y. Chan
Format: Article
Language:English
Published: BMC 2018-02-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-018-1635-9
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author Clare C. W. Yu
Simpson W. L. Wong
Farica S. F. Lo
Raymond C. H. So
Dorothy F. Y. Chan
author_facet Clare C. W. Yu
Simpson W. L. Wong
Farica S. F. Lo
Raymond C. H. So
Dorothy F. Y. Chan
author_sort Clare C. W. Yu
collection DOAJ
description Abstract Background Suboptimal physical activity levels and tolerance, poor motor skills and poor physical health are demonstrated in children with Autism Spectrum Disorder (ASD). We speculate that social interaction and communication deficits in children with ASD are two major factors that hinder these children from actively participating in group physical activities. While previous studies have demonstrated that exercise intervention improves motor skills and behavioral outcomes in children with ASD, these programs tend to focus only on a single sport, which may not cater to the interests of different children with ASD. In this protocol, a game-based exercise training program designed by a multi-disciplinary team (pediatrics, physical education and psychology) will be implemented by front-line healthcare providers trained following the train-the-trainer (TTT) model and subjected to validation. Method Using a randomized controlled trial design, the effectiveness of the game-based exercise program will be examined for 112 young children with ASD. These children were randomly assigned to two groups, which will be tested and trained in either one of the two arms of the waitlist conditions (control and intervention). The assessment of physical and psychological traits will be conducted at baseline (pre-test), at 16-weeks (post-treatment) and at 32-weeks (follow-up) of the program. Discussion Most of the interventions designed for ASD children target either their psychological traits or physical conditions, without bridging the two states. With the recognition of bidirectional relations between mental and physical health, the present game-based exercise program which includes multiple level of difficulties was developed to equip ASD children with the necessary skills for engaging in sustainable team sports or even professional sport training. The program, if effective, will provide an entertaining and engaging training for whole-person development among children with ASD. Trial registration This study is registered with the Chinese Clinical Trial Registry (ChiCTR-IOR-17011898). Registered 6th July 2017.
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spelling doaj.art-bef000c4794546cab7cccfbe8f616b0d2022-12-21T22:24:41ZengBMCBMC Psychiatry1471-244X2018-02-0118111010.1186/s12888-018-1635-9Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorderClare C. W. Yu0Simpson W. L. Wong1Farica S. F. Lo2Raymond C. H. So3Dorothy F. Y. Chan4Department of Health and Physical Education, The Education University of Hong KongDepartment of Psychology, The Education University of Hong KongDepartment of Paediatrics, The Chinese University of Hong KongHong Kong Sports InstituteDepartment of Paediatrics, The Chinese University of Hong KongAbstract Background Suboptimal physical activity levels and tolerance, poor motor skills and poor physical health are demonstrated in children with Autism Spectrum Disorder (ASD). We speculate that social interaction and communication deficits in children with ASD are two major factors that hinder these children from actively participating in group physical activities. While previous studies have demonstrated that exercise intervention improves motor skills and behavioral outcomes in children with ASD, these programs tend to focus only on a single sport, which may not cater to the interests of different children with ASD. In this protocol, a game-based exercise training program designed by a multi-disciplinary team (pediatrics, physical education and psychology) will be implemented by front-line healthcare providers trained following the train-the-trainer (TTT) model and subjected to validation. Method Using a randomized controlled trial design, the effectiveness of the game-based exercise program will be examined for 112 young children with ASD. These children were randomly assigned to two groups, which will be tested and trained in either one of the two arms of the waitlist conditions (control and intervention). The assessment of physical and psychological traits will be conducted at baseline (pre-test), at 16-weeks (post-treatment) and at 32-weeks (follow-up) of the program. Discussion Most of the interventions designed for ASD children target either their psychological traits or physical conditions, without bridging the two states. With the recognition of bidirectional relations between mental and physical health, the present game-based exercise program which includes multiple level of difficulties was developed to equip ASD children with the necessary skills for engaging in sustainable team sports or even professional sport training. The program, if effective, will provide an entertaining and engaging training for whole-person development among children with ASD. Trial registration This study is registered with the Chinese Clinical Trial Registry (ChiCTR-IOR-17011898). Registered 6th July 2017.http://link.springer.com/article/10.1186/s12888-018-1635-9Autism Spectrum DisorderGame-based learningaerobic exercisePhysical healthPsychological well-being
spellingShingle Clare C. W. Yu
Simpson W. L. Wong
Farica S. F. Lo
Raymond C. H. So
Dorothy F. Y. Chan
Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
BMC Psychiatry
Autism Spectrum Disorder
Game-based learning
aerobic exercise
Physical health
Psychological well-being
title Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
title_full Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
title_fullStr Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
title_full_unstemmed Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
title_short Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
title_sort study protocol a randomized controlled trial study on the effect of a game based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder
topic Autism Spectrum Disorder
Game-based learning
aerobic exercise
Physical health
Psychological well-being
url http://link.springer.com/article/10.1186/s12888-018-1635-9
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