TY - JOUR AU - Abd-alrazaq, Alaa AU - Ahmed, Arfan AU - Alali, Haitham AU - Aldardour, Ahmad Mohammad AU - Househ, Mowafa PY - 2022 DA - 2022/9/9 TI -严肃游戏对认知障碍老年人认知加工速度的影响:系统评价和荟萃分析JO - JMIR Serious Games SP - e36754 VL - 10 IS - 3kw -严肃游戏KW -认知训练KW - exergames KW -处理速度KW -轻度认知障碍KW -阿尔茨海默病KW -痴呆KW -系统评价KW -荟萃分析KW -手机AB -背景:已知人类认知处理速度随着年龄的增长而下降。人类的认知处理速度是指个体从接受刺激到对刺激做出反应所需的时间。严肃游戏，即用于培训和教育目的的电子游戏，具有提高处理速度的潜力。许多系统评论总结了严肃游戏在提高处理速度方面的有效性，但它们受到一些局限性的影响。目的:研究重度游戏对老年认知障碍患者认知加工速度的影响。方法:对随机对照试验(rct)进行系统评价。本综述采用两种检索来源:8个电子数据库和前后向参考文献表核对。共有2名审稿人独立检查了研究的合格性，从纳入的研究中提取了数据，并评估了偏倚风险和证据质量。纳入研究的证据酌情采用叙述和统计方法(即荟萃分析)进行综合。 Results: Of the 548 publications identified, 16 (2.9%) RCTs eventually met all eligibility criteria. Very-low-quality evidence from 50% (8/16) and 38% (6/16) of the RCTs showed no statistically significant effect of serious games on processing speed compared with no or passive intervention groups (P=.77) and conventional exercises (P=.58), respectively. A subgroup analysis showed that both types of serious games (cognitive training games: P=.26; exergames: P=.88) were as effective as conventional exercises in improving processing speed. Conclusions: There is no superiority of serious games over no or passive interventions and conventional exercises in improving processing speed among older adults with cognitive impairment. However, our findings remain inconclusive because of the low quality of the evidence, the small sample size in most of the included studies, and the paucity of studies included in the meta-analyses. Therefore, until more robust evidence is published, serious games should be offered or used as an adjunct to existing interventions. Further trials should be undertaken to investigate the effect of serious games that specifically target processing speed rather than cognitive abilities in general. Trial Registration: PROSPERO CRD42022301667; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=301667 SN - 2291-9279 UR - https://games.www.mybigtv.com/2022/3/e36754 UR - https://doi.org/10.2196/36754 UR - http://www.ncbi.nlm.nih.gov/pubmed/36083623 DO - 10.2196/36754 ID - info:doi/10.2196/36754 ER -