A Motion Exergaming Approach for Symptom Management: HNC

Inclusion Criteria: To be eligible for this study, patients must be: 1. diagnosed with head and neck cancer (Tumor sites in the head and neck area); 2. 18 years or older; 3. able to understand English; 4. able to communicate; 5. have a Karnofsky Performance Status (KPS) score of \>= 60%; 6. be cleared by their provider to resume low to moderate intensity PA; 7. have fatigue or pain of ≥moderate severity; and A KPS score of \>= 60% has been used in previous exercise trials in the HNC population. This is equal to ECog scores ≤ 2. Moderate fatigue or pain severity is defined as a worst score in the past week of \>= 4 on a 0-10 scale. Patients receiving immunotherapy are not excluded from participating in the study. Exclusion Criteria: Patients will be excluded if they 1. are hospitalized; 2. are in hospice care; 3. have a history of seizures or loss of consciousness; or 4. are cognitively impaired, defined as making ≥3 errors on a validated 6-item cognitive screener (3 items identifying the current year, month, and day; 3 items recalling 3 pre-selected objects).