{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T09:07:44Z","timestamp":1789031264724,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Augment Therapy"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Children with Down syndrome often face challenges associated with physical activity engagement and motor skill development. This study examined the effectiveness of an augmented reality exergaming application compared with that of traditional paper-based exercise recommendations for promoting physical activity in children with Down syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a mixed-methods design, this prospective, observational study investigated the experiences of participants in a 6-week exercise intervention by comparing the effectiveness of an exergaming application (n\u2009=\u20093) with the provision of a paper handout with recommended exercises (n\u2009=\u20092). Five children with Down syndrome participated in the study, with physical assessments conducted pre- and post-intervention via telehealth, weekly interviews, and activity tracking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic analysis revealed that the exergaming application provided initial novelty and motivation that decreased over time; however, session duration increased. Paper handouts served as reminders but not motivators. Participants preferred activities involving upper-body movements over more challenging, whole-body movements, and familiar, simplified movements over novel complex tasks. All application group participants demonstrated improvement in the 2-min step test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Exergaming may help improve physical fitness in children with Down syndrome; however, it requires specific design considerations to sustain long-term engagement and activity initiation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261484837","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:47:48Z","timestamp":1788781668000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Play to move: A mixed-methods prospective observational study of exergaming versus traditional exercise interventions in children with Down syndrome"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6095-1022","authenticated-orcid":false,"given":"Elise","family":"Baron","sequence":"first","affiliation":[{"name":"Augment Therapy, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Ulaganathan","sequence":"additional","affiliation":[{"name":"University of California Santa Cruz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri","family":"Kurniawan","sequence":"additional","affiliation":[{"name":"University of California Santa Cruz"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Down syndrome","author":"Centers for Disease Control and Prevention","unstructured":"Centers for Disease Control and Prevention. Living with Down syndrome, https:\/\/www.cdc.gov\/birth-defects\/living-with-down-syndrome\/ (2024, accessed 20 May 2026)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines9020221"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S10235"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/g4h.2021.0172"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3104\/reports.1996"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/bioengineering11111112"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0309462"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-80662-1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12935"},{"key":"e_1_3_3_12_2","unstructured":"Murata A Wolf E Crimm J et al. Effects of a remote exercise intervention on aerobic endurance in individuals with Down syndrome. Dissertation University of Nevada Las Vegas USA 2022."},{"key":"e_1_3_3_13_2","first-page":"123","article-title":"Thematic analysis methods in qualitative research","volume":"15","author":"Naeem M","year":"2023","unstructured":"Naeem M, Ahmad S, Zhang L, et al. Thematic analysis methods in qualitative research. J Qual Res Methods 2023; 15: 123\u2013145.","journal-title":"J Qual Res Methods"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-011-9279-8"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_2630-2"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2017.05.015"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2016-87"},{"key":"e_1_3_3_18_2","first-page":"20230045","article-title":"Development and feasibility testing of a remote support application for adherence to home exercise programs: a randomized pilot study","volume":"8","author":"Adedoyin RA","year":"2023","unstructured":"Adedoyin RA, Makinde JO, Ademoyegun AB, et al. Development and feasibility testing of a remote support application for adherence to home exercise programs: a randomized pilot study. Prog Rehabil Med 2023; 8: 20230045.","journal-title":"Prog Rehabil Med"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci16010079"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.18103\/mra.v13i6.6608"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261484837","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605261484837","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261484837","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:21:27Z","timestamp":1789028487000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605261484837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/03000605261484837"],"URL":"https:\/\/doi.org\/10.1177\/03000605261484837","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"03000605261484837"}}