ABSTRACT
Studies have shown that cognitive function and stamina are vulnerable to aging. Susceptibility to such age-related decline can be related to many factors, including education, literacy, occupation, and engagement in leisure activities. In this paper, we present the design and development of a novel interactive application to exercise older adults’ cognitive function using state-of-the-art natural language processing (NLP). Installed on mobile devices, the app encourages cognitive health in older adults through continuously personalized, inquiry-based information acquisition. Learning tasks are designed to run multimodal pieces of media content aligned with users’ interests followed by multiple-choice questions, their answers, and related distractors dynamically generated by a series of Bidirectional Encoder Representations from Transformers (BERT) enhanced by Convolutional Neural Network (CNN) layers. A usability study was carried out on senior citizens living in the researchers’ community, aged 65-92. The evaluation consisted of sessions, roughly 30 minutes each, over three weeks. User performance measures of information recall represented by accuracy score and response time, and workload assessment measures composed of mental demand, temporal demand, user-performance, effort, and frustration were collected. Findings show the viability of attaining a positive user experience and engagement for older adults with inquiry-based information acquisition training personalized by users’ interests, interactions, and language analysis. The work lends insights and potential avenues for improving accessibility and engagement in tasks that stimulate older adults’ cognitive function using mobile devices.
- Shake, M. C. and Blake, C. D. Prevention and Intervention Approaches for Cognitive Aging. Springer International Publishing, City, 2020.Google Scholar
- Zhou, S., Song, S., Jin, Y. and Zheng, Z. J. Prospective association between social engagement and cognitive impairment among middle-aged and older adults: evidence from the China Health and Retirement Longitudinal Study. BMJ Open, 10, 11 (Nov 18 2020), e040936.Google ScholarCross Ref
- Nicole T.M. Hill, M.BMSc. , Loren Mowszowski, D.Psych. , Sharon L. Naismith, D.Psych. , Verity L. Chadwick, B.Sc. , Michael Valenzuela, Ph.D. and Amit Lampit, Ph.D. Computerized Cognitive Training in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis. American Journal of Psychiatry, 174, 4 (2017), 329-340.Google Scholar
- Liapis, J. and Harding, K. E. Meaningful use of computers has a potential therapeutic and preventative role in dementia care: A systematic review. Australas J Ageing, 36, 4 (Dec 2017), 299-307.Google ScholarCross Ref
- Bonnechère, B., Klass, M., Langley, C. and Sahakian, B. J. Brain training using cognitive apps can improve cognitive performance and processing speed in older adults. Sci Rep, 11, 1 (Jun 10 2021), 12313.Google ScholarCross Ref
- Hongmei, C., Agama, E. and Prodanoff, Z. G. Developing serious games to promote cognitive abilities for the elderly. City, 2017.Google Scholar
- Valladares-Rodriguez, S., Fernández-Iglesias, M. J., Anido-Rifón, L., Facal, D., Rivas-Costa, C. and Pérez-Rodríguez, R. Touchscreen games to detect cognitive impairment in senior adults. A user-interaction pilot study. International Journal of Medical Informatics, 127 (2019/07/01/ 2019), 52-62.Google ScholarCross Ref
- Goumopoulos, C., Skikos, G., Karapapas, C., Frounta, M. and Koumanakos, G. Applying Serious Games and Machine Learning for Cognitive Training and Screening: the COGNIPLAT Approach. In Proceedings of the 25th Pan-Hellenic Conference on Informatics (Volos, Greece, 2021). Association for Computing Machinery, [insert City of Publication],[insert 2021 of Publication].Google ScholarDigital Library
- Eichhorn, C., Plecher, D. A., Lurz, M., Leipold, N., Böhm, M., Krcmar, H., Ott, A., Volkert, D., Hiyama, A. and Klinker, G. Combining Motivating Strategies with Design Concepts for Mobile Apps to Increase Usability for the Elderly and Alzheimer Patients. Springer International Publishing, City, 2020.Google ScholarDigital Library
- Miguel Cruz, A., Daum, C., Comeau, A., Salamanca, J. D. G., McLennan, L., Neubauer, N. and Liu, L. Acceptance, adoption, and usability of information and communication technologies for people living with dementia and their care partners: a systematic review. Disability and Rehabilitation: Assistive Technology (2020), 1-15.Google Scholar
- Wolters, F. J., Chibnik, L. B., Waziry, R., Anderson, R., Berr, C., Beiser, A., Bis, J. C., Blacker, D., Bos, D., Brayne, C., Dartigues, J.-F., Darweesh, S. K. L., Davis-Plourde, K. L., de Wolf, F., Debette, S., Dufouil, C., Fornage, M., Goudsmit, J., Grasset, L., Gudnason, V., Hadjichrysanthou, C., Helmer, C., Ikram, M. A., Ikram, M. K., Joas, E., Kern, S., Kuller, L. H., Launer, L., Lopez, O. L., Matthews, F. E., McRae-McKee, K., Meirelles, O., Mosley, T. H., Pase, M. P., Psaty, B. M., Satizabal, C. L., Seshadri, S., Skoog, I., Stephan, B. C. M., Wetterberg, H., Wong, M. M., Zettergren, A. and Hofman, A. Twenty-seven-year time trends in dementia incidence in Europe and the United States. The Alzheimer Cohorts Consortium, 95, 5 (2020), e519-e531.Google Scholar
- Johnson, J. K., Stewart, A. L., Acree, M., Nápoles, A. M., Flatt, J. D., Max, W. B. and Gregorich, S. E. A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial. J Gerontol B Psychol Sci Soc Sci, 75, 3 (Feb 14 2020), 549-559.Google Scholar
- Aung, M. N., Koyanagi, Y., Ueno, S., Tiraphat, S. and Yuasa, M. Age-Friendly Environment and Community-Based Social Innovation in Japan: A Mixed-Method Study. The Gerontologist, 62, 1 (2021), 89-99.Google Scholar
- Zhang, H., Peng, Y., Li, C., Lan, H., Xing, G., Chen, Z. and Zhang, B. Playing Mahjong for 12 Weeks Improved Executive Function in Elderly People With Mild Cognitive Impairment: A Study of Implications for TBI-Induced Cognitive Deficits. Frontiers in Neurology, 11 (2020-March-27 2020).Google Scholar
- Narme, P. Benefits of game-based leisure activities in normal aging and dementia. Geriatr Psychol Neuropsychiatr Vieil, 14, 4 (Dec 1 2016), 420-428.Google Scholar
- Seligman, M., Forgeard, M. and Kaufman, S. B. 11 Creativity and Aging : What We Can Make With What We Have Left. City, 2016.Google Scholar
- Jarvis, P., Holford, J. and Griffin, C. The Theory and Practice of Learning. Kogan Page, London, 2003.Google ScholarCross Ref
- Vygotsky, L. S. Mind in society: The development of higher psychological processes. Harvard University Press, Cambridge, MA, 1978.Google Scholar
- Peng, Z., Jiang, H., Wang, X., Huang, K., Zuo, Y., Wu, X., Abdullah, A. S. and Yang, L. The Efficacy of Cognitive Training for Elderly Chinese Individuals with Mild Cognitive Impairment. BioMed research international, 2019 (5/14 2019), 4347281-4347281.Google Scholar
- Berry, A. S., Zanto, T. P., Clapp, W. C., Hardy, J. L., Delahunt, P. B., Mahncke, H. W. and Gazzaley, A. The influence of perceptual training on working memory in older adults. PLoS One, 5, 7 (Jul 14 2010), e11537.Google ScholarCross Ref
- Camp, C. J. and Stevens, A. B. Spaced-retrieval: A memory intervention for dementia of the Alzheimer's type. Clinical Gerontologist: The Journal of Aging and Mental Health, 10, 1 (1990), 58-61.Google Scholar
- Creighton, A. S., van der Ploeg, E. S. and O'Connor, D. W. A literature review of spaced-retrieval interventions: a direct memory intervention for people with dementia. International Psychogeriatrics, 25, 11 (2013), 1743-1763.Google ScholarCross Ref
- Elbayad, M., Besacier, L. and Verbeek, J. Pervasive Attention: 2D Convolutional Neural Networks for Sequence-to-Sequence Prediction. City, 2018.Google Scholar
- Hart, S. G. and Staveland, L. E. Development of NASA-TLX (Task Load Index): Results of Empirical and Theoretical Research. Advances in psychology, 52 (1988), 139-183.Google Scholar
- Hart, S. G. Nasa-Task Load Index (NASA-TLX); 20 Years Later. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 50, 9 (2006/10/01 2006), 904-908.Google ScholarCross Ref
- Edwards, A., Kelly, D. and Azzopardi, L. The Impact of Query Interface Design on Stress, Workload and Performance. Springer International Publishing, City, 2015.Google ScholarCross Ref
- Longo, L., Rusconi, F., Noce, L. and Barrett, S. The Importance of Human Mental Workload in Web Design. City, 2012.Google Scholar
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