Effectiveness of Serious Games in Evaluating Cognitive Status of the Elderly: A Systematic Review And Meta-Analysis.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Games for Health Journal Pub Date : 2024-09-13 DOI:10.1089/g4h.2023.0106

Farveh Sabermahani,Mostafa Almasi-Dooghaee,Abbas Sheikhtaheri

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引用次数: 0

Abstract

Early diagnosis of mild cognitive impairment (MCI) and Alzheimer's disease (AD) is very important in better management of these diseases, and serious games play an effective role in helping to diagnose these diseases more accurately owing to their innovative features. With respect to the diversity of available games, the purpose of this study was to investigate the effectiveness of using serious games to assess the cognitive status of the elderly at risk of MCI/AD. A systematic review was conducted and the correlation of serious game results with cognitive test scores were extracted from eligible studies for meta-analysis. We analyzed the correlation between the results of serious games with the scores of mini-mental state examination (MMSE), Addenbrooke's Cognitive Examination-revised edition (ACE-R), and Montreal Cognitive Assessment (MoCA) tests to evaluate cognitive status of the elderly at risk of MCI/AD, as well as the cognitive aspects examined by these tests. The random-effects model was used to obtain the overall correlation coefficient to assess the relationship between the results of serious games and the above mentioned paper-and-pencil tests. The correlation of game results with the MMSE, ACE-R, and MoCA was 0.604, 0.682, with 0.682, respectively. The correlation between the results of the games with the score of each cognitive aspect was also calculated. Overall, there is a positive correlation between serious game scores in terms of accurate patients' reactions with the scores of MMSE, ACE-R, and MoCA tests. Among the cognitive aspects, the highest correlation was obtained for fluency (0.591). For abstraction, however, the correlation was the lowest (0.036). In all three tests, the correlation was >0.6 and in cognitive aspects was <0.6. Thus, more studies should be conducted to develop serious games that are more in line with cognitive tests.

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严肃游戏在评估老年人认知状况方面的有效性：系统回顾与元分析》。

早期诊断轻度认知障碍（MCI）和阿尔茨海默病（AD）对于更好地治疗这些疾病非常重要，而严肃游戏因其创新性特点，在帮助更准确地诊断这些疾病方面发挥着有效作用。鉴于现有游戏的多样性，本研究旨在调查使用严肃游戏评估有 MCI/AD 风险的老年人认知状况的有效性。我们进行了系统性综述，并从符合条件的研究中提取了严肃游戏结果与认知测试分数的相关性进行荟萃分析。我们分析了严肃游戏结果与迷你精神状态检查（MMSE）、Addenbrooke 认知检查修订版（ACE-R）和蒙特利尔认知评估（MoCA）测试得分之间的相关性，以评估有 MCI/AD 风险的老年人的认知状况，以及这些测试所考察的认知方面。采用随机效应模型得出总体相关系数，以评估严肃游戏结果与上述纸笔测试结果之间的关系。游戏结果与 MMSE、ACE-R 和 MoCA 的相关系数分别为 0.604、0.682 和 0.682。此外，还计算了游戏结果与各认知方面得分之间的相关性。总体而言，患者反应准确的严肃游戏得分与 MMSE、ACE-R 和 MoCA 测试得分呈正相关。在认知方面，流畅性的相关性最高（0.591）。而抽象能力的相关性最低（0.036）。所有三项测试的相关性都大于 0.6，而认知方面的相关性则小于 0.6。因此，应开展更多研究，开发更符合认知测试的严肃游戏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Games for Health Journal Multiple-

CiteScore

6.70

自引率

11.40%

发文量

期刊介绍： Games for Health Journal is the first peer-reviewed journal dedicated to advancing the impact of game research, technologies, and applications on human health and well-being. This ground-breaking publication delivers original research that directly impacts this emerging, widely-recognized, and increasingly adopted area of healthcare. Games are rapidly becoming an important tool for improving health behaviors ranging from healthy lifestyle habits and behavior modification, to self-management of illness and chronic conditions to motivating and supporting physical activity. Games are also increasingly used to train healthcare professionals in methods for diagnosis, medical procedures, patient monitoring, as well as for responding to epidemics and natural disasters. Games for Health Journal is a must for anyone interested in the research and design of health games that integrate well-tested, evidence-based behavioral health strategies to help improve health behaviors and to support the delivery of care. Games for Health Journal coverage includes: -Nutrition, weight management, obesity -Disease prevention, self-management, and adherence -Cognitive, mental, emotional, and behavioral health -Games in home-to-clinic telehealth systems