Finding critical features for predicting quality of life in tablet-based serious games for dementia

Cha, Jeehoon; Voigt-Antons, Jan‐Niklas; Trahms, Carola; O’Sullivan, Julie Lorraine; Gellert, Paul; Kuhlmey, Adelheid; Möller, Sebastian; Nordheim, Johanna

doi:10.1007/s41233-019-0028-2

Cited by 10 publications

(9 citation statements)

References 60 publications

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“…DemSelf is still a rather traditional instrument as it is directly based on a validated paper-based instrument. Some potential benefits of computerized tests, such as adapting to individual performance or the use of machine-learning algorithms to interpret test performance [36,32,6], are not part of the instrument. A high level of usability is a prerequisite for successful practical use.…”

Section: Discussionmentioning

confidence: 99%

“…double taps), or complex multi-touch gestures can also be problematic. Other studies have shown that mobile devices such as tablets can be successfully integrated into the lives of people with dementia -for example, to assess quality of life [12], to improve quality of live via cognitive training games or communication with staff and family members [6,1], or to improve outpatient dementia care by fostering guideline-based treatment [15,14]. Usability aspects should be considered early on in the development of a new instrument.…”

Section: Related Workmentioning

confidence: 99%

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DemSelf, a Mobile App for Self-Administered Touch-Based Cognitive Screening: Participatory Design With Stakeholders

Burghart¹,

O’Sullivan²,

Spang³

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Section: Related Workmentioning

confidence: 99%

DemSelf, a Mobile App for Self-Administered Touch-Based Cognitive Screening: Participatory Design With Stakeholders

Burghart¹,

O’Sullivan²,

Spang³

et al. 2021

Preprint

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“…Four applications (Quiz, Spelling game, Show me, Move me) targeted cognitive and functional abilities. Task di culty was adapted based on task performance: exercises became more di cult as performance improved and vice versa (Cha et al 2019). Three applications (Interactive Cat, Picture Gallery, Color and Sound) were designed to support emotional self-regulation.…”

Section: Interventionmentioning

confidence: 99%

A Tablet ‐ Based Intervention for Activating Nursing Home Residents with Dementia: Results from a Cluster-Randomised Controlled Trial

O’Sullivan

Lech

Gellert

et al. 2021

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Objectives: To investigate global and momentary effects of a tablet-based non-pharmacological intervention for nursing home residents living with dementia.Design: Cluster-randomized controlled trial.Setting: Ten nursing homes in Germany were randomly allocated to the tablet-based intervention (TBI, 5 units) or conventional activity sessions (CAS, 5 units).Participants: N = 162 residents with dementia. Intervention: Participants received regular TBI (n = 80) with stimulating activities developed to engage people with dementia or CAS (n = 82) for eight weeks.Measurements: Apathy Evaluation Scale (AES-I, primary outcome), Quality of Life in Alzheimer’s Disease scale, QUALIDEM scale, Neuropsychiatric Inventory, Geriatric Depression Scale and psychotropic medication (secondary outcomes). Momentary quality of life was assessed before and after each activity session. Participants and staff were blinded until collection of baseline data was completed. Data was analyzed with linear mixed-effects models.Results: Levels of apathy decreased slightly in both groups (mean decrease in AES-I of .61 points, 95%CI: -3.54 to 2.33 for TBI and .36 points, 95%CI: -3.27 to 2.55 for CAS). Group difference in change of apathy was not statistically significant (B = .25; 95%CI: -3.89 to 4.38, p = .91). This corresponds to a standardized effect size (Cohen’s d) of .02. A reduction of psychotropic medication was found for TBI compared to CAS. Further analyses revealed a post-intervention improvement in QUALIDEM scores across both groups and short-term improvements of momentary quality of life in the CAS group.Conclusions: Our findings suggest that interventions involving tailored activities have a beneficial impact on global and momentary quality of life in nursing home residents with dementia. Although we found no clear advantage of TBI compared to CAS, tablet computers can support delivery of non-pharmacological interventions in nursing homes and facilitate regular assessments of fluctuating momentary states. Funding: German National Association of Statutory Health Insurance Funds. Registry: ISRCTN98947160.

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“…Four applications (Quiz, Spelling game, Show me, Move me) targeted cognitive and functional abilities. Task di culty within these applications was adapted individually based on participant's task performance: exercises became more di cult as participant's performance improved and vice versa, for details see Cha et al (44). Two further applications (Interactive Cat, Colour and Sound game) were designed to support emotional self-regulation.…”

Section: Intervention Intervention Group Nursing Homesmentioning

confidence: 99%

A Tablet ‐ Based Intervention for Activating Nursing Home Residents with Dementia: Results from a Cluster-Randomised Controlled Trial

O’Sullivan

Lech

Gellert

et al. 2020

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Background: Non-pharmacological interventions (NPI) can improve cognitive and non-cognitive symptoms in nursing home residents living with dementia. However, delivery of suitable NPI can be challenging in everyday nursing home settings. Internet and communication technologies (ICT) may be promising tools for supporting NPI delivery in nursing homes. Methods: A two-arm cluster-randomised controlled trial was conducted to investigate global and momentary effects of a novel ICT-based NPI for nursing home residents with dementia. Ten nursing homes were randomly allocated to the tablet-based intervention (TBI) or conventional activity sessions (CAS) group (each with five nursing homes) between April 2016 and May 2017. A total of N = 162 participants received either regular TBI (n = 80) or CAS (n = 82) over a period of eight weeks. Linear mixed models were used to analyse group differences regarding the primary outcome apathy (AES-I), and secondary outcomes quality of life (QOL-AD, QUALIDEM), neuropsychiatric (NPI-NH, psychotropic medication) and depressive symptoms (GDS). Ecological Momentary Assessments (EMA) of quality of life were also conducted in both groups before and after each activity session.Results: No significant group difference in the change of apathy (AES-I score, primary outcome) was found post intervention (mean group difference: B = .19; 95% CI: -3.90 to 4.28, p = .93). Regarding secondary outcomes, a reduction of psychotropic medication was found for TBI compared to CAS (B = .42; 95% CI: .15 to .69, p < .01). Further analyses revealed a post-intervention improvement of informant-rated quality of life across both groups (B = 3.69; 95% CI: .68 to 6.69, p = .02). Analysis of EMA also rendered short-term post-session improvements of quality of life in the CAS group (B = .43; 95% CI: .30 to .57, p < .001). Conclusions: These findings suggest that NPI involving individually tailored activities have a beneficial impact on quality of life in nursing home residents with dementia. Although we found no clear advantage of TBI compared to CAS, ICT have the potential to support NPI delivery and facilitate regular assessments of fluctuating momentary states in nursing home residents with dementia. Trial registration: The trial was retrospectively registered with the ISRCTN registry (Trial registration number: ISRCTN98947160) on 01/09/2016 http://www.isrctn.com/ISRCTN98947160.

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Finding critical features for predicting quality of life in tablet-based serious games for dementia

Cited by 10 publications

References 60 publications

DemSelf, a Mobile App for Self-Administered Touch-Based Cognitive Screening: Participatory Design With Stakeholders

DemSelf, a Mobile App for Self-Administered Touch-Based Cognitive Screening: Participatory Design With Stakeholders

A Tablet ‐ Based Intervention for Activating Nursing Home Residents with Dementia: Results from a Cluster-Randomised Controlled Trial

A Tablet ‐ Based Intervention for Activating Nursing Home Residents with Dementia: Results from a Cluster-Randomised Controlled Trial

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