Background
Current methods of cognitive interventions for older adults are increasingly employing modern technologies. However, research into possible applications of virtual reality (VR) in such interventions has begun only recently. The aim of the study was to evaluate the efficacy of VR-based cognitive training for older adults and to compare this efficacy in older adults without cognitive impairment and with mild dementia.
Methods
The complete data were obtained from 99 individuals aged 60-89, qualified according to Mini Mental State Examination (MMSE) scores into the group of non-demented older adults (n=72, mean age 68, MMSE: 28-30) or older adults with mild dementia (n=27, mean age 72, MMSE: 19-23).
An one group pretest-posttest design was applied. Cognitive training with the use of GRADYS software – a computer game with elements of VR was introduced in all participants. The game included four modules corresponding to: attention, memory, visual processing and language. The intervention lasted 4 weeks and consisted of eight sessions, two per week. The intervention program was preceded and followed by a cognitive assessment of processes corresponding to the modules of the game.
The following statistical tests were used: the repeated measures multivariate analysis of variance supplemented with one-way tests, the Hotelling T2 test, the Student’s t test, the Friedman test, the Mann-Whitney U test, the Kruskal-Wallis test.
Results
Both research groups demonstrated progress in the training, which was greater in non-demented older adults for the majority of cognitive modules except for the attention module. There were also significant differences in general cognitive functioning before and after the training. However, positive changes in cognitive performance in particular tests were revealed almost exclusively in the group of older adults without cognitive impairment. There was no relationship between the level achieved in particular training modules and the improvement in corresponding cognitive tasks.
Conclusions
Currently, we can recommend the GRADS game for use only in non-demented older adults. The hypothesis of the presumable usefulness of the game in individuals with MCI needs to be tested. In turn, the application of the GRADYS game to people with dementia would require modification of the hardware and software.