Feasibility Study of an Interactive Wall-Based Intervention Program for Nursing Home Residents and Patients in Long-Term Care Facilities: Mur'Aventure

This prospective, single-arm feasibility study aims to evaluate the feasibility of a 12-week immersive exergame program using an interactive wall in older adults living in nursing homes (EHPAD) or long-term care units (USLD). Exergames are interactive digital games that integrate physical activity into gameplay, requiring users to perform whole-body movements to achieve game objectives while promoting exercise and energy expenditure. Participants will complete two supervised 40-minute sessions per week over 12 weeks. The primary objective is to assess feasibility through acceptability, adherence, and safety. Secondary objectives include evaluating implementation fidelity, preliminary effects on cognition, quality of life and well-being, and characterizing the physical and cognitive demands of the interactive games. Data will include usability and enjoyment questionnaires, attendance, adverse events, heart rate monitoring, cognitive performance (MoCA), quality of life (EQ-5D-5L), psychological well-being (Mini-GDS and QUALIDEM), and game performance. The results will inform the design of a future larger-scale effectiveness trial of immersive exergaming in institutionalized older adults.

Inclusion Criteria: * Adults aged 65 years or older. * Resident of a nursing home (EHPAD) or long-term care unit (USLD). * Affiliated with the French national health insurance system. * Able to participate in low-to-moderate intensity adapted physical activity. * No cognitive impairment or mild-to-moderate cognitive impairment compatible with understanding simple instructions (MoCA \>18 and physician approval). * Written informed consent provided by the participant or legal representative. Exclusion Criteria: * Medical contraindication to adapted physical activity. * Severe neurological or psychiatric disorder incompatible with safe participation. * Severe uncorrected visual, auditory or sensory impairment preventing interaction with the immersive wall. * Inability to understand instructions despite adaptation. * Participation in another interventional study that may interfere with study outcomes.