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LightSword: A Customized Virtual Reality Exergame for Long-Term Cognitive Inhibition Training in Older Adults (2403.05031v1)

Published 8 Mar 2024 in cs.HC

Abstract: The decline of cognitive inhibition significantly impacts older adults' quality of life and well-being, making it a vital public health problem in today's aging society. Previous research has demonstrated that Virtual reality (VR) exergames have great potential to enhance cognitive inhibition among older adults. However, existing commercial VR exergames were unsuitable for older adults' long-term cognitive training due to the inappropriate cognitive activation paradigm, unnecessary complexity, and unbefitting difficulty levels. To bridge these gaps, we developed a customized VR cognitive training exergame (LightSword) based on Dual-task and Stroop paradigms for long-term cognitive inhibition training among healthy older adults. Subsequently, we conducted an eight-month longitudinal user study with 12 older adults aged 60 years and above to demonstrate the effectiveness of LightSword in improving cognitive inhibition. After the training, the cognitive inhibition abilities of older adults were significantly enhanced, with benefits persisting for 6 months. This result indicated that LightSword has both short-term and long-term effects in enhancing cognitive inhibition. Furthermore, qualitative feedback revealed that older adults exhibited a positive attitude toward long-term training with LightSword, which enhanced their motivation and compliance.

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References (129)
  1. 2019. Unity Engine. https://unity.com.
  2. 2020. E-Prime. https://pstnet.com/products/e-prime/. 2020.09.
  3. 2020. GPower. https://www.psychologie.hhu.de/arbeitsgruppen/allgemeine-psychologie-und-arbeitspsychologie/gpower. 2020.06.
  4. 2020. Older Persons at Risk. https://emergency.unhcr.org/protection/persons-risk/older-persons.
  5. 2021. DeepL. https://www.deepl.com.
  6. Immersive virtual reality for older adults: empirically grounded design guidelines. ACM Transactions on Accessible Computing (TACCESS) 14, 3 (2021), 1–30.
  7. An investigation of the effects of game difficulty on player enjoyment. Entertainment computing 4, 1 (2013), 53–62.
  8. Video game training enhances cognitive control in older adults. Nature 501, 7465 (2013), 97–101.
  9. Laura L Arns and Melinda M Cerney. 2005. The relationship between age and incidence of cybersickness among immersive environment users. In IEEE Proceedings. VR 2005. Virtual Reality, 2005. IEEE, 267–268.
  10. Effects of cognitive training interventions with older adults: a randomized controlled trial. Jama 288, 18 (2002), 2271–2281.
  11. Music games: potential application and considerations for rhythmic training. Frontiers in human neuroscience 11 (2017), 273.
  12. The effects of aging in the hippocampus and cognitive decline. Neuroscience & Biobehavioral Reviews 79 (2017), 66–86.
  13. Hugh Beyer and Karen Holtzblatt. 1999. Contextual design. interactions 6, 1 (1999), 32–42.
  14. Assessing inattention and impulsivity in children during the Go/NoGo task. British Journal of Developmental Psychology 27, 2 (2009), 365–383.
  15. Walter R Boot and Daniel P Blakely. 2011. Mental and physical exercise as a means to reverse cognitive aging and enhance well-being. In Enhancing cognitive fitness in adults: A guide to the use and development of community-based programs. Springer, 25–44.
  16. Video games as a means to reduce age-related cognitive decline: attitudes, compliance, and effectiveness. Frontiers in psychology 4 (2013), 31.
  17. Effects of a computer-based cognitive exercise program on age-related cognitive decline. Archives of gerontology and geriatrics 57, 1 (2013), 1–7.
  18. Todd S Braver and Deanna M Barch. 2002. A theory of cognitive control, aging cognition, and neuromodulation. Neuroscience & Biobehavioral Reviews 26, 7 (2002), 809–817.
  19. Kelly Caine. 2016. Local standards for sample size at CHI. In Proceedings of the 2016 CHI conference on human factors in computing systems. 981–992.
  20. Immersive virtual reality exergame promotes the practice of physical activity in older people: An opportunity during COVID-19. Multimodal Technologies and Interaction 5, 9 (2021), 52.
  21. Effects of Using Nintendo Wii (TM) Exergames in Older Adults: A Review of the Literature. In NURSING RESEARCH, Vol. 62. LIPPINCOTT WILLIAMS & WILKINS 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA, E91–E92.
  22. Ginseng gintonin, aging societies, and geriatric brain diseases. Integrative Medicine Research 10, 1 (2021), 100450.
  23. Never Skip Leg Day Again: Training the Lower Body with Vertical Jumps in a Virtual Reality Exergame. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–18.
  24. Cardiovascular fitness, cortical plasticity, and aging. Proceedings of the National Academy of Sciences 101, 9 (2004), 3316–3321.
  25. Mihaly Csikszentmihalyi and Mihaly Csikzentmihaly. 1990. Flow: The psychology of optimal experience. Vol. 1990. Harper & Row New York.
  26. Dual-task paradigm: a means to examine the central executive. (1995).
  27. Use of physiological signals to predict cybersickness. Displays 44 (2016), 42–52.
  28. Adele Diamond. 2013. Executive functions. Annual review of psychology 64 (2013), 135.
  29. A pilot study exploring age differences in presence, workload, and cybersickness in the experience of immersive virtual reality environments. Frontiers in Virtual Reality 2 (2021), 736793.
  30. In too deep? A systematic literature review of fully-immersive virtual reality and cybersickness among older adults. Journal of the American Geriatrics Society (2023).
  31. A Stroop-based Long-term Cognitive Training Game for the Elderly in Head-mounted Displays. In 2022 IEEE International Symposium on Mixed and Augmented Reality Adjunct (ISMAR-Adjunct). IEEE, 505–506.
  32. Does multicomponent physical exercise with simultaneous cognitive training boost cognitive performance in older adults? A 6-month randomized controlled trial with a 1-year follow-up. Clinical interventions in aging (2015), 1335–1349.
  33. Virtual reality exergames for people living with dementia based on exercise therapy best practices. In Proceedings of the human factors and ergonomics society annual meeting, Vol. 62. SAGE Publications Sage CA: Los Angeles, CA, 528–532.
  34. Impact of exercise training on physical and cognitive function among older adults: a systematic review and meta-analysis. Neurobiology of aging 79 (2019), 119–130.
  35. FixXR. [n. d.]. BoxVR,Steam. https://store.steampowered.com/app/641960/BOXVR/. 2021.03.
  36. M Gómez Gallego and J Gómez García. 2017. Music therapy and Alzheimer’s disease: Cognitive, psychological, and behavioural effects. Neurología (English Edition) 32, 5 (2017), 300–308.
  37. Effects of exergames and cognitive-motor dual-task training on cognitive, physical and dual-task functions in cognitively healthy older adults: an overview. Ageing research reviews 63 (2020), 101135.
  38. Beat Games. 2019. Beat Saber. Game [VR]. Beat Games. Los Angeles, CA, USA.
  39. Using virtual reality for cognitive training of the elderly. American Journal of Alzheimer’s Disease & Other Dementias® 30, 1 (2015), 49–54.
  40. Top-down suppression deficit underlies working memory impairment in normal aging. Nature neuroscience 8, 10 (2005), 1298–1300.
  41. PigScape: An embodied video game for cognitive peer-training of impulse and behavior control in children with ADHD. In Proceedings of the 24th International ACM SIGACCESS Conference on Computers and Accessibility. 1–4.
  42. Pawel Grabarczyk and Marek Pokropski. 2016. Perception of affordances and experience of presence in virtual reality. AVANT. Trends in Interdisciplinary Studies (2016).
  43. Pamela M Greenwood. 2007. Functional plasticity in cognitive aging: review and hypothesis. Neuropsychology 21, 6 (2007), 657.
  44. Long-term improvements in cognitive performance through computer-assisted cognitive training: a pilot study in a residential home for older people. Aging & mental health 7, 3 (2003), 200–206.
  45. Katherine Kipp Harnishfeger. 1995. The development of cognitive inhibition: Theories, definitions, and research evidence. In Interference and inhibition in cognition. Elsevier, 175–204.
  46. Word saber: an effective and fun VR vocabulary learning game. In Proceedings of Mensch und Computer 2020. 145–154.
  47. Lynn Hasher and Rose T Zacks. 1988. Working memory, comprehension, and aging: A review and a new view. Psychology of learning and motivation 22 (1988), 193–225.
  48. Enrichment effects on adult cognitive development: can the functional capacity of older adults be preserved and enhanced? Psychological science in the public interest 9, 1 (2008), 1–65.
  49. A critical assessment of the use of ssq as a measure of general discomfort in vr head-mounted displays. In Proceedings of the 2021 CHI conference on human factors in computing systems. 1–14.
  50. Shifting from the perceptual brain to the logical brain: The neural impact of cognitive inhibition training. Journal of cognitive neuroscience 12, 5 (2000), 721–728.
  51. Kuo-Ting Huang. 2020. Exergaming executive functions: An immersive virtual reality-based cognitive training for adults aged 50 and older. Cyberpsychology, Behavior, and Social Networking 23, 3 (2020), 143–149.
  52. Dynamic difficulty adjustment in virtual reality exergames through experience-driven procedural content generation. In 2021 IEEE Symposium Series on Computational Intelligence (SSCI). IEEE, 1–8.
  53. Dissociations of cognitive inhibition, response inhibition, and emotional interference: Voxelwise ALE meta-analyses of fMRI studies. Human brain mapping 39, 10 (2018), 4065–4082.
  54. Electroencephalography of response inhibition tasks: functional networks and cognitive contributions. International journal of psychophysiology 87, 3 (2013), 217–233.
  55. Cognitive training program to improve working memory in older adults with MCI. Clinical Gerontologist 39, 5 (2016), 410–427.
  56. Randolph Ice. 1985. Long-term compliance. Physical Therapy 65, 12 (1985), 1832–1839.
  57. Thea Ionescu. 2012. Exploring the nature of cognitive flexibility. New ideas in psychology 30, 2 (2012), 190–200.
  58. Short-and long-term benefits of cognitive training. Proceedings of the National Academy of Sciences 108, 25 (2011), 10081–10086.
  59. AD dementia risk in late MCI, in early MCI, and in subjective memory impairment. Alzheimer’s & Dementia 10, 1 (2014), 76–83.
  60. Plasticity of inhibitory processes and associated far-transfer effects in older adults. Psychology and aging 31, 5 (2016), 415.
  61. Cognitive and neural plasticity in aging: general and task-specific limitations. Neuroscience & Biobehavioral Reviews 30, 6 (2006), 864–871.
  62. Jutta Joormann. 2010. Cognitive inhibition and emotion regulation in depression. Current Directions in Psychological Science 19, 3 (2010), 161–166.
  63. Cognitive inhibition in depression. Applied and preventive psychology 12, 3 (2007), 128–139.
  64. Canoe VR: An Immersive Exergame to Support Cognitive and Physical Exercises of Older Adults. In CHI Conference on Human Factors in Computing Systems Extended Abstracts. 1–7.
  65. Study on the motivational and physical effects of two VR Exergames. In 2019 11th International Conference on Virtual Worlds and Games for Serious Applications (VS-Games). IEEE, 1–2.
  66. Effect of test duration on age-related differences in Stroop interference. Journal of clinical and experimental neuropsychology 19, 1 (1997), 77–82.
  67. Raymond M Klein and Tracy L Taylor. 1994. Categories of cognitive inhibition with reference to attention. (1994).
  68. Blanka Klimova. 2016. Computer-based cognitive training in aging. Frontiers in Aging Neuroscience 8 (2016), 313.
  69. Sylvan Kornblum. 1992. Dimensional overlap and dimensional relevance in stimulus-response and stimulus-stimulus compatibility.. In Portions of this paper were presented at the Annual Meeting of the Psychonomic Society, Nov 1990, New Orleans, LA. North-Holland.
  70. Dimensional overlap: cognitive basis for stimulus-response compatibility–a model and taxonomy. Psychological review 97, 2 (1990), 253.
  71. Arthur F Kramer and Kirk I Erickson. 2007. Capitalizing on cortical plasticity: influence of physical activity on cognition and brain function. Trends in cognitive sciences 11, 8 (2007), 342–348.
  72. A long-term user study of an immersive exergame for older adults with mild dementia during the COVID-19 pandemic. In ICAT-EGVE 2021-International Conference on Artificial Reality and Telexistence and Eurographics Symposium on Virtual Environments (Sankt Augustin, Germany), Jason Orlosky, Dirk Reiners, and Benjamin Weyers (Eds.). The Eurographics Association, Geneve, Switzerland. 9–18.
  73. Enabling immersive exercise activities for older adults: A comparison of virtual reality exergames and traditional video exercises. Societies 11, 4 (2021), 134.
  74. Evaluating difficulty adjustments in a VR exergame for younger and older adults: Transferabilities and differences. In Proceedings of the 2022 ACM Symposium on Spatial User Interaction. 1–11.
  75. Computerized cognitive training with older adults: a systematic review. PloS one 7, 7 (2012), e40588.
  76. Taking control! Structural and behavioural plasticity in response to game-based inhibition training in older adults. Neuroimage 156 (2017), 199–206.
  77. Joseph J LaViola Jr. 2000. A discussion of cybersickness in virtual environments. ACM Sigchi Bulletin 32, 1 (2000), 47–56.
  78. Gary R Lee and Masako Ishii-Kuntz. 1987. Social interaction, loneliness, and emotional well-being among the elderly. Research on aging 9, 4 (1987), 459–482.
  79. The effect of music therapy on cognitive functioning among older adults: A systematic review and meta-analysis. Journal of the American Medical Directors Association 16, 1 (2015), 71–77.
  80. Colin M MacLeod. 2005. The Stroop Task in Cognitive Research. (2005).
  81. Colin M MacLeod. 2007. The concept of inhibition in cognition. (2007).
  82. Ricardo Muñoz Martín. 2010. On paradigms and cognitive translatology. Translation and cognition (2010), 169–187.
  83. Protein homeostasis, aging and Alzheimer’s disease. Molecular neurobiology 46 (2012), 41–54.
  84. A cognitive training intervention increases resting cerebral blood flow in healthy older adults. Frontiers in human neuroscience 4 (2010), 1080.
  85. Exertion games. Foundations and Trends® in Human–Computer Interaction 10, 1 (2016), 1–86.
  86. Psychological well-being and day-to-day social interaction among older adults. Personal Relationships 9, 1 (2002), 57–71.
  87. Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis. British journal of sports medicine 52, 3 (2018), 154–160.
  88. Brian A Nosek and Mahzarin R Banaji. 2001. The go/no-go association task. Social cognition 19, 6 (2001), 625–666.
  89. Yoonsin Oh and Stephen Yang. 2010. Defining exergames & exergaming. Proceedings of meaningful play 2010 (2010), 21–23.
  90. Shanmugam Muruga Palaniappan and Bradley S Duerstock. 2018. Developing rehabilitation practices using virtual reality exergaming. In 2018 IEEE International Symposium on Signal Processing and Information Technology (ISSPIT). IEEE, 090–094.
  91. Raja Parasuraman and Paul G Nestor. 1991. Attention and driving skills in aging and Alzheimer’s disease. Human factors 33, 5 (1991), 539–557.
  92. Denise C Park. 2000. The basic mechanisms accounting for age-related decline in cognitive function. Cognitive aging: A primer 11, 1 (2000), 3–19.
  93. Denise C Park and Patricia Reuter-Lorenz. 2009. The adaptive brain: aging and neurocognitive scaffolding. Annual review of psychology 60 (2009), 173–196.
  94. Virtual reality Stroop task for assessment of supervisory attentional processing. Journal of clinical and experimental neuropsychology 35, 8 (2013), 812–826.
  95. Structure–function correlates of cognitive decline in aging. Cerebral cortex 16, 7 (2006), 907–915.
  96. Ronald C Petersen. 2004. Mild cognitive impairment as a diagnostic entity. Journal of internal medicine 256, 3 (2004), 183–194.
  97. Patricia A Reuter-Lorenz and Denise C Park. 2014. How does it STAC up? Revisiting the scaffolding theory of aging and cognition. Neuropsychology review 24, 3 (2014), 355–370.
  98. Deficit of cognitive inhibition in depressed elderly: a neurocognitive marker of suicidal risk. Journal of Affective Disorders 140, 2 (2012), 193–199.
  99. Stephen Ristau. 2011. People do need people: Social interaction boosts brain health in older age. Generations 35, 2 (2011), 70–76.
  100. Richard M Ryan and Edward L Deci. 2017. Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford publications.
  101. William A Scott. 1962. Cognitive complexity and cognitive flexibility. Sociometry (1962), 405–414.
  102. Individual inconsistency across measures of inhibition: An investigation of the construct validity of inhibition in older adults. Neuropsychologia 40, 6 (2002), 605–619.
  103. Peter Shultz. 2017. Music theory in music games. In From Pac-Man to pop music. Routledge, 177–188.
  104. Exergame development using the dual flow model. In Proceedings of the Sixth Australasian Conference on Interactive Entertainment. 1–7.
  105. Correspondence of the brain’s functional architecture during activation and rest. Proceedings of the national academy of sciences 106, 31 (2009), 13040–13045.
  106. Andrew C Sparkes. 2016. Qualitative research in sport, exercise and health in the era of neoliberalism, audit and new public management: Understanding the conditions for the (im) possibilities of a new paradigm dialogue. In Community based research in sport, exercise and health science. Routledge, 154–173.
  107. The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials. Neuroscience & Biobehavioral Reviews 78 (2017), 34–43.
  108. Laura Tierney and Elizabeth Beattie. 2020. Enjoyable, engaging and individualised: A concept analysis of meaningful activity for older adults with dementia. International journal of older people nursing 15, 2 (2020), e12306.
  109. Steven P Tipper. 1991. Less attentional selectivity as a result of declining inhibition in older adults. Bulletin of the Psychonomic Society 29, 1 (1991), 45–47.
  110. Video game training enhances cognition of older adults: a meta-analytic study. Psychology and aging 29, 3 (2014), 706.
  111. Towards measuring cognitive load through multimodal physiological data. Cognition, Technology & Work 23 (2021), 567–585.
  112. Positive effects of physical training in activity of daily living–dependent older adults. Experimental aging research 36, 2 (2010), 190–205.
  113. Measuring the impacts of virtual reality games on cognitive ability using EEG signals and game performance data. IEEE Access 9 (2021), 18326–18344.
  114. Action video game training for healthy adults: a meta-analytic study. Frontiers in psychology 7 (2016), 907.
  115. Supporting Playful Rehabilitation in the Home using Virtual Reality Headsets and Force Feedback Gloves. In 2022 IEEE Conference on Virtual Reality and 3D User Interfaces (VR). IEEE, 504–513.
  116. Xuedi Wang and Thomas J Covey. 2020. Neurophysiological indices of the transfer of cognitive training gains to untrained tasks. Neurobiology of Learning and Memory 171 (2020), 107205.
  117. Presence and cybersickness in virtual reality are negatively related: a review. Frontiers in psychology 10 (2019), 158.
  118. Bridging the Generational Gap: Exploring How Virtual Reality Supports Remote Communication Between Grandparents and Grandchildren. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–15.
  119. Long-term effects of cognitive training on everyday functional outcomes in older adults. Jama 296, 23 (2006), 2805–2814.
  120. How do you improve compliance? Pediatrics 115, 6 (2005), e718–e724.
  121. Results and guidelines from a repeated-measures design experiment comparing standing and seated full-body gesture-based immersive virtual reality exergames: Within-subjects evaluation. JMIR serious games 8, 3 (2020), e17972.
  122. Hsin-Yen Yen and Huei-Ling Chiu. 2021. Virtual reality exergames for improving older adults’ cognition and depression: a systematic review and meta-analysis of randomized control trials. Journal of the American Medical Directors Association 22, 5 (2021), 995–1002.
  123. Soojeong Yoo and Judy Kay. 2016. VRun: running-in-place virtual reality exergame. In Proceedings of the 28th Australian Conference on Computer-Human Interaction. 562–566.
  124. Elizabeth M Zelinski. 2009. Far transfer in cognitive training of older adults. Restorative neurology and neuroscience 27, 5 (2009), 455–471.
  125. Ping pong: An exergame for cognitive inhibition training. International Journal of Human–Computer Interaction 37, 12 (2021), 1104–1115.
  126. Does music therapy enhance behavioral and cognitive function in elderly dementia patients? A systematic review and meta-analysis. Ageing research reviews 35 (2017), 1–11.
  127. Older Adults Using Technology for Meaningful Activities During COVID-19: An Analysis Through the Lens of Self-Determination Theory. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–17.
  128. Training and transfer effects of response inhibition training in children and adults. Developmental Science 21, 1 (2018), e12511.
  129. Mohammad Zohaib et al. 2018. Dynamic difficulty adjustment (DDA) in computer games: A review. Advances in Human-Computer Interaction 2018 (2018).
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