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Elements of Play for Cognitive, Physical and Social Health in Older Adults

  • Fares Kayali
  • Naemi Luckner
  • Oliver Hödl
  • Geraldine Fitzpatrick
  • Peter Purgathofer
  • Tanja Stamm
  • Daniela Schlager-Jaschky
  • Erika Mosor
Part of the Lecture Notes in Computer Science book series (LNCS, volume 7946)

Abstract

An increasingly older demographic emphasizes the need to deal with a likewise increasing number of people with cognitive disabilities like dementia or Alzheimer’s disease. While no cure exists the preventive potential of activities in the areas of reminiscence, cognitive, social and physical activity has been recognized. This paper looks at the possibilities of technological interventions in this field from a game design perspective. The paper follows the core research question “Which elements of play can be used in a playful holistic application combining reminiscence, cognitive, social and physical activities to prevent or postpone the development of cognitive disabilities such as dementia for older adults?” Examples are qualitatively analysed and lead to the identification of the elements auto-biographical play, musical play, kinaesthetic play, object-based play, adaptive play, collaborative play and role playing. The list of these elements is expendable and lays the foundation for a holistic design space.

Keywords

aging well play game elements dementia prevention serious games reminiscence 

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References

  1. 1.
    WHO World Health Organisation, Active Ageing: A Policy Framework (2002), http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf (accessed December 12, 2012)
  2. 2.
    Grosinger, J., Vetere, F., Fitzpatrick, G.: Agile Life: addressing knowledge and social motivations for active aging. In: Proceedings of OzCHI 2012 (2012)Google Scholar
  3. 3.
    Zunzunegui, M.-V., Alvarado, B.E., Del Ser, T., Otero, A.: Social Networks, Social Integration, and Social Engagement Determine Cognitive Decline in Community-Dwelling Spanish Older Adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 58(2), 93–100 (2003)CrossRefGoogle Scholar
  4. 4.
    Voelcker-Rehage, C., Godde, B., Staudinger, U.M.: Cardiovascular and coordination training differentially improve cognitive performance and neural processing in older adults. Frontiers in Human Neuroscience 5(26), 17–26 (2011)Google Scholar
  5. 5.
    Brassington, G.S., Atienza, A.A., Perczek, R.E., DiLorenzo, T.M.: Intervention-related cognitive versus social mediators of exercise adherence in the elderly. AJPM 23(2), 80–86 (2002)Google Scholar
  6. 6.
    Rolland, Y., Abellan van Kan, G.: Physical activity and Alzheimer’s disease: from prevention to therapeutic perspectives. Journal of the American Medical Directors Association 9(6), 390–405 (2008)CrossRefGoogle Scholar
  7. 7.
    Schutzer, K.A., Graves, B.S.: Barriers and motivations to exercise in older adults. Preventive Medicine 39, 1056–1061 (2004)CrossRefGoogle Scholar
  8. 8.
    Bohlmeijer, E., Roemer, M., Cuijpers, P., Smit, F.: The effects of reminiscence on psychological well-being in older adults: a meta-analysis. Aging & Mental Health 11(3), 71–89 (2007)CrossRefGoogle Scholar
  9. 9.
    Holzinger, A., Searle, G., Nischelwitzer, A.K.: On Some Aspects of Improving Mobile Applications for the Elderly. In: Stephanidis, C. (ed.) HCI 2007. LNCS, vol. 4554, pp. 923–932. Springer, Heidelberg (2007)CrossRefGoogle Scholar
  10. 10.
    Whitlock, L.A., McLaughlin, A.C., Allaire, J.C.: Video Game Design for Older Adults: Usability Observations from an Intervention Study. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 55(1), pp. 187–191 (2011)Google Scholar
  11. 11.
    Miesenberger, K., Ossmann, R., Archambault, D., Searle, G., Holzinger, A.: More Than Just a Game: Accessibility in Computer Games. In: Holzinger, A. (ed.) USAB 2008. LNCS, vol. 5298, pp. 247–260. Springer, Heidelberg (2008)CrossRefGoogle Scholar
  12. 12.
    McLaughlin, A., Gandy, M., Allaire, J., Whitlock, L.: Putting Fun into Video Games for Older Adults. Ergonomics in Design: The Quarterly of Human Factors Applications 20(2), 13–22 (2012)CrossRefGoogle Scholar
  13. 13.
    Whitlock, L.A, McLaughlin, A.C., Allaire, J.C.: Training Requirements of a Video Game-Based Cognitive Intervention for Older Adults: Lessons Learned. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 54(27), pp. 2343–2346 (2010)Google Scholar
  14. 14.
    Quandt, T., Grueninger, H., Wimmer, J.: The Gray Haired Gaming Generation: Findings From an Explorative Interview Study on Older Computer Gamers. Games and Culture 4(1), 27–46 (2008)CrossRefGoogle Scholar
  15. 15.
    Pearce, C.: The Truth About Baby Boomer Gamers: A Study of Over-Forty Computer Game Players. Games and Culture 3(2), 142–174 (2008)CrossRefGoogle Scholar
  16. 16.
    Murata, A., Iwase, H.: Usability of touch-panel interfaces for older adults. Human Factors 47(4), 767–776 (2005)CrossRefGoogle Scholar
  17. 17.
    Schell, J.: Design outside the box. Presentation at Design Innovate Communicate Entertain Summit, p. 4 (2010)Google Scholar
  18. 18.
    Deterding, S., Sicart, M., Nacke, L., O’Hara, K., Dixon, D.: Gamification. using game-design elements in non-gaming contexts. In: Proceedings of the 2011 Annual Conference Extended Abstracts on Human Factors in Computing Systems, pp. 2425–2428. ACM (2011)Google Scholar
  19. 19.
    Bartle, R.: Hearts, clubs, diamonds, spades: Players who suit MUDs. Journal of MUD research 1(1), 19 (1996)Google Scholar
  20. 20.
    McGonigal, J.: Reality is broken: Why games make us better and how they can change the world. Penguin Press HC (2011)Google Scholar
  21. 21.
    Deterding, S., Dixon, D., Khaled, R., Nacke, L.: From game design elements to gamefulness: defining gamification. In: Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments, pp. 9–15. ACM (2011)Google Scholar
  22. 22.
    Gerling, K.M., Schulte, F.P., Masuch, M.: Designing and evaluating digital games for frail elderly persons. In: Proceedings of the 8th International Conference on Advances in Computer Entertainment Technology, ACE 2011, November 1-8, p. 62. ACM Press, New York (2011)Google Scholar
  23. 23.
    Tanaka, K., Parker, J., Baradoy, G., Sheehan, D., Holash, J., Katz, L.: A Comparison of Exergaming Interfaces for Use in Rehabilitation Programs and Research. Canadian Game Studies Association 6(9), 69–81 (2012)Google Scholar
  24. 24.
    Boulos, M.N.K.: Xbox 360 KinectExergames for Health. Games for Health Journal 1(5), 326–330 (2012)CrossRefGoogle Scholar
  25. 25.
    Brown, S.L., Vaughan, C.C.: Play: How it shapes the brain, opens the imagination, and invigorates the soul. Avery Publishing Group (2009)Google Scholar
  26. 26.
    Nouchi, R., Taki, Y., Takeuchi, H., Hashizume, H., Akitsuki, Y., Shigemune, Y., Sekiguchi, A., Kotozaki, Y., Tsukiura, T., Yomogida, Y.: Brain training game improves executive functions and processing speed in the elderly: A randomized controlled trial. PloS one 7(1), e29676 (2012)Google Scholar
  27. 27.
    Brem, M., Lehrl, S., Rein, A., Massute, S., Schulz-Drost, S., Gelse, K., Schlechtweg, P., Hennig, F., Olk, A., Jacob, H.: Stop of loss of cognitive performance during rehabilitation after total hip arthroplasty—Prospective controlled study. Significance 60, 19 (2009)Google Scholar
  28. 28.
    Stern, Y., Blumen, H., Rich, L., Richards, A., Herzberg, G., Gopher, D.: Space Fortress game training and executive control in older adults: a pilot intervention. Aging, Neuropsychology, and Cognition 18(6), 653–677 (2011)CrossRefGoogle Scholar
  29. 29.
    Basak, C., Boot, W., Voss, M., Kramer, A.: Can training in a real-time strategy video game attenuate cognitive decline in older adults? Psychology and Aging 23(4), 765–777 (2008)CrossRefGoogle Scholar
  30. 30.
    Parker, R.G.: Reminiscence: A Continuity Theory Framework. The Gerontologist 35(4), 515–525 (1995)CrossRefGoogle Scholar
  31. 31.
    Webster, J.D., Bohlmeijer, E.T., Westerhof, G.J.: Mapping the Future of Reminiscence: A Conceptual Guide for Research and Practice. Research on Aging 32(4), 527–564 (2010)CrossRefGoogle Scholar
  32. 32.
    Bluck, S., Alea, N., Habermas, T., Rubin, D.C.: A Tale of Three Functions: The Self-Reported Uses of Autobiographic Memory. Social Cognition 23(1), 91–117 (2005)CrossRefGoogle Scholar
  33. 33.
    Wong, P.T., Watt, L.M.: What types of reminiscence are associated with successful aging? Psychology and Aging 6(2), 272–279 (1991)CrossRefGoogle Scholar
  34. 34.
    Lai, C.K.Y., Chi, I., Kayser-Jones, J.: A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia. International Psychogeriatrics 16(1), 33–49 (2004)CrossRefGoogle Scholar
  35. 35.
    Alm, N., Dye, R., Gowans, G., Campbell, J., Astrell, A., Ellis, M.: A Communication Support System for Older People with Dementia. Computer 40(5), 35–41 (2007)CrossRefGoogle Scholar
  36. 36.
    Wang, J.: Group reminiscence therapy for cognitive and affective function of demented elderly in Taiwan. International Journal of Geriatric Psychiatry 22(12), 1235–1240 (2007)CrossRefGoogle Scholar
  37. 37.
    Bornat, J.: Reminiscence and oral history: parallel universes or shared endeavour? Ageing and Society 22(2), 219–241 (2001)Google Scholar
  38. 38.
    Flood, M., Phillips, K.D.: Creativity in older adults: a plethora of possibilities. Issues in Mental Health Nursing 28(4), 389–411 (2007)CrossRefGoogle Scholar
  39. 39.
    Thorgrimsen, L., Schweitzer, P., Orrell, M.: Evaluating reminiscence for people with dementia: a pilot study. The Arts in Psychotherapy 29, 93–97 (2002)CrossRefGoogle Scholar
  40. 40.
    Hirsch, T., Forlizzi, J., Hyder, E., Goetz, J., Kurtz, C., Stroback, J.: The ELDer project: social, emotional, and environmental factors in the design of eldercare technologies. In: Proceedings on the 2000 Conference on Universal Usability, pp. 72–79 (2000)Google Scholar
  41. 41.
    Ijsselsteijn, W., Nap, H., De Kort, Y., Poels, K.: Digital game design for elderly users. In: Proceedings of the 2007 Conference on Future Play 2007, p. 17 (2007)Google Scholar
  42. 42.
    Koster, R.: Social Mechanics, The Engines Behind Everything Multiplayer. Slides Presented at the Game Developers Conference, San Francisco, California (2011)Google Scholar
  43. 43.
    Salen, K., Zimmerman, E.: Rules of Play: Game Design Fundamentals. The MIT Press (2003)Google Scholar
  44. 44.
    Harley, D., Fitzpatrick, G., Axelrod, L., White, G., McAllister, G.: Making the Wii at home: game play by older people in sheltered housing. In: Leitner, G., Hitz, M., Holzinger, A. (eds.) USAB 2010. LNCS, vol. 6389, pp. 156–176. Springer, Heidelberg (2010)CrossRefGoogle Scholar
  45. 45.
    Meineck, C.: Music Memory Box (2012), http://www.chloemeineck.co.uk (accessed December 12, 2012)
  46. 46.
    Clark, M.E., Lipe, A.W., Bilbrey, M.: Use of music to decrease aggressive behaviors in people with dementia. Journal of Gerontological Nursing 24(7), 10–17 (1998)Google Scholar
  47. 47.
    Sung, H., Chang, A.M.: Use of preferred music to decrease agitated behaviours in older people with dementia: a review of the literature. Journal of Clinical Nursing 14(9), 1133–1140 (2005)CrossRefGoogle Scholar
  48. 48.
    Cuddy, L.L., Duffin, J.: Music, memory, and Alzheimer’s disease: is music recognition spared in dementia, and how can it be assessed? Medical Hypotheses 64(2), 229–235 (2005)CrossRefGoogle Scholar
  49. 49.
    Agmon, M., Perry, C.K., Phelan, E., Demiris, G., Nguyen, H.Q.: A pilot study of Wii Fit exergames to improve balance in older adults. Journal of Geriatric Physical Therapy 34(4), 161–167 (2011)Google Scholar
  50. 50.
    Gamberini, L., Alcaniz, M., Barresi, G., Fabregat, M., Ibanez, F., Prontu, L.: Cognition, technology and games for the elderly: An introduction to ELDERGAMES Project. Psychnology Journal 4(3), 285–308 (2006)Google Scholar
  51. 51.
    Gamberini, L., Fabregat, M., Spagnolli, A., Prontu, L., Seraglia, B., Alcaniz, M., Zimmerman, A., Rontti, T., Grant, J., Jensen, R.: Eldergames: videogames for empowering, training and monitoring elderly cognitive capabilities. Gerontechnology 7(2), 111 (2008)CrossRefGoogle Scholar
  52. 52.
    Gamberini, L., Martino, F., Seraglia, B., Spagnolli, A., Fabregat, M., Ibanez, F., Alcaniz, M., Andrés, J.: Eldergames project: An innovative mixed reality table-top solution to preserve cognitive functions in elderly people. In: 2nd Conference on Human System Interactions, HSI 2009, pp. 164–169. IEEE (2009)Google Scholar
  53. 53.
    Alcañiz Raya, M.L., Gòmez, J.A., Gamberini, L., Martinelli, M., Prontu, L., Seraglia, B., Varotto, D.: Design and development of a mixed reality solution for gerontechnology applications. Gerontechnology 7(2), 66 (2008)CrossRefGoogle Scholar
  54. 54.
    Keyani, P., Hsieh, G., Mutlu, B., Easterday, M., Forlizzi, J.: DanceAlong: Supporting Positive Social Exchange and Exercise for the Elderly Through Dance. In: CHI 2005 Extended Abstracts on Human Factors in Computing Systems, pp. 1541–1544 (2005)Google Scholar
  55. 55.
    Langer, E.: Counterclockwise: Mindful Health and the Power of Possibility. Ballantine Books (2009)Google Scholar
  56. 56.
    Kayali, F., Pichlmair, M.: Playing Music, Playing Games - Simulation vs. Gameplay in Music-based Games. Paper presented at the Vienna Games Conference 2008 ‘Future and Reality of Gaming’, FROG (2008)Google Scholar
  57. 57.
    Westecott, E.: Bringing the Body back into Play. In: The [player] Conference Proceedings, Copenhagen, Denmark (2008)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Fares Kayali
    • 1
  • Naemi Luckner
    • 1
  • Oliver Hödl
    • 1
  • Geraldine Fitzpatrick
    • 1
  • Peter Purgathofer
    • 1
  • Tanja Stamm
    • 2
    • 3
  • Daniela Schlager-Jaschky
    • 2
  • Erika Mosor
    • 2
  1. 1.Institute of Design and Assessment of TechnologyVienna University of TechnologyAustria
  2. 2.Department of HealthFH Campus WienViennaAustria
  3. 3.Department of RheumatologyMedical University of ViennaViennaAustria

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