The effect of virtual reality-based serious games in cognitive interventions: a meta-analysis study

The meta-analysis is a statistical procedure applied to a systematic review of the literature on a particular theme, combining data from several investigations. Its relevance to clinical practice and research is high, taking into account the need to assess, objectively, the effectiveness of several interventions. This study stems from the need to systematize the studies on the effectiveness of virtual reality, augmented reality and mixed reality in cognitive stimulation, rehabilitation or cognitive training, allowing the analysis of their effectiveness and sustaining its spread by clinicians. Therefore, a total of 151 papers were screened and analyzed, allowing a final sample of 11 randomized controlled trial studies. Virtual reality-based serious games interventions have shown larger effect-sizes than traditional interventions, allowing faster and more effective improvements of several cognitive abilities.

[1]  Richard Hardern Evidence-Based Clinical Practice , 2001 .

[2]  Irena P. Ilieva,et al.  Cognitive enhancement. , 2014, Wiley interdisciplinary reviews. Cognitive science.

[3]  Albert A. Rizzo,et al.  Analysis of assets for virtual reality applications in neuropsychology , 2004 .

[4]  Bob Woods,et al.  Cognitive training and cognitive rehabilitation for persons with mild to moderate dementia of the Alzheimer's or vascular type: a review , 2013, Alzheimer's Research & Therapy.

[5]  Ben C B Yip,et al.  Virtual reality-based prospective memory training program for people with acquired brain injury. , 2013, NeuroRehabilitation.

[6]  R. J. Shephard,et al.  Exergaming and Older Adult Cognition: A Cluster Randomized Clinical Trial , 2012 .

[7]  Enrico Ceccato,et al.  Music Therapy and Cognitive Rehabilitation in Schizophrenic Patients: A Controlled Study , 2006 .

[8]  Giuseppe Riva,et al.  Virtual Reality in Psychotherapy: Review , 2005, Cyberpsychology Behav. Soc. Netw..

[9]  Susan Persky,et al.  Employing immersive virtual environments for innovative experiments in health care communication. , 2011, Patient education and counseling.

[10]  Andreas Schwab,et al.  Why All Researchers Should Report Effect Sizes and Their Confidence Intervals: Paving the Way for Meta–Analysis and Evidence–Based Management Practices , 2015 .

[11]  Joon-Ho Shin,et al.  A task-specific interactive game-based virtual reality rehabilitation system for patients with stroke: a usability test and two clinical experiments , 2014, Journal of NeuroEngineering and Rehabilitation.

[12]  R. Kizony,et al.  Effectiveness of Executive Functions Training Within a Virtual Supermarket for Adults With Traumatic Brain Injury: A Pilot Study , 2013, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[13]  Pedro Gamito,et al.  Cognitive training on stroke patients via virtual reality-based serious games , 2017, Disability and rehabilitation.

[14]  Rolf Wynna,et al.  Patient Education and Counseling , 2019, The Physician Assistant Student’s Guide to the Clinical Year: Behavioral Health.

[15]  Ronei Marcos de Moraes,et al.  Serious games baseados em realidade virtual para educação médica , 2011 .

[16]  Luciano Gamberini,et al.  Controlling Memory Impairment in Elderly Adults Using Virtual Reality Memory Training: A Randomized Controlled Pilot Study , 2010, Neurorehabilitation and neural repair.

[17]  Leanne M. Casey,et al.  Outcomes associated with virtual reality in psychological interventions: where are we now? , 2014, Clinical psychology review.

[18]  Tatiana de Paula Oliveira,et al.  Effect of Nintendo Wii™-based motor and cognitive training on activities of daily living in patients with Parkinson's disease: a randomised clinical trial. , 2012, Physiotherapy.

[19]  Arthur F Kramer,et al.  Exergaming and older adult cognition: a cluster randomized clinical trial. , 2012, American journal of preventive medicine.

[20]  J. Pompeu,et al.  Effect of Nintendo WiiTM-based motor and cognitive training on activities of daily living in patients with Parkinson ’ s disease : A randomised clinical trial , 2012 .

[21]  B. Wilson Neuropsychological Rehabilitation , 1988, Springer US.

[22]  Jay David Bolter,et al.  MRX: an interdisciplinary framework for mixed reality experience design and criticism , 2015, Digit. Creativity.

[23]  Fumio Kishino,et al.  Augmented reality: a class of displays on the reality-virtuality continuum , 1995, Other Conferences.

[24]  Pedro J. Rosa What do your eyes say? Bridging eye movements to consumer behavior ¿Qué dicen sus ojos? Conectando los movimientos oculares hacia el comportamiento del consumidor , 2015 .

[25]  Pedro Gamito,et al.  Serious Games for Serious problems: from Ludicus to Therapeuticus , 2010 .

[26]  Andrea Turolla,et al.  Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial , 2014, BioMed research international.

[27]  Gianluca Castelnuovo,et al.  Experience with V-STORE: Considerations on Presence in Virtual Environments for Effective Neuropsychological Rehabilitation of Executive Functions , 2003, Cyberpsychology Behav. Soc. Netw..

[28]  Paul Pauli,et al.  Virtual Reality in Psychotherapy , 2015 .

[29]  D. Man,et al.  Evaluation of a virtual reality‐based memory training programme for Hong Kong Chinese older adults with questionable dementia: a pilot study , 2012, International journal of geriatric psychiatry.