Designing and evaluating Brain Powered Games for cognitive training and rehabilitation in at-risk African children.
Designing and evaluating Brain Powered Games for cognitive training and rehabilitation in at-risk African children.
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在高危非洲儿童中设计和评估用于认知训练和康复的大脑动力游戏。
DOI：
10.1017/gmh.2015.5
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Boivin MJ
中科院分区：
文献类型：
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作者：
Giordani B;Novak B;Sikorskii A;Bangirana P;Nakasujja N;Winn BM;Boivin MJ
有效、可靠、可获得和具有成本效益的计算机培训方法可成为在资源匮乏地区，如撒哈拉以南非洲地区扩大教育支助的重要组成部分。目前这项研究的目标是开发一个基于计算机的培训平台，即密歇根州立大学娱乐和学习游戏实验室的大脑驱动游戏(BPG)包，该包将适合乌干达农村环境中的高危儿童使用，然后完成该包的初步现场试验。在利用当地刺激和声音完成游戏开发后，尽可能使游戏的背景与乌干达农村环境相匹配，完成了对乌干达农村33名艾滋病毒携带者(平均年龄=85.55岁±22.29岁，6-12岁)的初步实地研究。干预前后采用注意变量测验(TOVA)、CogState计算机成套测验和Kaufman儿童成套测验(KABC-II)中的非言语指数作为结果测量。孩子们接受了大约45分钟的BPG训练，每周几天，为期2个月(24次)。尽管在BPG训练之前，测试成绩有了明显的改善，但在训练之后，儿童在反映加工速度、注意力、视觉-运动协调、迷宫学习和解决问题的特定TOVA和CogState测量上表现出临床上的显著变化(中到大效应的显著重复测量结果)。研究结果初步支持了BPG的可接受性、可行性和神经认知益处，以及它作为跨文化低资源环境下计算机化认知训练的模式平台的实用性。
Valid, reliable, accessible, and cost-effective computer-training approaches can be important components in scaling up educational support across resource-poor settings, such as sub-Saharan Africa. The goal of the current study was to develop a computer-based training platform, the Michigan State University Games for Entertainment and Learning laboratory's Brain Powered Games (BPG) package that would be suitable for use with at-risk children within a rural Ugandan context and then complete an initial field trial of that package. After game development was completed with the use of local stimuli and sounds to match the context of the games as closely as possible to the rural Ugandan setting, an initial field study was completed with 33 children (mean age = 8.55 ± 2.29 years, range 6–12 years of age) with HIV in rural Uganda. The Test of Variables of Attention (TOVA), CogState computer battery, and the Non-Verbal Index from the Kaufman Assessment Battery for Children, 2nd edition (KABC-II) were chosen as the outcome measures for pre- and post-intervention testing. The children received approximately 45 min of BPG training several days per week for 2 months (24 sessions). Although some improvements in test scores were evident prior to BPG training, following training, children demonstrated clinically significant changes (significant repeated-measures outcomes with moderate to large effect sizes) on specific TOVA and CogState measures reflecting processing speed, attention, visual-motor coordination, maze learning, and problem solving. Results provide preliminary support for the acceptability, feasibility, and neurocognitive benefit of BPG and its utility as a model platform for computerized cognitive training in cross-cultural low-resource settings.