Dementia is a clinical syndrome caused by pathological changes in the brain. It is primarily characterized by cognitive decline, behavioral disturbances, and personality changes, all of which severely impair patients’ quality of life. As global populations age and the prevalence of dementia rises, the demand for long-term care has intensified. This situation places a significant physical and psychological burden on families and creates substantial socioeconomic pressure, establishing dementia as an urgent public health priority. In response, video games have emerged as a valuable non-pharmacological tool in dementia health management. Recognized for their low cost and non-invasiveness, they demonstrate considerable potential in improving cognitive function, early screening, alleviating behavioral symptoms, and health education. This article systematically reviews the existing evidence for video games in dementia health management, examines challenges such as clinical standardization, senior adaptability, and technology integration, and proposes future directions. These include establishing standardized frameworks, optimizing game design, and expanding application scenarios. The aim is to provide a reference for integrating video games into the holistic and standardized management of dementia.
Vivekanandhan G, Karthikeyan A, Pakniyat N, et al., 2024, Analysis of the Variations in Brain Activity in Response to Various Computer Games. Fractals-Complex Geometry Patterns and Scaling in Nature and Society, 32(5): 2450100.
Jia Y, Shi M, Yang P, et al., Associations of Computer Gaming with Incident Dementia, Cognitive Functions, and Brain Structure: A Prospective Cohort Study and Mendelian Randomization Analysis. Alzheimer’s Research & Therapy, 16(1): 131.
Sivananthan SN, Lavergne MR, et al., 2015, Caring for Dementia: A Population-Based Study Examining Variations in Guideline-Consistent Medical Care. Alzheimer’s & Dementia, 11(8): 906–916.
Zheng J, Chen X, Yu P, 2017, Game-Based Interventions and Their Impact on Dementia: A Narrative Review. Australasian Psychiatry, 25(6): 562–565.
Wang P, Zhu XT, Qi Z, et al., 2017, Neural Basis of Enhanced Executive Function in Older Video Game Players: An fMRI Study. Frontiers in Aging Neuroscience, 9: 382.
Hamano T, Nagata M, Matsubara R, et al., 2023, Effectiveness of a Self-Reporting Yes/No Survey for Dementia Screening—Trial in Fukui, Japan. Frontiers in Aging Neuroscience, 14: 1029614.
Pérez-Rodriguez R, Fernandez-Iglesias JM, Anido-Rifón L, et al., 2018, Learning to Detect Cognitive Impairment through Digital Games and Machine Learning Techniques. Methods of Information in Medicine, 57(4): 197–207.
Valladares-Rodriguez S, Fernández-Iglesias MJ, Anido-Rifón L, et al., 2019, Touchscreen Games to Detect Cognitive Impairment in Senior Adults. A User-Interaction Pilot Study. International Journal of Medical Informatics, 127: 52–62.
Skikos G, Goumopoulos C, Ferras J, 2025, Combining Serious Games and Machine Learning to Assess the Cognitive State of Seniors Using the Cogniplat Platform. Journal of Ambient Intelligence and Humanized Computing, 16(1): 303–314.
Nie J, Yang Y, Gao Y, et al., 2023, Newly Self-Administered Two-Step Tool for Screening Cognitive Function in an Ageing Chinese Population: An Exploratory Cross-Sectional Study. General Psychiatry, 36(1): 100837.
He M, 2023, Study on the Influence of Different Types of Video Game Training on Brain Plasticity, dissertation, University of Electronic Science and Technology of China.
Choi Y, Lim JS, Choi H, et al., Narrative Mobile Video Game-Based Cognitive Training to Enhance Frontal Function in Patients with Mild Cognitive Impairment. Scientific Reports, 15(1): 195.
Gerling K, Mandryk R, 2014, Custom-Designed Motion-Based Games for Older Adults: A Review of Literature in Human-Computer Interaction. Gerontechnology, 12(2): 68–80.
Yun T, 2024, Research Progress in the Application of Somatosensory Games in Dementia Patients. Nursing Research, 38: 671–675.
Chang CH, Wei CC, Lien WC, et al., 2025, How Does It Affect the Willingness to Continue Rehabilitation Training? A Usability Evaluation of a Multi-Sensory Rehabilitation Interactive Game System (MRIGS) for Older Adults with Mild Dementia. Computers in Biology and Medicine, 197: 111020.
Francesco B, Ambra F, Marcello S, 2023, Putting the Gaming Experience at the Center of the Therapy-The Video. Healthcare, 11(12): 1767.
Leung J, Saunders JB, Stjepanovi D, et al., 2024, Extended Hours of Video Game Play and Negative Physical Symptoms and Pain. Computers in Human Behavior, 155: 108181.
Van Patten R, Tremont G, 2020, Public Knowledge of Late-Life Cognitive Decline and Dementia in an International Sample. Dementia, 19(6): 1758–1776.
Tay PKC, Anderson T, Ying JSJ, et al., 2025, Evaluation of a Digital Dementia Game to Promote Public Awareness About Dementia in Singapore. BMC Public Health, 25(1): 1873.
Carter G, Wilson CB, Mitchell G, The Effectiveness of a Digital Game to Improve Public Perception of Dementia: A Pretest-Posttest Evaluation. Plos One, 16(10): 257337.
Roh HW, Ryu H, Jeong S, et al., The Effectiveness of a Motivational Enhancement Smartphone Application Promoting Lifestyle Improvement for Brain Health: A Randomized Controlled Trial. Plos One, 17(6): 267806.
Al-Rajab M, Lu J, Amawi S, et al., A Smart Secure Virtual Reality Immersive Application for Alzheimer’s and Dementia Patients. Scientific Reports, 15(1): 30584.
Hsu L, 2010, The Study of the interactive games information to Design Principles for the Elderly, dissertation.
Wang Q, Liu J, Zhou L, et al., 2022, Usability Evaluation of mHealth Apps for Elderly Individuals: A Scoping Review. BMC Medical Informatics and Decision Making, 22(1): 317.