Gamified Cognitive Training to Prevent Cognitive Decline

Author(s):  
Musian Daniele ◽  
Antonio Ascolese

Due to the ageing population, cognitive decline is becoming a widespread problem that requires immediate attention. Preventive strategies can play an important role in reducing progressive decline and delaying or completely preventing the transition of cognitive decline into dementia. One such strategy is computer-based cognitive training, which has been widely used and tested to maintain and improve the cognitive performance of older people. Typically, cognitive training packages utilise gamification techniques to increase engagement. Although gamification can be a powerful motivator for people completing cognitive training, it could also be overwhelming for people with cognitive impairments if designed poorly. This chapter introduces the literature on computer based cognitive training, use of gamification in training, and the DOREMI project that aims to design cognitive training games for older people with cognitive impairment, using a user-centred design process to ensure that the gamification tools used to motivate participation are effective, meaningful, and user-friendly.

2016 ◽  
Vol 36 ◽  
pp. 42-45 ◽  
Author(s):  
Achiraya Chaikham ◽  
Supawadee Putthinoi ◽  
Suchitporn Lersilp ◽  
Anuruk Bunpun ◽  
Nopasit Chakpitak

Author(s):  
Helianthe S.M. Kort

By 2050, 70% of the population will live in cities. The majority of the persons living in cities will be 60 plus years old. Ageing cities demands for cities environments to adapt to an ageing population. Modern cities though, don’t anticipate fast enough and in an adequate manner to face the challenges due to population-related transitions. Modifying and adapting the built environment with a focus on the aged population could help to support older people facing functional and cognitive decline.


2021 ◽  
Vol 8 (2) ◽  
pp. 123-129
Author(s):  
Volodymyr Korostiy ◽  
Iryna Blazhina

Background. The study of features of comorbid pathology in patients with epilepsy is of particular interest due to the high prevalence of this pathology and a significant impact on the quality of life of patients and their social adaptation. Aim. The aim of the research was to detect versatile cognitive impairments and affective disorders in epilepsy, and to study the results of cognitive training and psychoeducation. Materials and methods. The theoretical analysis of modern scientific researches in the field of cognitive and affective impairments during epilepsy was carried out. We studied the features of clinical and psychopathological manifestations in patients, suffering from epilepsy. The study covered 146patients (85 men and 61 women) who were in inpatient care. The following psychodiagnostic techniques were used: the MOCA test, the Toronto Cognitive Assessment (TorCA), the MiniMult test, the Münsterberg test, the quality of life scale, the Hamilton scale of depression and anxiety. Results. This publication offers the results of a study of cognitive and affective disorders the quality of life in patients who suffer from epilepsy and the results of online cognitive training and psychoeducation. We found cognitive decline in 88% of patients with epilepsy and improvement of cognitive functions by methods of non-pharmacological correction. Conclusions. Affective and cognitive disorders significantly affects the quality of life of patients, their ability to work and socialization. The conducted research showed that compared to the control group of healthy persons, patients with epilepsy showed improvement in their cognitive decline, anxiety and depressive disorders. Cognitive online training appeared to be effective for the patients with epilepsy.


2018 ◽  
Vol 32 (6) ◽  
pp. 478-484
Author(s):  
Supaporn Trongsakul ◽  
Thapakorn Ruanjai ◽  
Wilawan Chaiut ◽  
Ratipark Tamornpark ◽  
Tawatchai Apidechkul

Purpose The purpose of this paper is to investigate the prevalence and factors related to cognitive impairment among hill-tribe older people in Chiang Rai province, Thailand. Design/methodology/approach A cross-sectional study was carried out amongst 459 hill-tribe older people aged 60 years and above. A Mini Mental State Examination (MMSE) Thai 2002 version was used for cognitive screening. A questionnaire and medical records were used for demographic and clinical data collection while descriptive statistics were used to analyze characteristic data. Potential factors related to cognitive impairment were analyzed by using univariate logistic regression analysis. Findings The prevalence of cognitive impairment amongst the participants was 49.89 percent (95% CI 45.32%, 53.47 percent). Factors related to cognitive decline included no occupation (OR=1.49, 95% CI 1.10–2.03, p<0.04) and a history of amphetamine use (OR=1.57, 95% CI 1.09–2.33, p<0.04). Originality/value Cognitive decline should be a cause for concern amongst Thai hill-tribe older people, especially amongst those in the group with a history of amphetamine use. However, Thai health care professionals need to be aware of the potential cultural bias in the MMSE Thai 2002 version as a cognition test targeted at the hill-tribe population as the questionnaire may not provide a true reflection of their cultural experience and background.


Medicine ◽  
2020 ◽  
Vol 99 (12) ◽  
pp. e19549
Author(s):  
Eun Jae Ko ◽  
In Young Sung ◽  
Jin Sook Yuk ◽  
Dae-Hyun Jang ◽  
Gijeong Yun

2019 ◽  
Vol 44 (4) ◽  
pp. 555-567 ◽  
Author(s):  
Sara Bernini ◽  
Anna Alloni ◽  
Silvia Panzarasa ◽  
Marta Picascia ◽  
Silvana Quaglini ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S77-S77
Author(s):  
Jessica S West ◽  
Scott Lynch

Abstract As the number of older adults increases, increased prevalence of cognitive and sensory impairments pose growing public health challenges. Research on the relationship between hearing impairment and cognition, however, is minimal and has yielded mixed results, with some studies finding that hearing impairment is associated with cognitive decline, and others reporting that the association is weak or non-existent. Most of this research has been conducted outside of the U.S., and the few U.S.-based longitudinal studies have relied mostly on small, non-representative samples involving short follow-up periods. Further, despite known gendered patterns in cognitive and hearing impairments, no studies to date have examined whether the relationship between the two varies by gender. Our study addresses these weaknesses in the literature by utilizing nine waves of the Health and Retirement Study (1998-2014; n=14,169), a large, nationally representative, longitudinal study that facilitates examination of long-term interrelationships between hearing and cognitive impairments. In this study, we use autoregressive latent trajectory (ALT) methods to model: 1) the relationship between hearing impairment and cognitive decline, and 2) sex differences in the relationship. ALT models enable us to determine whether hearing impairment and cognitive impairment are associated, net of their common tendency simply to co-trend with age. Results indicate that hearing and cognitive impairments are strongly interrelated processes that trend together over time. Moreover, hearing impairment has an increasing impact on cognitive impairment across age while the effect of cognitive impairment on hearing impairment levels out over time. Sex differences in these patterns are discussed.


2019 ◽  
Vol 21 (2) ◽  
pp. 421-434
Author(s):  
Anton V. Solodukhin

This review article deals with the possibilities of psychological correction of cognitive impairment in cardiac patients using gaming platforms. It introduces some data on the prevalence of cognitive impairment among the elderly. The author gives a classification of cognitive impairment according to severity and the main manifestations of psychological maladjustment, together with a detailed description of aspontanity, inertness, and inactivity. The paper also describes the main diagnostic methods used in the neuropsychological diagnosis of cognitive impairment. The author analyzed the effectiveness of cognitive training for the restoration of cognitive functions. The analysis showed that improvement of cognitive processes is most often observed in patients with mild cognitive impairment and moderate cognitive deficit. The article also present design limits of a digital game environment that must be considered when developing remedial development programs. There is a list of advantages of using a game platform in the correction of cognitive impairments compared to cognitive training programs without the use of game design elements. As an example of a correctional development program, the author introduces a game platform, which consists of four levels of complexity and can be used in the correction of cognitive impairments in cardiac patients.


Author(s):  
Ramona O Hopkins ◽  
James C Jackson

Millions of individuals each year survive critical illness, many of whom will develop post-intensive care syndrome which includes new or worsening impairments in physical, psychiatric, or cognitive functioning. Cognitive impairments are common in survivors of critical illness, are often severe, and persist years after hospital discharge. Cognitive impairments improve in some patients and, in others, appear stable over time, rather display a pattern of progressive decline. Cognitive impairment contributes to clinically significant functional decrements as well as decreased quality of life. The biological mechanisms of cognitive impairment are not well defined, although numerous risk factors have been identified. As the number of ICU survivors increases, there is a growing population of patients with cognitive impairments following critical illness, underscoring the need to address cognitive impairments through prevention, treatment, and rehabilitation. Interventions to prevent or reduce the severity of cognitive impairments (i.e. sedation, delirium, and early mobility protocols) need to be investigated. Although there are very limited examples in which rehabilitation is used in ICU populations, it may hold the potential to facilitate improvements in cognition, particularly among individuals with deficits in memory, attention, and executive functioning. Despite over a decade of focused investigation, fundamental questions pertaining to cognitive impairments after critical illness exist. Research is needed on methods to proactively identify those at risk for cognitive impairment and to develop methods which will robustly prevent and improve deficits in ICU survivors.


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