Evidence map›Paper›PMID 39861961›Full record

SynthesisJournal of clinical nursing2025

The Effects of Exergaming on the Depressive Symptoms of People With Dementia: A Systematic Review and Meta-Analysis.

Daphne Sze Ki Cheung, Hau Yi Jodie Tse, Duo Wai-Chi Wong, Cheuk Yin Chan, Wing Lam Wan, Ka Ki Chu, Sze Wing Lau, Lok Lam Lo, Tsz Ying Wong, Yee Ki So and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

12 authors.

Daphne Sze Ki CheungSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Melbourne, Victoria, Australia.ORCID 0000-0001-5651-9352
Hau Yi Jodie TseSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID 0009-0001-3912-740X
Duo Wai-Chi WongDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID 0000-0002-8805-1157
Cheuk Yin ChanSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Wing Lam WanSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Ka Ki ChuSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Sze Wing LauSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Lok Lam LoSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Tsz Ying WongSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Yee Ki SoSchool of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
James Chung-Wai CheungDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID 0000-0001-7446-0569
Ken Hok Man HoSchool of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0003-4934-2450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepressive symptoms are common among people with dementia (PWD). Exergaming consisting of combined cognitive and physical training in gaming is increasingly used to alleviate their depressive symptoms in research. With its potential synergistic neurobiological and psychosocial effects on reducing depressive symptoms among PWD, this review aimed to understand its effectiveness and contents.

methodsThis is a systematic review of the effectiveness of exergames on depressive symptoms among older adults with dementia. A search was conducted on 7 May 2024 of the online databases CINAHL, Embase, PsycINFO, PubMed and the China Academic Journal Network Publishing Database (CNKI). The methodological quality of randomised controlled trials (RCT) and quasi-experimental studies was assessed with RoB2 and ROBINS-I, respectively. A meta-analysis of the included RCTs was conducted.

resultsSix studies consisting of four RCTs and two quasi-experimental studies involving 235 participants with various stages of dementia were included. The meta-analysis showed a significant overall improvement in depression with a large effect size (SMD = 1.46, 95% CI = -2.50, -0.43; p = 0.006). Despite high heterogeneity (I

conclusionExergames could be effective at improving the depressive symptoms of older adults with dementia. Yet, a moderate-to-severe risk of bias shows a rigorous study should be conducted in the future. IMPLICATIONS FOR PATIENT CARE: This study provides evidence for healthcare professionals and informal caregivers to use exergames to address depressive symptoms in PWD. REVIEW REGISTRATION: The review was registered on PROSPERO with the reference CRD42022372762.

Indexed as

DementiaDepressionExercise TherapyVideo GamesAgedAged, 80 and overFemaleHumansMaleRandomized Controlled Trials as Topicdementiadepressionexergamingolder adultsreviewsystematic review

Identifiers

PMID39861961
PMCPMC12037940

What OpenQuestion holds

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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.