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Rehabilitation Research and Practice
Volume 2017, Article ID 6843016, 10 pages
Research Article

Exergame Grading Scheme: Concept Development and Preliminary Psychometric Evaluations in Cancer Survivors

1College of Nursing, University of South Florida, Tampa, FL, USA
2School of Health and Rehabilitation Sciences, Indiana University, Indianapolis, IN, USA
3College of Education, University of South Florida, Tampa, FL, USA
4Moffitt Cancer Center, Tampa, FL, USA
5College of Public Health, University of South Florida, Tampa, FL, USA
6College of Medicine, University of South Florida, Tampa, FL, USA

Correspondence should be addressed to Hsiao-Lan Wang; ude.fsu.htlaeh@5gnawh

Received 17 April 2017; Accepted 10 August 2017; Published 2 October 2017

Academic Editor: Eric Kerckhofs

Copyright © 2017 Hsiao-Lan Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The challenge of using exergames to promote physical activity among cancer survivors lies in the selection of the exergames that match their fitness level. There is a need for a standardized grading scheme by which to judge an exergame’s capacity to address specific physical fitness attributes with different levels of physical engagement. The study aimed to develop an Exergame Grading Scheme and preliminarily evaluate its psychometric properties. Fourteen (14) items were created from the human movement and exergame literature. The content validity index (CVI) was rated by content experts with two consecutive rounds ( and independently). The interrater reliability (IRR) was determined by two raters who used the Exergame Grading Scheme to determine the grading score of the five exergames performed by two cancer survivors (). Each item had a score of 1 for item-level CVI and 1 for . For IRR, 9 items had rho values of 1, 1 item had 0.93, and 4 items had between 0.80 and 0.89. This valid and reliable Exergame Grading Scheme makes it possible to develop a personalized physical activity program using any type of exergame or fitness mobile application in rehabilitation practice to meet the needs of cancer survivors.