The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis

<h3>Background</h3><p dir="ltr">Human cognitive processing speed is known to decline with age. Human cognitive processing speed refers to the time that an individual takes from receiving a stimulus to reacting to it. Serious games, which are video games used for training...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Alaa Abd-alrazaq (17058018) (author)
مؤلفون آخرون: Arfan Ahmed (17541309) (author), Haitham Alali (18295429) (author), Ahmad Mohammad Aldardour (18420858) (author), Mowafa Househ (9154124) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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author Alaa Abd-alrazaq (17058018)
author2 Arfan Ahmed (17541309)
Haitham Alali (18295429)
Ahmad Mohammad Aldardour (18420858)
Mowafa Househ (9154124)
author2_role author
author
author
author
author_facet Alaa Abd-alrazaq (17058018)
Arfan Ahmed (17541309)
Haitham Alali (18295429)
Ahmad Mohammad Aldardour (18420858)
Mowafa Househ (9154124)
author_role author
dc.creator.none.fl_str_mv Alaa Abd-alrazaq (17058018)
Arfan Ahmed (17541309)
Haitham Alali (18295429)
Ahmad Mohammad Aldardour (18420858)
Mowafa Househ (9154124)
dc.date.none.fl_str_mv 2022-09-09T03:00:00Z
dc.identifier.none.fl_str_mv 10.2196/36754
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_Effectiveness_of_Serious_Games_on_Cognitive_Processing_Speed_Among_Older_Adults_With_Cognitive_Impairment_Systematic_Review_and_Meta-analysis/25662726
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Engineering
Biomedical engineering
Health sciences
Allied health and rehabilitation science
serious games
cognitive training
exergames
processing speed
mild cognitive impairment
Alzheimer disease
dementia
systematic reviews
meta-analysis
mobile phone
dc.title.none.fl_str_mv The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Human cognitive processing speed is known to decline with age. Human cognitive processing speed refers to the time that an individual takes from receiving a stimulus to reacting to it. Serious games, which are video games used for training and educational purposes, have the potential to improve processing speed. Numerous systematic reviews have summarized the evidence regarding the effectiveness of serious games in improving processing speed, but they are undermined by some limitations.</p><h3>Objective</h3><p dir="ltr">This study aimed to examine the effectiveness of serious games on the cognitive processing speed of an older adult population living with cognitive impairment.</p><h3>Methods</h3><p dir="ltr">A systematic review of randomized controlled trials (RCTs) was conducted. Two search sources were used in this review: 8 electronic databases and backward and forward reference list checking. A total of 2 reviewers independently checked the eligibility of the studies, extracted data from the included studies, and appraised the risk of bias and quality of the evidence. Evidence from the included studies was synthesized using a narrative and statistical approach (ie, meta-analysis), as appropriate.</p><h3>Results</h3><p dir="ltr">Of the 548 publications identified, 16 (2.9%) RCTs eventually met all eligibility criteria. Very-low-quality evidence from 50% (8/16) and 38% (6/16) of the RCTs showed no statistically significant effect of serious games on processing speed compared with no or passive intervention groups (P=.77) and conventional exercises (P=.58), respectively. A subgroup analysis showed that both types of serious games (cognitive training games: P=.26; exergames: P=.88) were as effective as conventional exercises in improving processing speed.</p><h3>Conclusions</h3><p dir="ltr">There is no superiority of serious games over no or passive interventions and conventional exercises in improving processing speed among older adults with cognitive impairment. However, our findings remain inconclusive because of the low quality of the evidence, the small sample size in most of the included studies, and the paucity of studies included in the meta-analyses. Therefore, until more robust evidence is published, serious games should be offered or used as an adjunct to existing interventions. Further trials should be undertaken to investigate the effect of serious games that specifically target processing speed rather than cognitive abilities in general.</p><h3>Trial Registration</h3><p dir="ltr">PROSPERO CRD42022301667; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=301667</p><h2>Other Information</h2><p dir="ltr">Published in: JMIR Serious Games<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/36754" target="_blank">https://dx.doi.org/10.2196/36754</a></p>
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spelling The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysisAlaa Abd-alrazaq (17058018)Arfan Ahmed (17541309)Haitham Alali (18295429)Ahmad Mohammad Aldardour (18420858)Mowafa Househ (9154124)Biomedical and clinical sciencesClinical sciencesEngineeringBiomedical engineeringHealth sciencesAllied health and rehabilitation scienceserious gamescognitive trainingexergamesprocessing speedmild cognitive impairmentAlzheimer diseasedementiasystematic reviewsmeta-analysismobile phone<h3>Background</h3><p dir="ltr">Human cognitive processing speed is known to decline with age. Human cognitive processing speed refers to the time that an individual takes from receiving a stimulus to reacting to it. Serious games, which are video games used for training and educational purposes, have the potential to improve processing speed. Numerous systematic reviews have summarized the evidence regarding the effectiveness of serious games in improving processing speed, but they are undermined by some limitations.</p><h3>Objective</h3><p dir="ltr">This study aimed to examine the effectiveness of serious games on the cognitive processing speed of an older adult population living with cognitive impairment.</p><h3>Methods</h3><p dir="ltr">A systematic review of randomized controlled trials (RCTs) was conducted. Two search sources were used in this review: 8 electronic databases and backward and forward reference list checking. A total of 2 reviewers independently checked the eligibility of the studies, extracted data from the included studies, and appraised the risk of bias and quality of the evidence. Evidence from the included studies was synthesized using a narrative and statistical approach (ie, meta-analysis), as appropriate.</p><h3>Results</h3><p dir="ltr">Of the 548 publications identified, 16 (2.9%) RCTs eventually met all eligibility criteria. Very-low-quality evidence from 50% (8/16) and 38% (6/16) of the RCTs showed no statistically significant effect of serious games on processing speed compared with no or passive intervention groups (P=.77) and conventional exercises (P=.58), respectively. A subgroup analysis showed that both types of serious games (cognitive training games: P=.26; exergames: P=.88) were as effective as conventional exercises in improving processing speed.</p><h3>Conclusions</h3><p dir="ltr">There is no superiority of serious games over no or passive interventions and conventional exercises in improving processing speed among older adults with cognitive impairment. However, our findings remain inconclusive because of the low quality of the evidence, the small sample size in most of the included studies, and the paucity of studies included in the meta-analyses. Therefore, until more robust evidence is published, serious games should be offered or used as an adjunct to existing interventions. Further trials should be undertaken to investigate the effect of serious games that specifically target processing speed rather than cognitive abilities in general.</p><h3>Trial Registration</h3><p dir="ltr">PROSPERO CRD42022301667; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=301667</p><h2>Other Information</h2><p dir="ltr">Published in: JMIR Serious Games<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/36754" target="_blank">https://dx.doi.org/10.2196/36754</a></p>2022-09-09T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.2196/36754https://figshare.com/articles/journal_contribution/The_Effectiveness_of_Serious_Games_on_Cognitive_Processing_Speed_Among_Older_Adults_With_Cognitive_Impairment_Systematic_Review_and_Meta-analysis/25662726CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/256627262022-09-09T03:00:00Z
spellingShingle The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
Alaa Abd-alrazaq (17058018)
Biomedical and clinical sciences
Clinical sciences
Engineering
Biomedical engineering
Health sciences
Allied health and rehabilitation science
serious games
cognitive training
exergames
processing speed
mild cognitive impairment
Alzheimer disease
dementia
systematic reviews
meta-analysis
mobile phone
status_str publishedVersion
title The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
title_full The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
title_fullStr The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
title_full_unstemmed The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
title_short The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
title_sort The Effectiveness of Serious Games on Cognitive Processing Speed Among Older Adults With Cognitive Impairment: Systematic Review and Meta-analysis
topic Biomedical and clinical sciences
Clinical sciences
Engineering
Biomedical engineering
Health sciences
Allied health and rehabilitation science
serious games
cognitive training
exergames
processing speed
mild cognitive impairment
Alzheimer disease
dementia
systematic reviews
meta-analysis
mobile phone