{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:27:53Z","timestamp":1787243273365,"version":"build-2736575974"},"reference-count":19,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chest injuries are a leading cause of death and disability, accounting for 10% of hospital admissions and 25% of injury-related deaths. About two-thirds of patients with thoracic injuries experience complications such as blood or air in the pleural space, causing lung deflation and poor gas exchange. Proper breathing management, using tools like incentive spirometers, improves lung function and recovery. However, there is a gap in mobile-based gaming apps designed for lung exercise, which could benefit both the general population and patients recovering from lung injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This research aimed to develop and evaluate a mobile app game for practicing lung exercises, accompanied by a prototype device called the Pulmo device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study involved a sample group of 110 participants from the general public. It followed a research and development methodology comprising 4 steps. The research instruments included a mobile app game, a prototype lung exercise device, and questionnaires to assess users\u2019 satisfaction and the feasibility of both the app and the device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings revealed that the participants demonstrated a high level of overall satisfaction with both the mobile app game and the prototype lung exercise device (mean 4.4, SD 0.4). The feasibility for the mobile app game and the prototype lung exercise device connected to the game was evaluated. The results indicated that the sample group perceived the overall feasibility to be at a high level (mean 4.4, SD 0.5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The research results reflected that the sample group believed the mobile app game for practicing lung exercises and the prototype device developed in this project have a high potential for practical application in promoting lung rehabilitation through gameplay. The mobile app game and the Pulmo device prototype received positive user feedback, indicating potential practical use; however, further validation is required among patients in need of pulmonary rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/63512","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T06:01:01Z","timestamp":1737957661000},"page":"e63512-e63512","source":"Crossref","is-referenced-by-count":4,"title":["Development of a Mobile App Game for Practicing Lung Exercises: Feasibility Study"],"prefix":"10.2196","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0394-3007","authenticated-orcid":false,"given":"Chatkhane","family":"Pearkao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1984-0865","authenticated-orcid":false,"given":"Korakot","family":"Apiratwarakul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3053-7798","authenticated-orcid":false,"given":"Lerkiat","family":"Wicharit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3370-6897","authenticated-orcid":false,"given":"Wiphawadee","family":"Potisopha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3683-1311","authenticated-orcid":false,"given":"Arunnee","family":"Jaitieng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8788-228X","authenticated-orcid":false,"given":"Sukuman","family":"Homvisetvongsa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8430-3468","authenticated-orcid":false,"given":"Puthachad","family":"Namwaing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3211-3280","authenticated-orcid":false,"given":"Peerapon","family":"Pudtuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"issue":"12","key":"R1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.49980","article-title":"Causes and pattern of chest trauma among adults: a scoping review of studies from the middle east","volume":"15","author":"AlSulaiman","journal-title":"Cureus"},{"issue":"Suppl 3","key":"R2","doi-asserted-by":"publisher","first-page":"S172","DOI":"10.21037\/jtd.2017.03.52","article-title":"Management of chest trauma","volume":"9","author":"Ludwig","journal-title":"J Thorac Dis"},{"issue":"1","key":"R3","first-page":"83","volume":"28","author":"Sriprom","journal-title":"J Fac Nurs Burapha Univ"},{"issue":"Suppl","key":"R4","first-page":"1","volume":"19","author":"Rattanakanlaya","journal-title":"J Royal Thai Army Nurses"},{"issue":"6","key":"R5","doi-asserted-by":"publisher","first-page":"29","DOI":"10.21315\/mjms2023.30.6.4","article-title":"Impact of mobile games-aided neurorehabilitation: a systematic literature review","volume":"30","author":"Sagary","journal-title":"Malays J Med Sci"},{"issue":"5","key":"R6","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1097\/PHM.0000000000001341","article-title":"Active video games as an adjunct to pulmonary rehabilitation of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis","volume":"99","author":"Wang","journal-title":"Am J Phys Med Rehabil"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.2196\/41753","article-title":"Clinical efficacy of mobile app-based, self-directed pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: systematic review and meta-analysis","volume":"12","author":"Chung","journal-title":"JMIR Mhealth Uhealth"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2439312","article-title":"A comparative study of smartphone game with spirometry for pulmonary function assessment in stroke patients","volume":"2018","author":"Joo","journal-title":"Biomed Res Int"},{"issue":"3","key":"R9","doi-asserted-by":"publisher","first-page":"13","DOI":"10.21608\/asalexu.2023.318352","article-title":"Effect of using mobile games on patients with acute stroke during cognitive rehabilitation at the intensive care unit","volume":"25","author":"Abdou","journal-title":"Alexandria Scientific Nursing Journal"},{"issue":"88","key":"R10","doi-asserted-by":"publisher","DOI":"10.1126\/science.ns-4.88.351","article-title":"The Hall effect","volume":"4","author":"Hall","journal-title":"Science"},{"issue":"20","key":"R11","doi-asserted-by":"publisher","first-page":"50","DOI":"10.3991\/ijim.v15i20.23739","article-title":"Connecting computational thinking (CT) concept with the game-based learning (GBL) elements","volume":"15","author":"Yunus","journal-title":"Int J Interact Mob Technol"},{"key":"R12","unstructured":"Daniel WW . Biostatistics: Basic Concepts and Methodology for the Health Sciences. 9thed. John Wiley & Sons; 2010. ISBN: 9780470413333"},{"key":"R13","unstructured":"Thai Health Promotion Foundation. Reveals the lung disease situation is still worrying [Article in Thai]. 2019. URL: https:\/\/www.thaihealth.or.th\/\u0e40\u0e1c\u0e22\u0e2a\u0e16\u0e32\u0e19\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e42\u0e23\u0e04\u0e1b\u0e2d\u0e14\u0e22\u0e31\u0e07\u0e19\/"},{"issue":"2","key":"R14","first-page":"32","volume":"18","author":"Laha","journal-title":"KKU Res J"},{"issue":"1","key":"R15","doi-asserted-by":"publisher","DOI":"10.2196\/23069","article-title":"A co-designed active video game for physical activity promotion in people with chronic obstructive pulmonary disease: pilot trial","volume":"9","author":"Simmich","journal-title":"JMIR Serious Games"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.2196\/49929","article-title":"Mobile apps to support mental health response in natural disasters: scoping review","volume":"26","author":"Ezeonu","journal-title":"J Med Internet Res"},{"issue":"6","key":"R17","doi-asserted-by":"publisher","DOI":"10.2196\/15943","article-title":"Feasibility and acceptability of a mobile mindfulness meditation intervention among women: intervention study","volume":"8","author":"Rung","journal-title":"JMIR Mhealth Uhealth"},{"issue":"6","key":"R18","doi-asserted-by":"publisher","DOI":"10.3390\/bioengineering11060622","article-title":"Systematic review on the impact of mobile applications with augmented reality to improve health","volume":"11","author":"Piqueras-Sola","journal-title":"Bioengineering (Basel)"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2014.07.049","article-title":"Evaluating mobile apps for breathing training: the effectiveness of visualization","volume":"40","author":"Chittaro","journal-title":"Comput Human Behav"}],"container-title":["JMIR Rehabilitation and Assistive Technologies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/rehab.jmir.org\/2025\/1\/e63512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:31:00Z","timestamp":1785537060000},"score":1,"resource":{"primary":{"URL":"https:\/\/rehab.jmir.org\/2025\/1\/e63512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,4]]},"references-count":19,"URL":"https:\/\/doi.org\/10.2196\/63512","relation":{},"ISSN":["2369-2529"],"issn-type":[{"value":"2369-2529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,4]]},"article-number":"v12i12e63512"}}