{"title":"Effect of Video Games on Cognitive Performance and Problem-Solving Ability in the Aged with Cognitive Dysfunction: A Randomized Clinical Trial.","authors":"Mosayeb Mozafari, Masoumeh Otaghi, Maryam Paskseresht, Alireza Vasiee","doi":"10.30476/ijms.2024.101861.3452","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Mild cognitive impairment is a common aging phenomenon, and the absence of problem-solving abilities significantly contributes to memory decline. This study aimed to investigate the effect of video games on cognitive performance and problem-solving ability in the elderly with mild cognitive impairment.</p><p><strong>Methods: </strong>In 2023, a double-blind, randomized clinical trial was done on mild cognitive impairment aged randomly divided into control and intervention groups with permuted blocks randomization. The participants in the intervention group played selected smartphone video games thrice a week for 12 weeks, but the control group did not do any intervention. Mini Mental Status Examination and Problem-solving Questionnaire were completed before, 8 weeks after the start, and 4 weeks after the end of the intervention. Statistical tests were done at the significance level considered less than 0.05 and analyzed in SPSS version 16.</p><p><strong>Results: </strong>The mean±SD age of the 60 elderly participants who finished the study was 71.43±2.59. The mean±SD scores of cognitive performance and problem-solving ability improved in the intervention group (25.18±0.93 and 21.15±1.36) but worsened in the control group (19.43±0.76 and 13.72±1.98) (P<0.001). Before the intervention, no significant difference was observed between both groups in cognitive performance and problem-solving ability. However, there was a significant difference 8 weeks after the start and 4 weeks after the end of the intervention (P<0.001).</p><p><strong>Conclusion: </strong>Playing video games thrice a week for 12 weeks can improve cognitive performance and problem-solving ability in the elderly with mild cognitive impairment. This approach is suggested for implementation.<b>Trial Registration Number:</b> IRCT20211110053030N2.</p>","PeriodicalId":14510,"journal":{"name":"Iranian Journal of Medical Sciences","volume":"50 2","pages":"77-86"},"PeriodicalIF":1.6000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870858/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30476/ijms.2024.101861.3452","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Mild cognitive impairment is a common aging phenomenon, and the absence of problem-solving abilities significantly contributes to memory decline. This study aimed to investigate the effect of video games on cognitive performance and problem-solving ability in the elderly with mild cognitive impairment.
Methods: In 2023, a double-blind, randomized clinical trial was done on mild cognitive impairment aged randomly divided into control and intervention groups with permuted blocks randomization. The participants in the intervention group played selected smartphone video games thrice a week for 12 weeks, but the control group did not do any intervention. Mini Mental Status Examination and Problem-solving Questionnaire were completed before, 8 weeks after the start, and 4 weeks after the end of the intervention. Statistical tests were done at the significance level considered less than 0.05 and analyzed in SPSS version 16.
Results: The mean±SD age of the 60 elderly participants who finished the study was 71.43±2.59. The mean±SD scores of cognitive performance and problem-solving ability improved in the intervention group (25.18±0.93 and 21.15±1.36) but worsened in the control group (19.43±0.76 and 13.72±1.98) (P<0.001). Before the intervention, no significant difference was observed between both groups in cognitive performance and problem-solving ability. However, there was a significant difference 8 weeks after the start and 4 weeks after the end of the intervention (P<0.001).
Conclusion: Playing video games thrice a week for 12 weeks can improve cognitive performance and problem-solving ability in the elderly with mild cognitive impairment. This approach is suggested for implementation.Trial Registration Number: IRCT20211110053030N2.
背景：轻度认知障碍是一种常见的衰老现象，缺乏解决问题的能力是导致记忆衰退的重要原因。本研究旨在探讨电子游戏对轻度认知障碍老年人认知表现和解决问题能力的影响。方法：于2023年对轻度认知障碍患者进行双盲随机临床试验，随机分为对照组和干预组，采用排列块随机法。干预组的参与者每周玩三次选定的智能手机视频游戏，持续12周，但对照组没有进行任何干预。在干预开始前、干预开始后8周、干预结束后4周分别完成心理状态问卷和问题解决问卷。在考虑小于0.05的显著性水平上进行统计检验，并在SPSS version 16中进行分析。结果：60名老年人完成研究的平均±SD年龄为71.43±2.59岁。干预组认知表现和问题解决能力的平均±SD得分分别为25.18±0.93和21.15±1.36，对照组的得分分别为19.43±0.76和13.72±1.98。（结论：每周玩3次电子游戏，持续12周，可改善轻度认知障碍老年人的认知表现和问题解决能力。）建议采用这种方法进行实施。试验注册号：IRCT20211110053030N2。
期刊介绍：
The Iranian Journal of Medical Sciences (IJMS) is an international quarterly biomedical publication, which is sponsored by Shiraz University of Medical Sciences. The IJMS intends to provide a scientific medium of communication for researchers throughout the globe. The journal welcomes original clinical articles as well as clinically oriented basic science research experiences on prevalent diseases in the region and analysis of various regional problems.
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