Older Adults' Engagement With a Video Game Training Program

Belchior, Patrícia; Marsiske, Michael; Sisco, Shannon; Yam, Anna; Mann, William C.

doi:10.1080/01924788.2012.702307

Cited by 47 publications

(40 citation statements)

References 22 publications

(25 reference statements)

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“…One study showed that a purpose-built car racing game improved cognitive function in older persons 20. Others have also argued for the effectiveness of commercially available games in improving and sustaining cognitive function in older adults 17,21–24…”

Section: Introductionmentioning

confidence: 99%

“…Games may involve team play and some have worldwide tournaments with thousands of users. One group has shown that a commercially available game requiring psychomotor speed was more likely to result in long-term use in users compared to a commercial cognitive training computer program 21,22. Computer games have been shown to have sustained cognitive training effects that may transfer to other domains25 including cognitive control in older adults 20…”

Section: Introductionmentioning

confidence: 99%

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A pilot study of cognitive training with and without transcranial direct current stimulation to improve cognition in older persons with HIV-related cognitive impairment

Ownby¹,

Acevedo

2016

NDT

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BackgroundIn spite of treatment advances, HIV infection is associated with cognitive deficits. This is even more important as many persons with HIV infection age and experience age-related cognitive impairments. Both computer-based cognitive training and transcranial direct current stimulation (tDCS) have shown promise as interventions to improve cognitive function. In this study, we investigate the acceptability and efficacy of cognitive training with and without tDCS in older persons with HIV.Patients and methodsIn this single-blind randomized study, participants were 14 individuals of whom 11 completed study procedures (mean age =51.5 years; nine men and two women) with HIV-related mild neurocognitive disorder. Participants completed a battery of neuropsychological and self-report measures and then six 20-minute cognitive training sessions while receiving either active or sham anodal tDCS over the left dorsolateral prefrontal cortex. After training, participants completed the same measures. Success of the blind and participant reactions were assessed during a final interview. Assessments were completed by an assessor blind to treatment assignment. Pre- and post-training changes were evaluated via analysis of covariance yielding estimates of effect size.ResultsAll participants believed that they had been assigned to active treatment; nine of the 11 believed that the intervention had improved their cognitive functioning. Both participants who felt the intervention was ineffective were assigned to the sham condition. None of the planned tested interactions of time with treatment was significant, but 12 of 13 favored tDCS (P=0.08). All participants indicated that they would participate in similar studies in the future.ConclusionResults show that both cognitive training via computer game playing and tDCS were well accepted by older persons with HIV infection. Results are suggestive that tDCS may improve cognitive function in persons with HIV infection. Further study of tDCS as an intervention for HIV-related cognitive dysfunction is warranted.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A pilot study of cognitive training with and without transcranial direct current stimulation to improve cognition in older persons with HIV-related cognitive impairment

Ownby¹,

Acevedo

2016

NDT

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“…These two aspects of flow have been highlighted in prior work as characteristics that foster flow in older adults [4]. In essence, flow in these areas may be linked to good instructions and well-designed feedback in the game.…”

Section: Discussionmentioning

confidence: 95%

“…In the few studies specific to flow, it has been found that 1) older adults experienced more flow when playing other humans online, compared to playing against other humans disguised as computer controlled players [12], 2) a match between older adult ability/experience and game challenge has been related to feelings of flow [20], 3) clear goals and feedback in a game may foster a sense of mastery associated with flow in older adults [4], and 4) flow in games for older adults has been related to better therapeutic outcomes [35]. These studies suggest benefits for flow, but there is a paucity of studies concerning user experience outcomes, including flow, for older players.…”

Section: Introductionmentioning

confidence: 99%

Know before you go

Whitlock

McLaughlin

Leidheiser

et al. 2014

Proceedings of the First ACM SIGCHI Annual Symposium on Computer-Human Interaction in Play

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The success of therapeutic games has received recent attention in the research literature, particularly for health issues frequently experienced by adults over age sixty-five. However, less is known about the experience of older adults after interaction with these games and what may promote their adoption and use. We measured the development of flow in a study of over 100 older adults who played a video game for 15 hours across three weeks. Findings indicate that flow development was affected by both individual differences between participants, measured prior to any game experience, and to characteristics of the game, particularly those related to usability of the interface and input device. We conclude with discussion of the flow experience in games for older adults and guidelines for the design of engaging and immersive therapeutic games.

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“…This finding is consistent with previous studies in older adults and patients with stroke. For example, Belchior et al suggested that older adults' immersion during VR-based games could be adjusted to their skill levels [52]. Hale et al reported that patients with stroke seemed to enjoy VR-based rehabilitation when they were equipped with suitable technology [21].…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives on virtual reality-based rehabilitation after knee surgery: Importance of level of difficulty

Lee¹,

Suh²,

Son

et al. 2016

J Rehabil Res Dev

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Abstract-This article explored the perspectives of 25 patients regarding virtual reality (VR)-based rehabilitation following knee surgery and identified the important factors that allowed patients to immerse themselves in rehabilitation. Qualitative analysis of data collected via open-ended questionnaire and quantitative analysis of data from physical assessments and surveys were conducted. In the open-ended questionnaire, the majority of participants mentioned level of difficulty as the most common reason for selecting both the most and the least immersive exercise programs. Quantitative analysis showed that participants experienced a high level of flow (3.9 +/-0.3 out of 5.0) and a high rate of expectation of therapeutic effect (96%) and intention of exercise adherence (96%). Further, participants with more severe pain or physical dysfunction tended to have more positive experiences (e.g., Difficulty-Skill Balance, Clear Goals, and Transformation of Time), leading to high levels of flow during VR-based rehabilitation. In conclusion, VR-based games are potentially acceptable as a motivational rehabilitation tool for patients following knee surgery. However, to best meet patients' needs, it might be useful to equip a VR program with varied levels of difficulty, taking into account the severity of the individual's knee injury. Additionally, severe pain or physical dysfunction might act as an indication rather than a contraindication for VR-based rehabilitation.

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Older Adults' Engagement With a Video Game Training Program

Cited by 47 publications

References 22 publications

A pilot study of cognitive training with and without transcranial direct current stimulation to improve cognition in older persons with HIV-related cognitive impairment

A pilot study of cognitive training with and without transcranial direct current stimulation to improve cognition in older persons with HIV-related cognitive impairment

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Patient perspectives on virtual reality-based rehabilitation after knee surgery: Importance of level of difficulty

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