Action Video Game Training for Healthy Adults: A Meta-Analytic Study

Action video game (AVG) has attracted increasing attention from both the public and from researchers. More and more studies found video game training improved a variety of cognitive functions. However, it remains controversial whether healthy adults can benefit from AVG training, and whether young and older adults benefit similarly from AVG training. In the present study, we aimed to quantitatively assess the AVG training effect on the cognitive ability of adults and to compare the training effects on young and older adults by conducting a meta-analysis on previous findings. We systematically searched video game training studies published between January 1986 and July 2015. Twenty studies were included in the present meta-analysis, for a total of 313 participants included in the training group and 323 participants in the control group. The results demonstrate that healthy adults achieve moderate benefit from AVG training in overall cognitive ability and moderate to small benefit in specific cognitive domains. In contrast, young adults gain more benefits from AVG training than older adults in both overall cognition and specific cognitive domains. Age, education, and some methodological factors, such as the session duration, session number, total training duration, and control group type, modulated the training effects. These meta-analytic findings provide evidence that AVG training may serve as an efficient way to improve the cognitive performance of healthy adults. We also discussed several directions for future AVG training studies.

[1]  D. Hoang FLOW: The Psychology of Optimal Experience , 2018 .

[2]  Gabi Zeilig,et al.  Video-games used in a group setting is feasible and effective to improve indicators of physical activity in individuals with chronic stroke: a randomized controlled trial , 2016, Clinical rehabilitation.

[3]  C. Hutchinson,et al.  Action video game training reduces the Simon Effect , 2016, Psychonomic bulletin & review.

[4]  Aaron R. Seitz,et al.  The Impacts of Video Games on Cognition (and How the Government Can Guide the Industry) , 2015 .

[5]  S. Sultan Mechanisms of plasticity , 2015 .

[6]  H. Danielsson,et al.  The effectiveness of working memory training with individuals with intellectual disabilities – a meta-analytic review , 2015, Front. Psychol..

[7]  Torsten Schubert,et al.  Video game experience and its influence on visual attention parameters: an investigation using the framework of the Theory of Visual Attention (TVA). , 2015, Acta psychologica.

[8]  Li Dong,et al.  Enhanced functional connectivity and increased gray matter volume of insula related to action video game playing , 2015, Scientific Reports.

[9]  S. Ballesteros,et al.  A randomized controlled trial of brain training with non-action video games in older adults: results of the 3-month follow-up , 2015, Front. Aging Neurosci..

[10]  Reinout W. Wiers,et al.  Improving Executive Functioning in Children with ADHD: Training Multiple Executive Functions within the Context of a Computer Game. A Randomized Double-Blind Placebo Controlled Trial , 2015, PloS one.

[11]  J. Huntley,et al.  Do cognitive interventions improve general cognition in dementia? A meta-analysis and meta-regression , 2015, BMJ Open.

[12]  Alan Kingstone,et al.  Action video games and improved attentional control: Disentangling selection- and response-based processes , 2015, Psychonomic Bulletin & Review.

[13]  R. Martins,et al.  A combination of physical activity and computerized brain training improves verbal memory and increases cerebral glucose metabolism in the elderly , 2014, Translational Psychiatry.

[14]  A. Lampit,et al.  Computerized Cognitive Training in Cognitively Healthy Older Adults: A Systematic Review and Meta-Analysis of Effect Modifiers , 2014, PLoS medicine.

[15]  H. Heinze,et al.  Vascular hippocampal plasticity after aerobic exercise in older adults , 2014, Molecular Psychiatry.

[16]  J. Karbach,et al.  Making Working Memory Work , 2014, Psychological science.

[17]  Soledad Ballesteros,et al.  Video game training enhances cognition of older adults: a meta-analytic study. , 2014, Psychology and aging.

[18]  I. Cherney,et al.  Training Spatial Skills in Men and Women , 2014, Perceptual and motor skills.

[19]  Kara J. Blacker,et al.  Effects of action video game training on visual working memory. , 2014, Journal of experimental psychology. Human perception and performance.

[20]  L. Satyen,et al.  Video Game Training and Reaction Time Skills Among Older Adults , 2014 .

[21]  Corson N. Areshenkoff,et al.  An empirical comparison of the therapeutic benefits of physical exercise and cognitive training on the executive functions of older adults: a meta-analysis of controlled trials. , 2014, Neuropsychology.

[22]  S. Ballesteros,et al.  Plasticity of Attentional Functions in Older Adults after Non-Action Video Game Training: A Randomized Controlled Trial , 2014, PloS one.

[23]  Arthur F. Kramer,et al.  Cognitive training with casual video games: points to consider , 2014, Front. Psychol..

[24]  Denise C. Park,et al.  The Impact of Sustained Engagement on Cognitive Function in Older Adults , 2014, Psychological science.

[25]  Lynette J. Tippett,et al.  The virtual brain: 30 years of video-game play and cognitive abilities , 2013, Front. Psychol..

[26]  Camarin E. Rolle,et al.  Video game training enhances cognitive control in older adults , 2013, Nature.

[27]  Rüdiger von Kries,et al.  The efficacy of cognitive training programs in children and adolescents: a meta-analysis. , 2013, Deutsches Arzteblatt international.

[28]  William C. Mann,et al.  Video game training to improve selective visual attention in older adults , 2013, Comput. Hum. Behav..

[29]  Sho K. Sugawara,et al.  Larger Right Posterior Parietal Volume in Action Video Game Experts: A Behavioral and Voxel-Based Morphometry (VBM) Study , 2013, PLoS ONE.

[30]  Kasey L. Powers,et al.  Effects of video-game play on information processing: A meta-analytic investigation , 2013, Psychonomic Bulletin & Review.

[31]  Adam C. Oei,et al.  Enhancing Cognition with Video Games: A Multiple Game Training Study , 2013, PloS one.

[32]  J. Richards,et al.  The Development of Attention , 2013 .

[33]  Ian Spence,et al.  Playing shooter and driving videogames improves top-down guidance in visual search , 2013, Attention, Perception, & Psychophysics.

[34]  Walter R. Boot,et al.  Video Games as a Means to Reduce Age-Related Cognitive Decline: Attitudes, Compliance, and Effectiveness , 2013, Front. Psychology.

[35]  Monica Melby-Lervåg,et al.  Is working memory training effective? A meta-analytic review. , 2013, Developmental psychology.

[36]  Ashley F. McDermott A comparison of two video game genres as cognitive training tools in older adults , 2013 .

[37]  Patrícia Belchior,et al.  Older Adults' Engagement With a Video Game Training Program , 2012, Activities, adaptation & aging.

[38]  Claude Lepage,et al.  Structural changes after videogame practice related to a brain network associated with intelligence , 2012 .

[39]  Alan Hartley,et al.  Effects of interactive physical-activity video-game training on physical and cognitive function in older adults. , 2012, Psychology and aging.

[40]  C. S. Green,et al.  Brain plasticity through the life span: learning to learn and action video games. , 2012, Annual review of neuroscience.

[41]  B. Primack,et al.  Role of video games in improving health-related outcomes: a systematic review. , 2012, American journal of preventive medicine.

[42]  Jing Feng,et al.  Playing a First-person Shooter Video Game Induces Neuroplastic Change , 2012, Journal of Cognitive Neuroscience.

[43]  D. Bavelier,et al.  Neural bases of selective attention in action video game players , 2012, Vision Research.

[44]  Torsten Schubert,et al.  Video game practice optimizes executive control skills in dual-task and task switching situations. , 2012, Acta psychologica.

[45]  Daphne Bavelier,et al.  The effect of action video game experience on task-switching , 2012, Comput. Hum. Behav..

[46]  Chunbo Li,et al.  The effects of multi-domain versus single-domain cognitive training in non-demented older people: a randomized controlled trial , 2012, BMC Medicine.

[47]  C. S. Green,et al.  Learning, Attentional Control, and Action Video Games , 2012, Current Biology.

[48]  Hans-Jochen Heinze,et al.  Cortical thickness changes following spatial navigation training in adulthood and aging , 2012, NeuroImage.

[49]  G. Hickson,et al.  Anillin Acts as a Bifunctional Linker Coordinating Midbody Ring Biogenesis during Cytokinesis , 2012, Current Biology.

[50]  C. Sanchez Enhancing visuospatial performance through video game training to increase learning in visuospatial science domains , 2012, Psychonomic bulletin & review.

[51]  Daniel Gopher,et al.  Space Fortress game training and executive control in older adults: A pilot intervention , 2011, Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition.

[52]  D. Simons,et al.  Do Action Video Games Improve Perception and Cognition? , 2011, Front. Psychology.

[53]  C. S. Green,et al.  Changes in search rate but not in the dynamics of exogenous attention in action videogame players , 2011, Attention, perception & psychophysics.

[54]  Roger W. Li,et al.  Video-Game Play Induces Plasticity in the Visual System of Adults with Amblyopia , 2011, PLoS biology.

[55]  Bing Li,et al.  Cognitive intervention for persons with mild cognitive impairment: A meta-analysis , 2011, Ageing Research Reviews.

[56]  Kait Clark,et al.  Enhanced change detection performance reveals improved strategy use in avid action video game players. , 2011, Acta psychologica.

[57]  Fabien Scalzo,et al.  Reducing backward masking through action game training. , 2010, Journal of vision.

[58]  D. Simons,et al.  Striatal volume predicts level of video game skill acquisition. , 2010, Cerebral cortex.

[59]  Joshua A. Granek,et al.  Extensive video-game experience alters cortical networks for complex visuomotor transformations , 2010, Cortex.

[60]  T. Klingberg Training and plasticity of working memory , 2010, Trends in Cognitive Sciences.

[61]  Keith R. Abrams,et al.  Evaluating the Quality of Research into a Single Prognostic Biomarker: A Systematic Review and Meta-analysis of 83 Studies of C-Reactive Protein in Stable Coronary Artery Disease , 2010, PLoS medicine.

[62]  Scott Watter,et al.  Task switching in video game players: Benefits of selective attention but not resistance to proactive interference. , 2010, Acta psychologica.

[63]  Ian Strachan,et al.  Action and Puzzle Video Games Prime Different Speed/Accuracy Tradeoffs , 2009, Perception.

[64]  C. S. Green,et al.  The development of attention skills in action video game players , 2009, Neuropsychologia.

[65]  U. Polat,et al.  Enhancing the contrast sensitivity function through action video game training , 2009, Nature Neuroscience.

[66]  Ulman Lindenberger,et al.  Cognitive plasticity in adulthood and old age: gauging the generality of cognitive intervention effects. , 2009, Restorative neurology and neuroscience.

[67]  A. Kramer,et al.  Can training in a real-time strategy video game attenuate cognitive decline in older adults? , 2008, Psychology and aging.

[68]  D. Simons,et al.  The effects of video game playing on attention, memory, and executive control. , 2008, Acta psychologica.

[69]  A. Kramer,et al.  Enrichment Effects on Adult Cognitive Development , 2008, Psychological science in the public interest : a journal of the American Psychological Society.

[70]  S. Kosslyn,et al.  Training generalized spatial skills , 2008, Psychonomic bulletin & review.

[71]  Lars Bäckman,et al.  Transfer of Learning After Updating Training Mediated by the Striatum , 2008, Science.

[72]  M. V. van Aken,et al.  Experimental study of the differential effects of playing versus watching violent video games on children's aggressive behavior. , 2008, Aggressive behavior.

[73]  T. Toulopoulou,et al.  Assessment of executive functions: review of instruments and identification of critical issues. , 2008, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[74]  C. Ferguson The Good, The Bad and the Ugly: A Meta-analytic Review of Positive and Negative Effects of Violent Video Games , 2007, Psychiatric Quarterly.

[75]  J. Pratt,et al.  Playing an Action Video Game Reduces Gender Differences in Spatial Cognition , 2007, Psychological science.

[76]  C S Green,et al.  Action-Video-Game Experience Alters the Spatial Resolution of Vision , 2007, Psychological science.

[77]  M. D. Calero,et al.  Cognitive plasticity as a modulating variable on the effects of memory training in elderly persons. , 2007, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[78]  Julie I. Cohen,et al.  Effect of action video games on the spatial distribution of visuospatial attention. , 2006, Journal of experimental psychology. Human perception and performance.

[79]  C. S. Green,et al.  Enumeration versus multiple object tracking: the case of action video game players , 2006, Cognition.

[80]  E. Bialystok Effect of bilingualism and computer video game experience on the Simon task. , 2006, Canadian journal of experimental psychology = Revue canadienne de psychologie experimentale.

[81]  L. Merabet,et al.  The plastic human brain cortex. , 2005, Annual review of neuroscience.

[82]  J. Pratt,et al.  The effects of action video game experience on the time course of inhibition of return and the efficiency of visual search. , 2005, Acta psychologica.

[83]  Sheryl R Ginn,et al.  Relationships between Spatial Activities and Scores on the Mental Rotation Test as a Function of Sex , 2005, Perceptual and motor skills.

[84]  D. Gentile,et al.  The effects of violent video game habits on adolescent hostility, aggressive behaviors, and school performance. , 2004, Journal of adolescence.

[85]  Kaarin J Anstey,et al.  A latent growth curve analysis of late-life sensory and cognitive function over 8 years: evidence for specific and common factors underlying change. , 2003, Psychology and aging.

[86]  Lars Nyberg,et al.  Neural correlates of training-related memory improvement in adulthood and aging , 2003, Proceedings of the National Academy of Sciences of the United States of America.

[87]  C. S. Green,et al.  Action video game modifies visual selective attention , 2003, Nature.

[88]  George W Rebok,et al.  Effects of cognitive training interventions with older adults: a randomized controlled trial. , 2002, JAMA.

[89]  R. de Lisi,et al.  Improving Children's Mental Rotation Accuracy With Computer Game Playing , 2002, The Journal of genetic psychology.

[90]  C. Tassinari,et al.  Video games are exciting: a European study of video game-induced seizures and epilepsy. , 2002, Epileptic disorders : international epilepsy journal with videotape.

[91]  Mark W. Lipsey,et al.  Practical Meta-Analysis , 2000 .

[92]  M. Kossut,et al.  [Brain plasticity]. , 2000, Neurologia i neurochirurgia polska.

[93]  G. Smith,et al.  Bias in meta-analysis detected by a simple, graphical test , 1997, BMJ.

[94]  P. Verhaeghen,et al.  On the mechanisms of plasticity in young and older adults after instruction in the method of loci: evidence for an amplification model. , 1996, Psychology and aging.

[95]  L. Bäckman,et al.  Effects of multifactorial memory training in old age: generalizability across tasks and individuals. , 1995, The journals of gerontology. Series B, Psychological sciences and social sciences.

[96]  L. Green,et al.  Temporal discounting and preference reversals in choice between delayed outcomes , 1994, Psychonomic bulletin & review.

[97]  P. Greenfield,et al.  Action video games and informal education: Effects on strategies for dividing visual attention , 1994 .

[98]  Patricia M. Greenfield,et al.  Effect of video game practice on spatial skills in girls and boys , 1994 .

[99]  M. Albert,et al.  Cognitive performance in a high-functioning community-dwelling elderly population. , 1993, Journal of gerontology.

[100]  R. West,et al.  Everyday memory performance across the life span: effects of age and noncognitive individual differences. , 1992, Psychology and aging.

[101]  Diane F. Halpern,et al.  Sex differences in cognitive abilities, 2nd ed. , 1992 .

[102]  J. E. Clark,et al.  The effects of videogame playing on the response selection processing of elderly adults. , 1987, Journal of gerontology.

[103]  M. Pépin,et al.  Effect of Playing a Video Game on a Measure of Spatial Visualization , 1986, Perceptual and motor skills.

[104]  M. Linn,et al.  Emergence and characterization of sex differences in spatial ability: a meta-analysis. , 1985, Child development.

[105]  J. S. Stevenson,et al.  Older Adults , 1980, Suicide Prevention.

[106]  G. Rubboli,et al.  Video games are exciting: a European study of video game-induced seizures and epilepsy. , 2002, Epileptic disorders : international epilepsy journal with videotape.