Development of a digital library with accessible games for children with cognitive disabilities.

Background: This study introduced a novel approach to designing accessible games for children with cognitive disabilities by directly incorporating clinicians' expertise, addressing a critical gap in evidence-based digital interventions.

Method: A qualitative study was conducted with 25 children in 15 occupational clinics, with varying levels of cognitive functioning. Interviews examined children's play needs to inform the development of a digital library of accessible games that were implemented in practice. A satisfaction questionnaire was distributed to participants.

Results: Useful insights for designing accessible games for children with cognitive disabilities to support their development were obtained. Accessible games allowed children with cognitive disabilities to perform all stages of play and develop social skills, meeting their unique needs.

Conclusion: Accessible game design enhances play abilities by offering inclusive opportunities that promote understanding, participation, and skill development. Future research should examine the long-term impact of digital interventions and explore integration within family contexts to maximise therapeutic outcomes beyond clinical settings.