Telehealth Virtual Reality Gaming on Cardiometabolic Health Among Youth With Cerebral Palsy

The primary purpose of this study is to examine the preliminary efficacy of 12-weeks of home-based exercise using consumer available virtual reality gaming technology, compared with a 12 week wait-list control group. The secondary purpose is to understand behavioral mechanisms that explain participation in exergaming through semi-structured interviews with participants from both groups at post-intervention or dropout.

Inclusion Criteria: 1. medical diagnosis of cerebral palsy 2. between the ages of 13-24 years to accommodate the World Health Organization definition of youth and the minimum age of 13 years specified by the Quest 3. physician clearance to participate 4. access to a Wi-Fi Internet connection in the home via mobile phone or tablet computer 5. a caregiver to support the child Exclusion Criteria: 1. physically active (defined as \>150 minutes per week of moderate-to-vigorous intensity exercise in a typical week) 2. cannot use their arms for exercise or a classification of GMFCS level V, which we have found to preclude the ability to use the Oculus Quest hand-held controllers 3. complete blindness or deafness. 4. contraindications to exercise based on the American College of Sports Medicine (ACSM) guidelines