Xbox-Based Exergames Versus Structured Home-Based Cognitive Training for Attention and Executive Functions in Healthy Adults

Xbox-Based Exergames Versus Structured Home-Based Cognitive Training for Attention and Executive Functions in Healthy Adults

Background: Exergames are increasingly used to support cognition in older adults; however, evidence comparing exergames with non-computerized cognitive training in healthy adults remains limited. Objective: This randomized controlled trial aimed to compare the effects of Xbox-based exergames and structured home-based cognitive training on attention and executive functions in healthy adults. Methods: Twenty healthy adults aged ≥50 years were randomly allocated to either an Xbox-based exergames group (n=10) or a structured home-based cognitive training group (n=10). Both groups received 12 sessions twice weekly. Before and after the intervention, participants were assessed using the Standardized Mini-Mental State Examination, d2 Test of Attention, Stroop Test, WMS-R Digit Span Test, Trail Making Test, and Benton Judgment of Line Orientation Test.

Inclusion Criteria:

• Being 50 years of age or older
• Obtaining a score of 24-30 on the Standardized Mini-Mental State Examination (SMMSE)

Exclusion Criteria:

• A Geriatric Depression Scale (GDS) score ≥9
• A Berg Balance Scale (BBS) score ≤40
• A history of head trauma
• A diagnosis of a psychiatric or neurodegenerative disorder
• A history of alcohol dependence
• The presence of any physical illness