Effects of Nintendo Switch on Rehabilitation Programs for Elderly People With Cognitive Impairment

Not Applicable

Completed

• Conditions: Cognitive Impairment; Elderly People; Healthy Aging; Occupational Therapy
• Interventions: Procedure: Conventional occupational therapy sessions + Nintendo Switch; Procedure: Conventional occupational therapy sessions.

• Registration Number: NCT06129630
• Lead Sponsor: Universidad Rey Juan Carlos

Brief Summary

Purpose: Healthy aging is the process of optimizing opportunities for health, participation and safety in order to improve quality of life as people age. This study aimed to provide healthy aging for people with cognitive impairment through the use of the Nintendo Switch combined with Occupational Therapy sessions.

Material and methods: a randomized clinical trial was conducted. The sample was randomized using a software program, OxMar, which allowed the separation of the sample into a control group (CG), which received their usual sessions of conventional occupational therapy, and an experimental group (EG), which received therapy with Nintendo Switch, plus their conventional occupational therapy sessions. An 8-week intervention was conducted with Nintendo Switch.

Measures: Nine Hole Peg Test, Box and Block Test, Barthel Index, WHOQOL-BREF, CSQ-8.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-03-01
• Study First Submitted: 2023-10-30
• Study First Submitted QC: 2023-11-08
• Study First Posted: 2023-11-13
• Primary Completion: 2023-12-15
• Study Completion: 2023-12-28
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-06
• Last Update Posted: 2024-05-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Adult men or women, aged 65 years or older, cohabitating in the nursing home.
• Not presenting moderate or severe cognitive impairment measured through the MEC- Lobo test (score ≥ 24-35) (20).
• Agree to participate voluntarily, having read the project information sheet and signed the informed consent.

Exclusion Criteria

• Presence of neurodegenerative pathology.
• Presence of physical pathology that compromised the person's safety.
• Severe cognitive impairment.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group (EG)	Conventional occupational therapy sessions + Nintendo Switch	Experimental Group (EG), which received therapy with Nintendo Switch, plus their conventional occupational therapy sessions.
Control Group (CG)	Conventional occupational therapy sessions.	Control Group (CG), which received their usual sessions of conventional occupational therapy.

Primary Outcome Measures

Name	Time	Method
Box and Block Test	Pre-intervention and post-intervention (up to 1 week)	Test that measures the gross motor skills of the upper limbs. It consists of a wooden box that is divided into two halves by an axis, and consists of passing from one half to the other as many wooden blocks as possible with each upper limb, for 1 minute. In this test, the number of blocks that the person is able to pass in one minute with each upper limb is recorded.
Barthel Index	Pre-intervention and post-intervention (up to 1 week)	This scale is used to assess the level of functional independence in the basic activities of daily living that a person presents. In this test, the higher the score, the higher the level of functional independence of the person.
Nine Hole Peg Test	Pre-intervention and post-intervention (up to 1 week)	This test measures fine manual dexterity. This is considered a "gold standard" to evaluate fine manual dexterity (21). It consists of placing a number of pins on a board with 9 holes and removing them as quickly as possible. This test records the time the person uses with each upper limb.
World Health Organization WHOQOL-BREF	Pre-intervention and post-intervention (up to 1 week)	self-administered questionnaire, assesses the general perception of quality of life and general perception of health. It is composed of four domains: physical health, psychological health, social relationships and environment. A higher score on this scale indicates a higher quality of life. Potential scores for all domain scores, therefore, range from 4-20.

Secondary Outcome Measures

Name	Time	Method
The Client Satisfaction Questionnaire-8, CSQ-8	Post-intervention (up to 1 week)	Self-administered questionnaire used to evaluate satisfaction with the care services received, it consists of 8 questions. Items are scored on a Likert scale from 1 (low satisfaction) to 4 (high satisfaction). Total scores range from 8 to 32, with higher scores indicating greater satisfaction.

Trial Locations

Locations (1)

Physiocare Madrid Clinic; 🇪🇸 Madrid, Spain