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Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach

In the research field of cognitive aging, games have gained attention as training interventions to remediate age-related deficits. Cognitive training games on computer, video and mobile platforms have shown ample and positive support. However, the generalized effects are not agreed upon unanimously,...

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Autores principales: Lu, Ming-Hsin, Lin, Weijane, Yueh, Hsiu-Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651036/
https://www.ncbi.nlm.nih.gov/pubmed/29089914
http://dx.doi.org/10.3389/fpsyg.2017.01837
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author Lu, Ming-Hsin
Lin, Weijane
Yueh, Hsiu-Ping
author_facet Lu, Ming-Hsin
Lin, Weijane
Yueh, Hsiu-Ping
author_sort Lu, Ming-Hsin
collection PubMed
description In the research field of cognitive aging, games have gained attention as training interventions to remediate age-related deficits. Cognitive training games on computer, video and mobile platforms have shown ample and positive support. However, the generalized effects are not agreed upon unanimously, and the game tasks are usually simple and decontextualized due to the limitations of measurements. This study adopted a qualitative approach of design-based research (DBR) to systematically review and pragmatically examine the regime, presentation and feedback design of a cognitive training game for older adults. An overview of the literature of cognitive aging and training games was conducted to form the theoretical conjectures of the design, and an iterative cycle and process were employed to develop a mobile game for older adults who are homebound or receiving care in a nursing home. Stakeholders, i.e., elderly users and institutional administrators, were invited to participate in the design process. Using two cycles of design and evaluation, a working prototype of an iPad-based app that accounted for the needs of elderly adults in terms of form, appearance and working function was developed and tested in the actual contexts of the participants' homes and an assisted living facility. The results showed that the cognitive training game developed in this study was accepted by the participants, and a high degree of satisfaction was noted. Moreover, the elements of the interface, including its size, layout and control flow, were tested and found to be suitable for use. This study contributes to the literature by providing design suggestions for such games, including the designs of the cognitive training structure, interface, interaction, instructions and feedback, based on empirical evidence collected in natural settings. This study further suggests that the effectiveness of cognitive training in mobile games be evaluated through field and physical testing on a larger scale in the future.
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spelling pubmed-56510362017-10-31 Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach Lu, Ming-Hsin Lin, Weijane Yueh, Hsiu-Ping Front Psychol Psychology In the research field of cognitive aging, games have gained attention as training interventions to remediate age-related deficits. Cognitive training games on computer, video and mobile platforms have shown ample and positive support. However, the generalized effects are not agreed upon unanimously, and the game tasks are usually simple and decontextualized due to the limitations of measurements. This study adopted a qualitative approach of design-based research (DBR) to systematically review and pragmatically examine the regime, presentation and feedback design of a cognitive training game for older adults. An overview of the literature of cognitive aging and training games was conducted to form the theoretical conjectures of the design, and an iterative cycle and process were employed to develop a mobile game for older adults who are homebound or receiving care in a nursing home. Stakeholders, i.e., elderly users and institutional administrators, were invited to participate in the design process. Using two cycles of design and evaluation, a working prototype of an iPad-based app that accounted for the needs of elderly adults in terms of form, appearance and working function was developed and tested in the actual contexts of the participants' homes and an assisted living facility. The results showed that the cognitive training game developed in this study was accepted by the participants, and a high degree of satisfaction was noted. Moreover, the elements of the interface, including its size, layout and control flow, were tested and found to be suitable for use. This study contributes to the literature by providing design suggestions for such games, including the designs of the cognitive training structure, interface, interaction, instructions and feedback, based on empirical evidence collected in natural settings. This study further suggests that the effectiveness of cognitive training in mobile games be evaluated through field and physical testing on a larger scale in the future. Frontiers Media S.A. 2017-10-17 /pmc/articles/PMC5651036/ /pubmed/29089914 http://dx.doi.org/10.3389/fpsyg.2017.01837 Text en Copyright © 2017 Lu, Lin and Yueh. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Lu, Ming-Hsin
Lin, Weijane
Yueh, Hsiu-Ping
Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach
title Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach
title_full Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach
title_fullStr Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach
title_full_unstemmed Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach
title_short Development and Evaluation of a Cognitive Training Game for Older People: A Design-based Approach
title_sort development and evaluation of a cognitive training game for older people: a design-based approach
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651036/
https://www.ncbi.nlm.nih.gov/pubmed/29089914
http://dx.doi.org/10.3389/fpsyg.2017.01837
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