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Evaluating a Gaming System for Cognitive Screening and Sleep Duration Assessment of Elderly Players: A Pilot Study

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Games and Learning Alliance (GALA 2016)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 10056))

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Abstract

Using serious games for cognitive screening can provide a motivating and entertaining alternative to traditional cognitive screening methods. Cognitive decline is usually measured by tests of mental processing, however age-related changes in sleep may also reveal signs of cognitive decline among older individuals. The current work presents and evaluates a gaming system for cognitive screening and sleep duration assessment of the elderly. The gaming system consists of an original serious game for cognitive screening (Smartkuber) and a smartwatch (Basis Peak). A pilot study is conducted to identify and improve the weaknesses of the gaming system and to evaluate the gaming system as to its usability and the game experience it offers for elderly players, assesing its suitability for a large-scale study. The pilot study lasted for 6 weeks and 101 gaming sessions were recorded from 5 elderly players. Elderly players were entertained by the game, while they were impressed by the smartwatch’s performance. Limitations of the study and future directions are discussed.

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References

  1. An, C., Yu, L., Wang, L., Jin, G., Song, M., Zhu, Q., Jia, H., Liu, K., Wang, M., Wang, X.: Association between sleep characteristics and mild cognitive impairment in elderly people. Neurophysiology 46(1), 88–94 (2014)

    Article  Google Scholar 

  2. Bangor, A., Kortum, P.T., Miller, J.T.: An empirical evaluation of the system usability scale. Int. J. Hum.-Comput. Interact. 24(6), 574–594 (2008)

    Article  Google Scholar 

  3. Boletsis, C., McCallum, S.: Augmented reality cube game for cognitive training: an interaction study. Stud. Health Technol. Inform. 200, 81–87 (2014)

    Google Scholar 

  4. Boletsis, C., McCallum, S.: Connecting the player to the doctor: utilising serious games for cognitive training & screening. DAIMI PB 597, 5–8 (2015)

    Google Scholar 

  5. Boletsis, C., McCallum, S.: Augmented Reality cubes for cognitive gaming: preliminary usability and game experience testing. Int. J. Serious Games 3(1), 3–18 (2016)

    Article  Google Scholar 

  6. Boletsis, C., McCallum, S.: Smartkuber: a cognitive training game for cognitive health screening of elderly players. Games Health J. 5(4), 241–251 (2016)

    Article  Google Scholar 

  7. Boletsis, C., McCallum, S., Landmark, B.F.: The use of smartwatches for health monitoring in home-based dementia care. In: Zhou, J., Salvendy, G. (eds.) DUXU 2015. LNCS, vol. 9194, pp. 15–26. Springer, Heidelberg (2015). doi:10.1007/978-3-319-20913-5_2

    Chapter  Google Scholar 

  8. Brooke, J.: SUS-a quick and dirty usability scale. In: Usability Evaluation In Industry, pp. 189–194. Taylor & Francis, Abingdon-on-Thames (1996)

    Google Scholar 

  9. Brooke, J.: SUS: a retrospective. J. Usability Stud. 8(2), 29–40 (2013)

    Google Scholar 

  10. Buysse, D.J., Reynolds, C.F., Monk, T.H., Berman, S.R., Kupfer, D.J.: The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 28(2), 193–213 (1989)

    Article  Google Scholar 

  11. Connolly, A., Gaehl, E., Martin, H., Morris, J., Purandare, N.: Underdiagnosis of dementia in primary care: variations in the observed prevalence and comparisons to the expected prevalence. Aging Mental Health 15(8), 978–984 (2011)

    Article  Google Scholar 

  12. Ferrie, J.E., Shipley, M.J., Akbaraly, T.N., Marmot, M.G., Kivimaki, M., Singh-Manoux, A.: Change in sleep duration and cognitive function: findings from the whitehall ii study. Sleep 34(5), 565–573 (2011)

    Google Scholar 

  13. Gamberini, L., Fabregat, M., Spagnolli, A., Prontu, L., Seraglia, B., Alcaniz, M., Zimmerman, A., Rontti, T., Grant, J., Jensen, R., Gonzales, A.: Eldergames: videogames for empowering, training and monitoring elderly cognitive capabilities. Gerontechnology 7(2), 111 (2008)

    Article  Google Scholar 

  14. Gildner, T.E., Liebert, M.A., Kowal, P., Chatterji, S., Snodgrass, J.J.: Associations between sleep duration, sleep quality, and cognitive test performance among older adults from six middle income countries: results from the study on global ageing and adult health (sage). J. Clin. Sleep Med. 10(6), 613–621 (2014)

    Google Scholar 

  15. Glaser, B.G., Strauss, A.L.: The Discovery of Grounded Theory: Strategies for Qualitative Research. Transaction Publishers, New Brunswick (2009)

    Google Scholar 

  16. Hanna-Pladdy, B., Enslein, A., Fray, M., Gajewski, B.J., Pahwa, R., Lyons, K.E.: Utility of the NeuroTrax computerized battery for cognitive screening in Parkinson’s disease: comparison with the MMSE and the MoCA. Int. J. Neurosci. 120(8), 538–543 (2010)

    Article  Google Scholar 

  17. Hansen, D.: Fighting dementia with brain health assessment. Games Health J. 3(1), 10–12 (2014)

    Article  Google Scholar 

  18. Ismail, Z., Rajji, T.K., Shulman, K.I.: Brief cognitive screening instruments: an update. Int. J. Geriatr. Psychiatry 25(2), 111–120 (2010)

    Article  Google Scholar 

  19. Neistadt, M.: A critical analysis of occupational therapy approaches for perceptual deficits in adults with brain injury. Am. J. Occup. Ther. 44(4), 299–304 (1990)

    Article  Google Scholar 

  20. Patel, S., Ahmed, T., Lee, J., Ruoff, L., Unadkat, T.: Validation of Basis Science Advanced Sleep Analysis: Estimation of Sleep Stages and Sleep Duration. Basis Science (2014). http://www.mybasis.com/wp-content/uploads/2014/04/Validation-of-Basis-Science-Advanced-Sleep-Analysis.pdf. Accessed 6 July 2016

  21. Persson, J., Nyberg, L., Lind, J., Larsson, A., Nilsson, L.G., Ingvar, M., Buckner, R.L.: Structure-function correlates of cognitive decline in aging. Cereb. Cortex 16(7), 907–915 (2006)

    Article  Google Scholar 

  22. Potvin, O., Lorrain, D., Forget, H., Dube, M., Grenier, S., Preville, M., Hudon, C.: Sleep quality and 1-year incident cognitive impairment in community-dwelling older adults. Sleep 35(4), 491–499 (2012)

    Google Scholar 

  23. Prince, M., Bryce, R., Ferri, C.: World Alzheimer report 2011: the benefits of early diagnosis and intervention. In: Alzheimer’s Disease International (ADI) (2011)

    Google Scholar 

  24. Sauro, J.: A practical guide to the system usability scale: background, benchmarks & best practices. CreateSpace Independent Publishing Platform (2011). http://www.measuringu.com/products/SUSguide. Accessed 6 July 2016

  25. Scanlon, L., O’Shea, E., O’Caoimh, R., Timmons, S.: Usability and validity of a battery of computerised cognitive screening tests for detecting cognitive impairment. Gerontology 62(2), 247–252 (2016)

    Article  Google Scholar 

  26. Sottas, P.E., Robinson, N., Rabin, O., Saugy, M.: The athlete biological passport. Clin. Chem. 57(7), 969–976 (2011)

    Article  Google Scholar 

  27. Tong, T., Yeung, J., Sandrakumar, J., Chignell, M., Tierney, M.C., Lee, J.: Improving the ergonomics of cognitive assessment with serious games. Proc. Int. Symp. Hum. Factors Ergon. Health Care 4(1), 1–5 (2015)

    Article  Google Scholar 

  28. Waldemar, G., Phung, K., Burns, A., Georges, J., Hansen, F.R., Iliffe, S., Marking, C., Rikkert, M.O., Selmes, J., Stoppe, G., Sartorius, N.: Access to diagnostic evaluation and treatment for dementia in Europe. Int. J. Geriatr. Psychiatry 22(1), 47–54 (2007)

    Article  Google Scholar 

  29. Zucchella, C., Sinforiani, E., Tassorelli, C., Cavallini, E., Tost-Pardell, D., Grau, S., Pazzi, S., Puricelli, S., Bernini, S., Bottiroli, S., et al.: Serious games for screening pre-dementia conditions: from virtuality to reality? A pilot project. Funct. Neurol. 29(3), 153–158 (2014)

    Google Scholar 

  30. Zygouris, S., Giakoumis, D., Votis, K., Doumpoulakis, S., Ntovas, K., Segkouli, S., Karagiannidis, C., Tzovaras, D., Tsolaki, M.: Can a virtual reality cognitive training application fulfill a dual role? Using the virtual supermarket cognitive training application as a screening tool for mild cognitive impairment. J. Alzheimers Dis. 44(4), 1333–1347 (2015)

    Google Scholar 

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Acknowledgements

The authors would like to thank the staff and volunteers of Seniornett Norge (Oslo) for their support and participation in the study, as well as Tore Langemyr Larsen and Joop Cuppen for establishing this meaningful collaboration. The authors also thank Dr. Brynjar Landmark for his significant contribution to the smartwatch’s use and the game’s design, development, and evaluation processes.

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Correspondence to Costas Boletsis .

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Boletsis, C., McCallum, S. (2016). Evaluating a Gaming System for Cognitive Screening and Sleep Duration Assessment of Elderly Players: A Pilot Study. In: Bottino, R., Jeuring, J., Veltkamp, R. (eds) Games and Learning Alliance. GALA 2016. Lecture Notes in Computer Science(), vol 10056. Springer, Cham. https://doi.org/10.1007/978-3-319-50182-6_10

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  • DOI: https://doi.org/10.1007/978-3-319-50182-6_10

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