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Playful Multimodal Training for Persons with Dementia with Executive Function based Decision Support

Published: 26 June 2018 Publication History

Abstract

Meaningful treatment of dementia today consists of multi-component interventions, such as, cognitive and also physical, sensomotor oriented stimulation. A serious game was developed for multimodal training performed by clients and caregiver using easily configurable services on a Tablet PC. A key problem in developing substantial knowledge about dementia and impacting factors is lack of data about mental processes evolving over time. For this purpose, eye tracking data were captured from non-obtrusive sensing during the game to enable continuous monitoring of dementia profiles. An antisaccade paradigm was used to detect attention inhibition problems that typically occur in executive function related neurodegenerative diseases, such as, in Alzheimer. In a 6 month study with 12 users a classifier was developed that enables to discriminate dementia stages from robustly extracted eye movement features received from training at home. The playful training and its diagnostics oriented toolbox offer affordances for entertaining users, measuring and analysis of mental process parameters, to enable people with dementia to stay longer at home and slowing down the progress of disease.

References

[1]
Sütterlin, Sabine; Hoßmann, Iris; Klingholz, Reiner; Entwicklung, Berlin-Institut für Bevölkerung und (2011): Demenz-Report, Berlin.
[2]
Burns, A., and Iliffe, S (2009). Dementia, BMJ (Clinical research ed.) 338.
[3]
Forbes, Dorothy; et al. (2013a): Exercise programs for people with dementia. In: Cochrane Database Syst Rev 12/CD006489
[4]
Norton, S.; et al. (2014): Potential for primary prevention of Alzheimer's disease: an analysis of population-based data. In: Lancet Neurol 2014/13.
[5]
Graessel, E. et al. (2011): Non-pharmacological, multicomponent group therapy in patients with degenerative dementia: a 12-month randomizied, controlled trial. In: BMC Med 9/129.
[6]
Korczak, D. et al. (2013): Wirksamkeit von Ergotherapie bei mittlerer bis schwerer Demenz. HTA-Bericht 129, Köln.
[7]
Crawford, T.J., Higham, S., Renvoize, T., Patel, J., Dale, M., Suriya, A. et al. (2005). Inhibitory control of saccadic eye movements and cognitive impairment in Alzheimer's Disease. Biological Psychiatry, 57, 1052--1060.
[8]
McCallum, Simon; Boletsis, Costas. "Dementia Games: A Literature Review of Dementia-Related Serious Games". Serious Games Development and Applications - Lecture Notes in Computer Science 2013; Springer.
[9]
Kasl-Godley J1, Gatz M. (2000) Psychosocial interventions for individuals with dementia: an integration of theory, therapy, and understanding dementia.
[10]
J. Cerejeira,l, L. Lagarto, and E. B. Mukaetova-Ladinska, Behavioral and Psychological Symptoms of Dementia, Front Neurol. 2012; 3: 73.
[11]
Anderiesen, H., et al. (2015). Play experiences for people with Alzheimer's disease. Int. J. of Design, 9(2), 155--165.
[12]
Collette, Fabienne et al. (1999). Phonological loop and central executive functioning in Alzheimer's disease. Neuropsychologia. 37. 905--18
[13]
P Kanske, SA Kotz. Human brain mapping 32 (2), 198--208, 2011
[14]
M. A. Kuskowski, Eye movements in progressive cerebral neurological disease, in: Neuropsychology of Eye Movements, Hillsdale, N.J., c.w. Johnston and f.j. pirozzolo, editors edition, 1988, pp. 146--176.
[15]
O. B. White, J. A. Saint-Cyr, R. D. Tomlinson, J. A. Sharpe, Ocular motor deficits in Parkinson's disease, Brain 106 (1983) 571--587.
[16]
W. A. Fletcher, J. A. Sharpe, Smooth pursuit dysfunction in alzheimer's disease, Neurology 38 (1988)
[17]
L. D. Kaufman, et al. Antisaccades: A probe into the dorsolateral prefrontal cortex in Alzheimer's disease a critical review, J. of Alzheimer's Disease.
[18]
Simpkins, L. K., Antisaccades: A Probe Into the Dorsolateral Prefrontal Cortex in Alzheimer's Disease, Master's Thesis, University of Toronto, 2008.
[19]
Shafiq-Antonacci, R., Maruff, P., Masters, C., & Currie, J. (2003). Spectrum of saccade system function in Alzheimer disease. Arch Neurol, 60(9), 1272--1278.
[20]
Crutcher MD, et al. Eye tracking during a visual paired comparison task as a predictor of early dementia. Amer. J. Alzh. Disease & Other Dem. 2009.
[21]
Lagun, D., Manzanares, C., Zola, S.M., Buffalo, E.A., Agichtein, E. (2011). Detecting cognitive impairments by eye movement analysis using automatic classification algorithms, Journal of Neuroscience Methods, pp. 196--203.

Cited By

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  • (2025)State‐of‐the‐Art of Eye Tracking in Mobile‐Assisted Learning Studies: A Review of Twenty Years of Empirical StudiesJournal of Computer Assisted Learning10.1111/jcal.1311841:1Online publication date: 19-Jan-2025
  • (2024)Exploring the Impact of Game Elements and Technological Platforms on Dementia Rehabilitation: A Scoping ReviewInternational Journal of Human–Computer Interaction10.1080/10447318.2024.2414095(1-22)Online publication date: 18-Oct-2024
  • (2022)Eye-tracking Technologies in Mobile Devices Using Edge Computing: A Systematic ReviewACM Computing Surveys10.1145/354693855:8(1-33)Online publication date: 23-Dec-2022
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  1. Playful Multimodal Training for Persons with Dementia with Executive Function based Decision Support

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      cover image ACM Other conferences
      PETRA '18: Proceedings of the 11th PErvasive Technologies Related to Assistive Environments Conference
      June 2018
      591 pages
      ISBN:9781450363907
      DOI:10.1145/3197768
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

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      Published: 26 June 2018

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      Author Tags

      1. Alzheimer intervention system
      2. playful decision support

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      Cited By

      View all
      • (2025)State‐of‐the‐Art of Eye Tracking in Mobile‐Assisted Learning Studies: A Review of Twenty Years of Empirical StudiesJournal of Computer Assisted Learning10.1111/jcal.1311841:1Online publication date: 19-Jan-2025
      • (2024)Exploring the Impact of Game Elements and Technological Platforms on Dementia Rehabilitation: A Scoping ReviewInternational Journal of Human–Computer Interaction10.1080/10447318.2024.2414095(1-22)Online publication date: 18-Oct-2024
      • (2022)Eye-tracking Technologies in Mobile Devices Using Edge Computing: A Systematic ReviewACM Computing Surveys10.1145/354693855:8(1-33)Online publication date: 23-Dec-2022
      • (2022)MetaCogs: Mitigating Executive Dysfunction via Agent-based Modeling for Metacognitive Strategy DevelopmentACM Transactions on Accessible Computing10.1145/351425415:3(1-32)Online publication date: 8-Jul-2022
      • (2022)Genius - Brain Training Mobile Application for the Elderly2022 IEEE Bombay Section Signature Conference (IBSSC)10.1109/IBSSC56953.2022.10037433(1-6)Online publication date: 8-Dec-2022
      • (2022)Visualization and Interaction Technologies in Serious and Exergames for Cognitive Assessment and Training: A Survey on Available Solutions and Their ValidationIEEE Access10.1109/ACCESS.2022.321056210(104295-104312)Online publication date: 2022
      • (2022)Design of a toolkit for real-time executive function assessment in custom-made virtual experiences and interventionsInternational Journal of Human-Computer Studies10.1016/j.ijhcs.2021.102734158:COnline publication date: 3-Jan-2022
      • (2021)Towards Decision Support with Assessment of Neuropsychological Profiles in Alzheimer's Dementia Using Playful Tablet-Based Multimodal ActivationAdvances in Neuroergonomics and Cognitive Engineering10.1007/978-3-030-80285-1_54(469-477)Online publication date: 4-Jul-2021
      • (2020)Effectiveness of gamification for the rehabilitation of neurodegenerative disordersChaos, Solitons & Fractals10.1016/j.chaos.2020.110192140(110192)Online publication date: Nov-2020
      • (2019)Dementia Care Frameworks and Assistive Technologies for Their Implementation: A ReviewIEEE Reviews in Biomedical Engineering10.1109/RBME.2019.289261412(4-18)Online publication date: 2019
      • Show More Cited By

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