Mood Emot 2024 Jul; 22(2): 45-52   https://doi.org/10.35986/me.2024.22.2.45
Subjective Experience and Satisfaction of Augmented Reality-Based Exercise Program Developed to Improve Exercise Adherence for Patients with Mood Disorders
Kyungwon Kim, MD, PhD1,2,3 , Eunsoo Moon, MD, PhD1,2,3 , Hwagyu Suh, MD1,2,3 , Hyun Ji Lee, MD1,2,3 , Byung Dae Lee, MD, PhD1,2,3 , Young Min Lee, MD, PhD1,2,3 , Hyunju Lim, MA1,3 , Du-Ri Kim, MSc3,4 , Jong-Hwan Park, PhD3,4 , Myung-Jun Shin, MD, PhD3,5
1Department of Psychiatry, Pusan National University Hospital, Busan, 2Department of Psychiatry, Pusan National University School of Medicine, Yangsan, 3Biomedical Research Institute, Pusan National University Hospital, 4Health Convergence Medicine Laboratory, Pusan National University Hospital, 5Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Hospital, Busan, Korea
Correspondence to: Eunsoo Moon, MD, PhD
Department of Psychiatry and Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
TEL +82-51-240-7303 FAX +82-51-248-3648 E-mail esmun@hanmail.net ORCID https://orcid.org/0000-0002-8863-3413
Received: June 3, 2024; Revised: June 8, 2024; Accepted: June 8, 2024; Published online: July 31, 2024.
© Korean Society for Affective Disorders. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Although exercising can be effective in alleviating mood symptoms, implementing an exercise regimen can be challenging. This study aims to evaluate the subjective experience and satisfaction with an exercise program that uses augmented reality (AR) developed to improve exercise adherence in patients with mood disorders.
Methods: Thirty patients diagnosed with mood disorders participated in this study. Before and after the AR-based exercise program, psychological states were assessed using the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Perceived Stress Scale (PSS), and World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF). In addition, the satisfaction survey conducted after participating in the exercise program was analyzed.
Results: The mean score of PHQ-9 decreased significantly following the exercise program. Moreover, the mean scores for GAD-7 and PSS significantly decreased when compared before and after the exercise program. Meanwhile, the mean score of WHOQOL-BREF for physical and social satisfaction increased significantly. Furthermore, this program received positive responses on the satisfaction survey.
Conclusion: In patients with mood disorders, the AR-based exercise program showed remarkable positive effects on psychological states and satisfaction levels. The exercise program using AR technology may effectively improve exercise program adherence in patients with mood disorders.
Keywords: Depression; Exercise program; Augmented reality; Adherence; Mood disorder

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