The Use of Mobile Games to Assess Cognitive Function of Elderly with and without Cognitive Impairment

J Alzheimers Dis. 2018;64(4):1285-1293. doi: 10.3233/JAD-180224.

Abstract

Background: In the past few years numerous mobile games have been developed to train the brain. There is a lack of information about the relation between the scores obtained in these games and the cognitive abilities of the patients.

Objective: The aim of this study was to determine whether or not mobile games can be used to assess cognitive abilities of elderly.

Methods: Twenty healthy young adults, 29 old patients with cognitive impairments (Mini-Mental State Exam (MMSE) [20- 24]) and 27-aged controls participated in this study. Scores obtained in 7 mobile games were correlated with MMSE and the Addenbrooke's Cognitive Evaluation revised (ACE-R).

Results: Statistically significant differences were found for all games between patients with cognitive impairments and the aged controls. Correlations between the average scores of the games and the MMSE and ACE-R are significant (R = 0.72 [p < 0.001] and R = 0.81 [p < 0.001], respectively).

Conclusion: Scores of cognitive mobile games could be used as an alternative to MMSE and ACE-R to evaluate cognitive function of aged people with and without cognitive impairment at least when MMSE is higher than 20/30.

Keywords: Assessment; cognitive evaluation; dementia; mobile games; serious games.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging*
  • Analysis of Variance
  • Cognitive Dysfunction / diagnosis*
  • Cognitive Dysfunction / physiopathology*
  • Correlation of Data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mobile Applications*
  • Neuropsychological Tests
  • Psychometrics
  • Video Games*
  • Young Adult