Impact of Game-Based Interventions on Health-Related Outcomes in Hospitalized Older Patients: A Systematic Review

Cuevas-Lara, César; Izquierdo, Mikel; Asteasu, Mikel L. Sáez de; Ramírez‐Vélez, Robinson; Zambom-Ferraresi, Fabíola; Zambom-Ferraresi, Fabrício; Martínez‐Velilla, Nicolás

doi:10.1016/j.jamda.2020.07.027

Cited by 13 publications

(9 citation statements)

References 42 publications

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“…A systematic review of the effect of game-based interventions on the functional capacity of acutely hospitalised older people included four RCTs. 31 All interventions used Nintendo Wii programs and no differences were seen in health outcomes. They concluded that there is limited available evidence, more research is needed, and that gamification strategies should be considered as complementary to usual care.…”

Section: Evidence Of Gamification For Older Adultsmentioning

confidence: 99%

Gamification and older adults: opportunities for gamification to support health promotion initiatives for older adults in the context of COVID-19

White

Martin

White

2023

The Lancet Regional Health - Western Pacific

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Section: Evidence Of Gamification For Older Adultsmentioning

confidence: 99%

Gamification and older adults: opportunities for gamification to support health promotion initiatives for older adults in the context of COVID-19

White

Martin

White

2023

The Lancet Regional Health - Western Pacific

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“…It can be hypothesized that an exergame system specifically designed for clinical purposes may have better effects. Furthermore, evidence regarding the feasibility of exergame training in inpatient rehabilitation settings is scarce ( Knols et al, 2016 ; Cuevas-Lara et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study

Altorfer

Adcock

Bruin

et al. 2021

Front. Aging Neurosci.

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Objective: The aim of this pilot randomized clinical trial was to test the feasibility and efficacy of an exergame-based cognitive-motor training program in geriatric inpatients.Methods: The study participants were randomly allocated to either the exergame intervention group or the control group. The control group received the standard rehabilitation treatment offered in the clinic. In addition to the standard rehabilitation program, the intervention group conducted supervised exergame training on 5 days per week using the Dividat Senso, an exergame system specifically designed for older adults. The primary outcome was feasibility, as measured by e.g., adherence rate, attrition rate, occurrence of adverse events, System Usability Scale (SUS) and NASA-TLX score. Secondary outcomes included measures of physical and cognitive functioning such as comfortable walking speed, maximal walking speed, dual task walking speed, Short Physical Performance Battery (SPPB), Timed Up and Go test (TUG), Color-Word Interference test (D-KEFS), Trail Making test A and B (TMT), Go/No-Go test and Step Reaction Time test (SRTT). All secondary outcome measures were assessed pre- and post-intervention.Results: Thirty-nine persons were included in the study. Average adherence rate was 99%, there were no intervention-related dropouts and no adverse events. The mean System Usability Scale (SUS) score was 83.6 and the mean NASA-TLX score 45.5. Significant time-group interaction effects were found for the dual task walking speed, the Go/No-Go test and Step Reaction Time test (SRTT).Conclusion: Exergaming is a feasible, safe and effective cognitive-motor training approach in inpatient rehabilitation of geriatric patients. Incorporating exergaming in the rehabilitation program of geriatric patients offers potential to reduce fall risk factors and to increase patients’ exercise motivation and rehabilitation success.

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“…Accordingly, our research team has successfully demonstrated that a multi-component intervention and early physical rehabilitation are a key element in preventing functional and cognitive impairment usually associated with hospitalization in older adults [47,48]. Although the exercise benefits on physical and cognitive function have been researched in hospitalized older medical patients, there is a gap in the research on the role that serious games may have in acute hospital settings among this population [21]. A gamification intervention which includes physical exercise and cognitive training can be an effective strategy to achieve changes in the sedentary behavior of the patients, and that is the reason for developing the validation of a pilot-system multidomain intervention for improving functional abilities during hospital stay.…”

Section: Expected Results/discussionmentioning

confidence: 99%

“…[15][16][17][18][19][20]. However, current evidence suggests it is still necessary to redesign and adapt these technologies to the characteristics and preferences of old patients in order to achieve maximum engagement [21].…”

Section: Introductionmentioning

confidence: 99%

A Feasibility Study for Implementation “Health Arcade”: A Study Protocol for Prototype of Multidomain Intervention Based on Gamification Technologies in Acutely Hospitalized Older Patients

Cuevas-Lara

Izquierdo

Zambom-Ferraresi

et al. 2020

IJERPH

Self Cite

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The aim of this article is to present the research protocol for a study that will evaluate the feasibility of implementation of Health Arcade prototype multidomain intervention based on physical and cognitive training using gamification technologies at improving care for older people hospitalized with an acute illness. A total of 40 older people will be recruited in a tertiary public hospital at Pamplona, Spain. The intervention duration will be four to nine consecutive days. Additionally, the patients will receive encouragement for maintaining active during hospital stay and for reducing sedentary time. Primary implementation-related outcomes will be the adherence to treatment (i.e., number of games and days completed during the intervention period), reaction or response time, and number of success and failures in each game per day. Secondary implementation-related outcomes will be self-perceived grade of difficulty, satisfaction, enjoyment per game and session, and self-perceived difficulties in handling the prototype hardware. Other health-related outcomes will also be assessed such as functional capacity in activities of daily living, mood status, quality of life, handgrip strength, physical activity levels, and mobility. The current study will provide additional evidence to support the implementation of multidomain interventions designed to target older persons with an acute illness based on friendly technology. The proposed intervention will increase accessibility of in-clinical geriatrics services, improve function, promote recovery of the health, and reduce economic costs.

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Impact of Game-Based Interventions on Health-Related Outcomes in Hospitalized Older Patients: A Systematic Review

Cited by 13 publications

References 42 publications

Gamification and older adults: opportunities for gamification to support health promotion initiatives for older adults in the context of COVID-19

Gamification and older adults: opportunities for gamification to support health promotion initiatives for older adults in the context of COVID-19

Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study

A Feasibility Study for Implementation “Health Arcade”: A Study Protocol for Prototype of Multidomain Intervention Based on Gamification Technologies in Acutely Hospitalized Older Patients

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