Exergames for Assessment in Active and Healthy Aging - Emerging Trends and Potentialities

Evdokimos I. Konstantinidis, Panagiotis E. Antoniou, Panagiotis D. Bamidis

Abstract

This paper articulated the position, based on literature research findings as well as experiences and considerations, of the authors regarding the role of exergames in stealth cognitive assessment. The conclusions presented therein are based on a long and lasting experience of design, implementation and piloting trials with seniors over the last six years. They are also supported by literature findings concerning exergames’ engagement, acceptance, perceived usefulness and ease of use. The authors express a positive outlook regarding the role of daily exergaming programs regarding their capacities in stealth assessment. Furthermore, it is postulated that additional research efforts should focus on providing even more concrete, evidence based arguments for convincing researchers and clinicians of the potential clinical value of exergames in terms of cognitive assessment.

References

  1. Angevaren, M. et al., 2008. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. The Cochrane database of systematic reviews, (3), p.CD005381. Available at: http://www.ncbi.nlm.nih.gov/pubmed/ 18646126 (Accessed February 10, 2015).
  2. Anon, 2014. “A Consensus on the Brain Training Industry from the Scientific Community,” Max Planck Institute for Human Development and Stanford Center on Longevity. Available at: http://longevity3.stanford.edu/ blog/2014/10/15/the-consensus-on-the-brain-trainingindustry-from-the-scientific-community/ (Accessed February 11, 2015).
  3. Antoniou, P.E. et al., 2015. Instrumenting the eHome and preparing elderly Pilots - the USEFIL approach. In P. D. Bamidis et al., eds. Innovations in the Diagnosis and Treatment of Dementia.
  4. Bamidis, P.D. et al., 2014. A review of physical and cognitive interventions in aging. Neuroscience and biobehavioral reviews. Available at: http://www. sciencedirect.com/science/article/pii/S0149763414000 75X.
  5. Bellotti, F. et al., 2013. Assessment in and of Serious Games: an overview. Advances in Human-Computer Interaction, 2013, p.1. Available at: http://dl.acm.org/citation.cfm?id=2484486 (Accessed June 6, 2014).
  6. Borg, G.A.G., 1982. Psychophysical bases of perceived exertion. Med sci sports exerc. Available at: http://fcesoftware.com/images/15_Perceived_Exertion. pdf (Accessed June 18, 2014).
  7. Borson, S. et al., 2013. Improving dementia care: the role of screening and detection of cognitive impairment. Alzheimer's & dementia?: The journal of the Alzheimer's Association, 9(2), pp.151-9. Available at: http://www.sciencedirect.com/science/article/pii/S155 2526012025009 (Accessed August 29, 2014).
  8. Brox, E. et al., 2011. Exergames for elderly: Social exergames to persuade seniors to increase physical activity. In Pervasive Computing Technologies for Healthcare (PervasiveHealth), 2011 5th International Conference on. IEEE, pp. 546-549.
  9. Chodzko-Zajko, W.J. et al., 2009. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Medicine and science in sports and exercise, 41(7), pp.1510-30. Available at: http://www.ncbi.nlm.nih.gov/pubmed/19516148 (Accessed January 20, 2014).
  10. Davis, F.D., 1989. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS quarterly, pp.319-340.
  11. Garcia, J.A. et al., 2012. Exergames for the elderly: towards an embedded Kinect-based clinical test of falls risk. Studies in health technology and informatics, 178, pp.51-7. Available at: http://www.ncbi.nlm.nih.gov/ pubmed/22797019 (Accessed May 30, 2014).
  12. Gauthier, S.G., 2005. Alzheimer's disease: the benefits of early treatment. European journal of neurology?: the official journal of the European Federation of Neurological Societies, 12 Suppl 3, pp.11-6. Available at: http://www.ncbi.nlm.nih.gov/pubmed/16144532 (Accessed September 15, 2014).
  13. Gerling, K. et al., 2012. Full-body motion-based game interaction for older adults. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. New York, New York, USA: ACM Press, pp. 1873-1882.
  14. Gerling, K.M., Schulte, F.P. & Masuch, M., 2011. Designing and evaluating digital games for frail elderly persons. In Proceedings of the 8th International Conference on Advances in Computer Entertainment Technology. ACM, p. 62.
  15. Hagler, S., Jimison, H. & Pavel, M., 2014. Assessing Executive Function Using a Computer Game: Computational Modeling of Cognitive Processes. IEEE Journal of Biomedical and Health Informatics, 18(4), pp.1442-1452. Available at: http://ieeexplore.ieee.org/ lpdocs/ epic03/ wrapper.htm?arnumber=6732879 (Accessed July 1, 2014).
  16. Jimison, H. & Pavel, M., 2006. Embedded Assessment Algorithms within Home-Based Cognitive Computer Game Exercises for Elders. In 2006 International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, pp. 6101-6104. Available at: http://ieeexplore.ieee.org/lpdocs/epic03/wrapper.htm? arnumber=4463200 (Accessed July 2, 2014).
  17. Jimison, H.B. et al., 2010. Models of cognitive performance based on home monitoring data. Conference proceedings?: Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference, 2010, pp.5234-7. Available at: http://www.ncbi.nlm.nih. gov/ pubmed/ 21096045 (Accessed July 2, 2014).
  18. King, A.C. et al., 2000. Comparative effects of two physical activity programs on measured andperceived physical functioning and other health-related quality of lifeoutcomes in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(2), pp.M74-M83. Available at: http://biomedgerontology.oxfordjournals.org/content/5 5/2/M74.short (Accessed February 11, 2015).
  19. Kirk, A. et al., 2013. An Exploratory Study Examining the Appropriateness and Potential Benefit of the Nintendo Wii as a Physical Activity Tool in Adults Aged= 55 Years. Interacting with Computers, 25(1), pp.102-114.
  20. Konstantinidis, E.I., Antoniou, P.E., et al., 2014. A lightweight framework for transparent cross platform communication of controller data in ambient assisted living environments. Information Sciences, 300, pp.124-139. Available at: http://www. sciencedirect.com/science/article/pii/S0020025514011 906 (Accessed January 7, 2015).
  21. Konstantinidis, E.I., Billis, A.S., et al., 2014. Design, implementation and wide pilot deployment of FitForAll: an easy to use exergaming platform improving physical fitness and life quality of senior citizens. IEEE Journal of Biomedical and Health Informatics, pp.1-1. Available at: http://ieeexplore.ieee.org/articleDetails.jsp?arnumber= 6980053 (Accessed December 10, 2014).
  22. Konstantinidis, E.I. et al., 2015. In-game metrics as a tool for the cognitive assessment of the elderly. Evidence from extended trials with the FitForAll exergame platform. Frontiers in Aging Neuroscience, Submitted.
  23. Lautenschlager, N.T. et al., 2008. Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a randomized trial. JAMA, 300(9), pp.1027-37. Available at: http://jama.jamanetwork. com/article.aspx?articleid=182502 (Accessed February 10, 2015).
  24. McCallum, S., 2012. Gamification and serious games for personalized health. Studies in health technology and informatics. Available at: http://www.google.com/ books?hl= en&lr=&id=cqwQfyrD-oYC&oi=fnd&pg= PA85&dq=gamification+and+serious+games+for+per sonalized+health&ots=xLLZKzgRsa&sig=HAQlkED 1TayFIFe3V6YjPcc6oLw (Accessed June 6, 2014).
  25. McKanna, J.A., Jimison, H. & Pavel, M., 2009. Divided attention in computer game play: analysis utilizing unobtrusive health monitoring. In Conference proceedings?: ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference. pp. 6247-50. Available at: http://www.ncbi.nlm.nih.gov/pubmed/19965090 (Accessed June 6, 2014).
  26. Minge, M., Bürglen, J. & Cymek, D.H., 2014. Exploring the Potential of Gameful Interaction Design of ICT for the Elderly. In HCI International 2014-Posters' Extended Abstracts. Springer, pp. 304-309.
  27. Pierce, E.F. & Pate, D.W., 1994. Mood alterations in older adults following acute exercise. Perceptual and motor skills, 79(1 Pt 1), pp.191-4. Available at: http://www.amsciepub.com/doi/abs/10.2466/pms.1994 .79.1.191?journalCode=pms (Accessed February 11, 2015).
  28. Pisan, Y., Marin, J.J.G. & Navarro, K.F.K., 2013. Improving lives: using Microsoft Kinect to predict the loss of balance for elderly users under cognitive load. In Proceedings of The 9th Australasian Conference on Interactive Entertainment Matters of Life and Death - IE 7813. New York, New York, USA: ACM Press, pp. 1- 4. Available at: http://dl.acm.org/citation.cfm? id=2513026 (Accessed February 7, 2014).
  29. Rendon, A.A. et al., 2012. The effect of virtual reality gaming on dynamic balance in older adults. Age and ageing, 41(4), pp.549-52. Available at: http://ageing. oxfordjournals.org/content/41/4/549.short (Accessed February 11, 2014).
  30. Robert, P.H. et al., 2014. Recommendations for the use of Serious Games in people with Alzheimer's Disease, related disorders and frailty. Frontiers in Aging Neuroscience, 6, p.54. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?a rtid=3970032&tool=pmcentrez&rendertype = abstract (Accessed April 4, 2014).
  31. Rosenberg, D. et al., 2010. Exergames for subsyndromal depression in older adults: a pilot study of a novel intervention. The American journal of geriatric psychiatry?: official journal of the American Association for Geriatric Psychiatry, 18(3), pp.221-6. Available at: http://www.pubmedcentral.nih.gov/ articlerender.fcgi?artid=2827817&tool=pmcentrez&re ndertype=abstract (Accessed January 27, 2014).
  32. Shubert, T.E., 2010. The use of commercial health video games to promote physical activity in older adults. Annals of Long-Term Care, 18(5), pp.27-32.
  33. Shute, V.J., 2011. Stealth assessment in computer-based games to support learning. Computer games and instruction, 55(2), pp.503-524.
  34. Staiano, A.E. & Calvert, S.L., 2011. The promise of exergames as tools to measure physical health. Entertainment computing, 2(1), pp.17-21. Available at: http://www.sciencedirect.com/science/article/pii/S187 5952111000188 (Accessed March 30, 2014).
  35. Tarnanas, I. et al., 2014. Can a novel computerized cognitive screening test provide additional information for early detection of Alzheimer's disease? Alzheimer's & dementia?: the journal of the Alzheimer's Association. Available at: http://www.sciencedirect. com /science/ article/ pii/ S155252601400003X (Accessed October 9, 2014).
  36. Tarnanas, I., Schlee, W. & Tsolaki, M., 2013. Ecological validity of virtual reality daily living activities screening for early dementia: longitudinal study. JMIR Serious Games, 1(1), pp.16-29. Available at: http://games.jmir.org/2013/1/e1/ (Accessed July 8, 2014).
  37. Velazquez, A. et al., 2013. Design of exergames with the collaborative participation of older adults. In Proceedings of the 2013 IEEE 17th International Conference on Computer Supported Cooperative Work in Design (CSCWD). IEEE, pp. 521-526.
  38. Werner, F., Werner, K. & Oberzaucher, J., 2012. Tablets for Seniors-An Evaluation of a Current Model (iPad). In Ambient Assisted Living. Springer, pp. 177-184.
  39. Zavala-Ibarra, I. & Favela, J., 2012. Ambient Videogames for Health Monitoring in Older Adults. In 2012 Eighth International Conference on Intelligent Environments. IEEE, pp. 27-33. Available at: http://ieeexplore. ieee.org/lpdocs/epic03/wrapper.htm?arnumber=62584 99 (Accessed June 6, 201).
  40. Zygouris, S. et al., 2014. 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. Journal of Alzheimer's Disease.
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Paper Citation


in Harvard Style

I. Konstantinidis E., E. Antoniou P. and D. Bamidis P. (2015). Exergames for Assessment in Active and Healthy Aging - Emerging Trends and Potentialities . In Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: SocialICT, (ICT4AgeingWell 2015) ISBN 978-989-758-102-1, pages 325-330. DOI: 10.5220/0005494503250330


in Bibtex Style

@conference{socialict15,
author={Evdokimos I. Konstantinidis and Panagiotis E. Antoniou and Panagiotis D. Bamidis},
title={Exergames for Assessment in Active and Healthy Aging - Emerging Trends and Potentialities},
booktitle={Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: SocialICT, (ICT4AgeingWell 2015)},
year={2015},
pages={325-330},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005494503250330},
isbn={978-989-758-102-1},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: SocialICT, (ICT4AgeingWell 2015)
TI - Exergames for Assessment in Active and Healthy Aging - Emerging Trends and Potentialities
SN - 978-989-758-102-1
AU - I. Konstantinidis E.
AU - E. Antoniou P.
AU - D. Bamidis P.
PY - 2015
SP - 325
EP - 330
DO - 10.5220/0005494503250330