Comparison of digital games as a cognitive function assessment tool for current standardized neuropsychological tests
Jogo digital como ferramenta para avaliação de funções cognitivas comparado a testes neuropsicológicos normatizados atuais
Ananaira Alves Goulart; André Lucatelli; Paulo Sergio Panse Silveira; José de Oliveira Siqueira; Maria José Carvalho Carmona; Livia Stocco Sanches Valentin; Joaquim Edson Vieira
Abstract
Objective
Cognitive dysfunction may occur postoperatively. Fast and efficient assessment of Postoperative Cognitive Dysfunction (POCD) can minimize loss of quality of life, and therefore, a study comparing a digital game with standard neuropsychological tests to assess executive, mnemonic, and attention functions to evaluate POCD seems to be relevant both for research and clinical practice.
Methods
A battery of standardized tests and a digital game (MentalPlus®) were administered to 60 patients at the Central Institute of Hospital das Clínicas in São Paulo (36 women and 24 men), ages between 29 and 82 years, pre-and post-surgery performed under anesthesia. Correlation and linear regression model were used to compare the scores obtained from the standardized tests to the scores of the six executive and cognitive functions evaluated by the game (short- and long-term memory, selective and alternating attention, inhibitory control, and visual perception).
Results
After correlation analysis, a statistically significant result was found mainly for the correlation between the scores from the phase of the digital game assessing the visuoperception function and the scores from the A and B cards of the Stroop Test (p < 0.001, r = 0.99 and r = 0.64, respectively), and the scores from TMTA (p = 0.0046, r = 0.51). We also found a moderate correlation between the phase of the game assessing short-memory function and VVLT (p < 0.001, r = 0.41). No statistically significant correlations were found for the other functions assessed.
Conclusion
The digital game provided scores in agreement with standardized tests for evaluating visual perception and possibly short-term memory cognitive functions. Further studies are necessary to verify the correlation of other phases of the digital game with standardized tests assessing cognitive functions.
Keywords
Resumo
Objetivo: A disfunção cognitiva pós-operatória (DCPO) é um evento que pode ocorrer após um procedimento cirúrgico. Avaliar essa disfunção de forma rápida e eficiente pode minimizar perdas na qualidade de vida e, portanto, um estudo comparativo de um jogo digital como teste neuropsicológico para avaliação de DCPO com testes normatizados para avaliar funções executivas, mnemônicas e atencionais é relevante para pesquisa e para aplicabilidade clínica.
Métodos: Uma bateria de testes padronizados e um jogo digital (MentalPlus®) foram aplicados a 60 pacientes do Instituto Central do Hospital das Clínicas de São Paulo (36 mulheres e 24 homens), com idades entre 29 e 82 anos, antes e depois de procedimento cirúrgico sob anestesia. A comparação foi realizada por meio de correlação e modelo de regressão linear entre as pontuações dos testes padronizados e as pontuações de seis funções executivas e cognitivas avaliadas no jogo (memória de curto e longo prazo, atenção seletiva e alternada, controle inibitório e visuopercepção).
Resultados: Resultados da análise de correlação foi estatisticamente significante para a correlação entre a fase de percepção visual do jogo digital e os pranchas A e B do Teste de Stroop (p <0,001, r = 0,99 e r = 0,64, respectivamente ) e com TMTA (p = 0,0046, r = 0,51). Também foi encontrada correlação intermediária entre a fase de memória de curto prazo do jogo e o VVLT (p <0,001, r = 0,41). Para as demais funções avaliadas não foram encontradas correlações estatisticamente significativas.
Palavras-chave
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Submitted date:
01/13/2020
Accepted date:
06/26/2021
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