Table 3.

The revised questionnaire is based on the results of the first round of validity testing

Section	Item	Item content
1. Sociodemographic information and anthropometric parameters	1.1	What is your age?
	1.2	What is your gender?
	1.3	What is your employment status?
	1.4	What is your highest level of education?
	1.5	Please specify your race.
	1.6	Height
	1.7	Weight
2. General knowledge about exercise	2.1	Obesity is a clinically relevant risk factor for gout
	2.2	Exercise helps controlling gout
	2.3	Exercise improves my flexibility
	2.4	Exercise improves my strength of the muscles
	2.5	Exercise reduces the risk of cardiovascular disease
	2.6	Exercise reduces blood pressure
	2.7	Exercise decreased cholesterol
	2.8	Exercise should be done continually for developing and maintain fitness
	2.9	Heart Rate is typically used as a measure of exercise intensity
	2.10	Exercise needs to reach target heart rate to achieve effective intensity
	2.11	Exercise is divided into aerobic exercise and anaerobic exercise
	2.12	Aerobic exercise can help lose weight
	2.13	Common aerobic exercises include Hiking, Jogging or running, Cycling, Swimming
	2.14	Moderate-intensity aerobic exercise can contribute to decreases SUA level
	2.15	Lactic acid produced by anaerobic exercise will hinder the excretion of uric acid
	2.16	High-Intensity exercise may cause short-term increases in uric acid
3. Attitude towards exercise	3.1	Exercise is easy for me
	3.2	Exercise is enjoyable
	3.3	It is important to develop the habit of exercise
	3.4	There is value in spending time for exercise
	3.5	I need to exercise
	3.6	I look forward to getting guidance with exercise
	3.7	Doing regular exercise will improve my symptoms of gout
	3.8	Exercise is not expensive
	3.9	I am dissatisfied with my weight
4. Participation in exercise	4.1	How many days a week do you exercise?
	4.2	How many minutes per day do you spend exercising?
	4.3	What is the typical intensity you exercise? light intensity moderate intensity vigorous intensity
	4.4	Which of the following is the most likely reason for you to give up exercising? Time Symptoms of gout Transport Fatigue Lack interest Lack of facilities Lack of guidance
5. Perception of exergames	5.1	I feel that Exergames is easy to operate
	5.2	I believe Exergames can help me lose weight
	5.3	I believe that Exergames can help me manage my gout-related symptoms
	5.4	I feel very confident about using Exergames
	5.5	I think Exergames are more interesting than traditional exercise