Evidence map›Paper›PMID 34146517›Full record

SynthesisJournal of the American Medical Directors Association2021

Effectiveness of Brain Gaming in Older Adults With Cognitive Impairments: A Systematic Review and Meta-Analysis.

Sandra L Kletzel, Pallavi Sood, Ahmed Negm, Patricia C Heyn, Shilpa Krishnan, Joseph Machtinger, Xiaolei Hu, Hannes Devos

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults.International journal of environmental research and public health · 2022
    Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Sandra L KletzelThe Department of Veterans Affairs (VA), Center for Innovation in Complex Chronic Healthcare & Research Service, Edward Hines Jr VA Hospital, Hines, IL, USA.
Pallavi SoodDepartment of Aging and Geriatric Research, Institute of Aging, University of Florida, Gainesville, FL, USA. Electronic address: palavi.sood@gmail.com.
Ahmed NegmSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Patricia C HeynDepartment of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Shilpa KrishnanDepartment of Rehabilitation Medicine, Division of Physical Therapy, Emory University, School of Medicine, Atlanta, GA, USA.
Joseph MachtingerDepartment of Neurology, School of medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Xiaolei HuDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Hannes DevosDepartment of Physical Therapy and Rehabilitation Science, School of Health Professions, University of Kansas Medical Center, Kansas City, KS, USA.
University of Colorado Anschutz Medical Campus · USEdward Hines, Jr. VA Hospital · USEmory University · USInstitute on Aging · USMcMaster University · CAUmeå University · SEUniversity of Kansas Medical Center · US

Funding

Neurophysiological Changes in Pre-clinical Alzheimer's DiseaseK01AG058785 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI DEVOS, HANNES · 2019 to 2023
$638k
NIA NIH HHS K01 AG058785RRD VA I21 RX003015RRD VA IK2 RX002938
6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis evaluates the evidence from randomized clinical trials (RCTs) that designed brain gaming interventions to improve cognitive functions of older adults with cognitive impairments, including mild cognitive impairments and dementia.

designSystematic review and meta-analysis. SETTING AND

participantsN/A. MEASURES: N/A.

methodsData sources-relevant randomized control trials (RCTs) were identified by a systematic search of databases including Medline, PubMed, PsycINFO, Embase, CINAHL, Web of Science, and Cochrane. RCTs were selected first based on title and abstract review and then on full-text review by independent reviewers using predefined eligibility criteria. Risk of bias (RoB) was assessed using the Cochrane RoB tool and funnel plots. The primary outcome variable was the composite score of global cognitive function.

resultsA total of 909 participants with mild cognitive impairment or dementia from 16 RCTs were included in the systematic review. The study quality was modest, and the RoB assessment showed bias in blinding the participants and personnel. Funnel plots showed no evidence of publication bias. The meta-analysis of 14 RCTs revealed no superior effect of brain gaming compared to other interventions on global cognitive function (pooled standardized mean difference = 0.08, 95% confidence interval -0.24, 0.41, P = .61, I CONCLUSION AND IMPLICATIONS: The findings of this meta-analysis suggest that brain gaming compared with the control intervention does not show significant improvement in standardized tests of cognitive function. Because of considerable heterogeneity in sample size, gaming platform, cognitive status, study design, assessment tools, and training prescription, we cannot confidently refute the premise that brain gaming is an effective cognitive training approach for older adults with cognitive impairments. Recommendations for future research are included.

Indexed as

Cognitive DysfunctionVideo GamesAgedBrainCognitionExecutive FunctionHumansAlzheimer's diseaseBrain gamingcognitive trainingdementiamild cognitive impairment

Identifiers

PMID34146517
PMCPMC8628430
OpenAlexW3171171875

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.