Serious Games for Cognitive Assessment with Older Adults: A Preliminary Study

  • Helio C. Silva NetoEmail author
  • Joaquim Cerejeira
  • Licinio Roque
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10507)


One of the strategies proposed by the World Health Organization to promote a healthy aging, also known as “Active Aging”, where the maintenance of health and Independence in old age is identified as a good quality of physical, mental and social life, are the relevant factors concerning the preservation of the potential of achievement and development in this stage of life. Due to the common occurrence of mental disorders in older people, which are caused by many factors, the neuropsychological assessments form a part of the psychological clinical studies, where new approaches and techniques are resulting in tests that have been significantly progressing, although the principles in which these tests are based remain unchanged. In order to make those tests less tiring, and more relaxing and engaging, the Serious Games appeared, aiming to adapt the current neuropsychological tests to the context of videogaming and Digital Games, in order to achieve a better performance of the participants during the assessment and to enable a better data collection to the medical evaluation Thus, the aim of this study was to evaluate whether a serious game can be a useful instrument to be used in cognitive assessment and stimulation, and which gameplay indicators could be potential proxies of cognitive measurement.


Serious games e-health Aging Cognitive assessment 


  1. 1.
    Albert, M.S., Killiany, R.J.: Age-related cognitive change and brain-behavior relationships. In: Birren, J.E., Schaie, K.W. (eds.) Handbook of the Psychology of Aging, 5th edn., pp. 161–185. Academic Press, San Diego (2001)Google Scholar
  2. 2.
    Barreto, J.: A reserva cognitiva e a prevenção da demência. Trabalho apresentado nas VI Jornadas de Saúde Mental do Idoso. Faculdade de Medicina da Universidade do Porto (2007)Google Scholar
  3. 3.
    Bialystok, E.: Effect of bilingualism and computer video game experience on the Simon task. Can. J. Exp. Psychol. 60(1), 68–79 (2006)CrossRefGoogle Scholar
  4. 4.
    Ferrari, M.A.C.: O envelhecer no Brasil. O mundo da saúde, São Paulo 23(4), 197–203 (1999)Google Scholar
  5. 5.
    Franco-Martín, M.A., Orihuela-Villameriel, T.: A reabilitação das funções cognitivas superiores na demência. In: Firmino, H., Pinto, L.C., Leuschner, A., Barreto, J. (eds.). Psicogeriatria. Coimbra: Psiquiatria Clínica, pp. 471–487 (2006)Google Scholar
  6. 6.
    Freitas, S., Simões, M.R., Alves, L.: Montreal cognitive assessment (MoCA): normative study for the portuguese population. J. Clin. Exp. Neuropsychol. (2011)Google Scholar
  7. 7.
    Gamberini, L., et al.: Cognition, technology and games for the elderly: an introduction to ElderGames Project. PsychNology J. 4(3), 285–308 (2006)Google Scholar
  8. 8.
    Ghisletta, P., McArdle, J.J., Lindenberger, U.: Longitudinal cognition-survival relations in old and very old age: 13-year data from the Berlin aging study. Eur. Psychol. 11, 204–223 (2006)CrossRefGoogle Scholar
  9. 9.
    Green, C.S., Bavelier, D.: Action-video-game experience alters the spacial resolution of vision. Psychol. Sci. 18(1), 88–94 (2007)CrossRefGoogle Scholar
  10. 10.
    Lager, A., Bremberg, S.: Health effects of video and computer game playing: a systematic review. Swedish National Institute of Public Health, Estocolmo (2005)Google Scholar
  11. 11.
    Leung, L., Lee, P.S.N.: Multiple determinants of life quality: the roles of Internet activities, use of new media, social support, and leisure activities. Telematics Inform. 22, 161–180 (2005)CrossRefGoogle Scholar
  12. 12.
    Mahncke, H.W., Bronstone, A., Merzenich, M.M.: Brain plasticity and functional losses in the aged: scientific bases for a novel intervention. Prog. Brain Res. 157, 81–109 (2006)CrossRefGoogle Scholar
  13. 13.
    Nasreddine, Z., Phillips, N.A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J.L., Chertkow, H.: The montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. Am. Geriatr. Soc. 53, 695–699 (2005)CrossRefGoogle Scholar
  14. 14.
    Pontes, A.C.F., Corrente, J.E.: The use of nonparametric contrasts in one-way layouts and random block designs. J. Nonparametric Stat. 17(3), 335–346 (2005)MathSciNetCrossRefzbMATHGoogle Scholar
  15. 15.
    Silva Neto, H.C., Roque, L.: Senior care clinic - modeling a cognitive assessment system. Anais do Simpósio Brasileiro de Jogos e Entretenimento Digital - SBGames (2014)Google Scholar
  16. 16.
    Silva Neto, H.C., Roque, L.: Experiências dos Videojogos aplicados ao Envelhecimento Ativo. Anais do Simpósio Brasileiro de Jogos e Entretenimento Digital - SBGames (2014)Google Scholar
  17. 17.
    Thompson, G., Foth, D.: Cognitive-training programs for older adults: what are they and can they enhance mental fitness? Educ. Gerontol. 31(8), 603–626 (2005)CrossRefGoogle Scholar
  18. 18.
    Vinters, H.V.: Aging and the human nervous system. In: Birren, J.E., Schaie, K.W. (eds.) Handbook of the Psychology of Aging, 5th edn., pp. 135–160. Academic Press, San Diego (CA) (2001)Google Scholar
  19. 19.
    WHO - World Health Organization. Envelhecimento ativo: uma política de saúde. Brasília (2015)Google Scholar
  20. 20.
    Zyda, M.: From Visual Simulation to Virtual Reality to Games, vol. 38(9), pp. 25–32. IEEE Computer Society Press, California, September 2005CrossRefGoogle Scholar

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© IFIP International Federation for Information Processing 2017

Authors and Affiliations

  1. 1.Department of Informatics EngineUniversity of CoimbraCoimbraPortugal
  2. 2.Faculty of MedicineUniversity of CoimbraCoimbraPortugal

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