Aplication of "serious games" in the treatment of dementia: a systematic review
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Abstract
Dementia is a chronic disease with a degenerative course that broadly affects cognitive function (ability to process thought). Due to the increase in life expectancy and technical advances in the field of medicine, we are facing a scenario in which it is estimated that in 2030 the number of people with dementia will reach 82 million, reaching 152 million in 2050 (1). Pharmacological therapies have been used for their treatment with questionable success. In recent years,“serious games” have made their way as an alternative in the treatment of dementia. There is abundant and diverse research on this topic. However, there is a need for greater homogeneity in the design of interventions, as well as the variables used, to facilitate future research in this field. On the other hand, there is a clear need for the presence of professionals such as occupational therapists in such research, who can provide a broader view of the impact of the disease in the different occupational areas, with special emphasis on the area of play (2), which is included in their framework for professional practice. In this systematic review, we analyse articles involving the use of serious games in the treatment of dementia, extracting the pros and cons, and suggesting small changes that may improve research in this field.
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References
(1) Demencia. https://www.who.int/es/news-room/fact-sheets/detail/dementia. Accedido: 25/11/2021.
(2) Marco de Trabajo de Terapia Ocupacional. http://bases.cortesaragon.es/bases/NDocumen.nsf/0/2930ff892352fe31c12573a2002e931c/$FILE/Marco_de_Trabajo_de_Terapia_Ocupacional.pdf. Accedido: 25/11/2021
(3) Consenso español sobre demencias: http://www.sepsiq.org/file/Publicaciones/Consenso%20espa%C3%B1ol%20sobre%20demencias.pdf. Accedido: 25/11/2021.
(4) Ory MG, Hoffman RR, Yee JL, Tennstedt S, Schulz R. Prevalence and impact of caregiving: a detailed comparison between dementia and nondementia caregivers. Gerontologist. 1999; 39(2):177-85.
(5) Grant I, Adler KA, Patterson TL, Dimsdale JE, Ziegler MG, Irwin MR. Health consequences of Alzheimer’s caregiving transitions: effects of placement and bereavement. Psychosom Med. 2002; 64(3):477-86.
(6) Formiga F, Robles MJ, Fort I. Demencia, unaenfermedad evolutiva: demenciasevera. Identificación de demencia terminal. Rev Esp Geriatr Gerontol. 2009; 44:2-8.
(7) Viadero CF. Demencia severa, avanzada y cuidados paliativos. 2012; 97.
(8) López Locanto Ó. Tratamiento farmacológico de la enfermedad de Alzheimer y otras demencias. Archivos de Medicina Interna. 2015; 37(2):61-7.
(9) Michael DR, Chen SL. Serious Games: Games That Educate, Train, and Inform. Muska & Lipman/PremierTrade; 2005.
(10) Stapleton AJ. Serious games: Serious opportunities. En: In Australian Game Developers Conference, Academic. 2004.
(11) Tárraga L, Boada M, Modinos G, Espinosa A, Diego S, Morera A, et al. A randomised pilot study to assess the efficacy of an interactive, multimedia tool of cognitive stimulation in Alzheimer’s disease. J Neurol Neurosurg Psychiatry. 2006; 77(10):1116-21.
(12) Ricciardi F, Paolis LTD. A Comprehensive Review of Serious Games in Health Professions. International Journal of Computer Games Technology. 2014.
(13) Djaouti D, AlvarezJ,JesselJ-P, Rampnoux O. Origins of Serious Games. En Serious Gamesand Edutainment Applications. London: Springer; 2011.
(14) Lehmann ED. Interactive educational simulators in diabetes care. Medical Informatics. 1997; 22(1):47-76.
(15) Brown SJ, Lieberman DA, Germeny BA, Fan YC, Wilson DM, Pasta DJ. Educational video game for juvenile diabetes: results of a controlled trial. Med Inform (Lond). 1997; 22(1):77-89.
(16) Gajardo J J, Aravena C JM. ¿Cómo aporta la terapia ocupacional en el tratamiento de las demencias? Revista chilena de neuro-psiquiatría. 2016; 54(3):239-49.
(17) Rodriguez J, Gajardo J. Sobre la contribución de la terapia ocupacional en el manejo no farmacológico de los síntomas psicológicos y conductuales asociados a la demencia. Revista Chilena de Terapia Ocupacional. 2012; 12(2).
(18) Moyà Alcover G, Perales F, Varona J. Rehabilitación motivacional basada en la utilización de serious games Motivational Rehabilitation using Serious Games. Virtual Archaeology Review. 2013; 4:167.
(19) Sardi L, Idri A, Fernández-Alemán JL. A systematic review of gamification in e-Health. Journal of Biomedical Informatics. 2017; 71:31-48.
(20) Tziraki C, Berenbaum R, Gross D, AbikhzerJ, Ben-David BM. Designing Serious Computer Gamesfor People With Moderate and Advanced Dementia: Interdisciplinary Theory-Driven Pilot Study. JMIR Serious Games. 2017; 5(3).
(21) Fasilis Th, Patrikelis P, Siatouni A, et al. A pilot study and brief overview of rehabilitation via virtual environment in patients suffering from dementia. Psychiatriki. 2018; 29(1):42-51.
(22) Robert P, Manera V, Derreumaux A, Ferrandez Y Montesino M, Leone E, Fabre R, et al. Efficacy of a Web App for Cognitive Training (MeMo) Regarding Cognitive and Behavioral Performance in People With Neurocognitive Disorders: Randomized Controlled Trial. J Med Internet Res. 2020; 22(3).
(23) Amaefule CO, Lüdtke S, Kirste T, Teipel SJ. Effect of Spatial Disorientation in a Virtual Environment on Gait and Vital Features in Patients with Dementia: Pilot Single-Blind Randomized Control Trial. JMIR Serious Games. 2020; 8(4).
(24) Yun SJ, Kang M-G, Yang D, Choi Y, Kim H, Oh B-M, et al. Cognitive Training Using Fully Immersive, Enriched Environment Virtual Reality for Patients With Mild Cognitive Impairment and Mild Dementia: Feasibility and Usability Study. JMIR Serious Games. 2020; 8(4).
(25) Burdea G, Polistico K, Krishnamoorthy A, House G, Rethage D, Hundal J, et al. Feasibility study of the BrightBrainer
TM integrative cognitive rehabilitation system for elderly with dementia. Disabil Rehabil Assist Technol. 2015; 10(5):421-32.
(26) Vallejo V, Wyss P, Rampa L, Mitache AV, Müri RM, Mosimann UP, et al. Evaluation of a novel Serious Game based assessment tool for patients with Alzheimer’s disease. PLoS One. 2017; 12(5).
(27) Swinnen N, Vandenbulcke M, de Bruin ED, Akkerman R, Stubbs B, Firth J, et al. The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial. Alzheimers Res Ther. 2021; 13.
(28) Hassandra M, Galanis E, Hatzigeorgiadis A, Goudas M, Mouzakidis C, Karathanasi EM, et al. Virtual Reality App for Physical and Cognitive Training of Older People With Mild Cognitive Impairment: Mixed Methods Feasibility Study. JMIR Serious Games. 2021; 9(1):e24170.
(29) Chen Y-T, Hou C-J, Derek N, Huang S-B, Huang M-W, Wang Y-Y. Evaluation of the Reaction Time and Accuracy Rate in Normal Subjects, MCI, and Dementia Using Serious Games. Applied Sciences. 2021;11(2):628.
(30) Iliadou P, Paliokas I, Zygouris S, Lazarou E, Votis K, Tzovaras D, et al. A Comparison of Traditional and Serious Game-Based Digital Markers of Cognition in Older Adults with Mild Cognitive Impairment and Healthy Controls. Journal of Alzheimer’s Disease. 2021; 79(4):1747-59.
(31) Skikos G, Goumopoulos C. A Tablet-Based Game Tool for Cognition Training of Seniors with Mild Cognitive Impairment. En International Conference on Database Systems for Advanced Applications. 2021; 355-364. Springer, Cham.
(32) Ge R, Wang Z, Yuan X, Li Q, Gao Y, Liu H, et al. The Effects of Two Game Interaction Modes on Cortical Activation in Subjects of Different Ages: A Functional Near-Infrared Spectroscopy Study. IEEE Access. 2021; 9:11405-15.
(33) Bojan K, Stavropoulos TG, Lazarou I, Nikolopoulos S, Kompatsiaris I, Tsolaki M, et al. The effects of playing the COSMA cognitive games in dementia. IJSG. 2021; 8(1):45-58.
(34) Ning H, Li R, Ye X, Zhang Y, Liu L. A Review on Serious Games for Dementia Care in Ageing Societies. IEEE J Transl Eng Health Med. 2020;8.