目的 对认知障碍老年人游戏化运动干预的研究进行范围综述,以期为游戏化设计在认知障碍老年人运动行为方案中的应用提供参考.方法 以Arksey和O'Malley提出的范围综述方法框架为指导,系统检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Cochrane Library、CINAHL、Web of Science、Scopus、ProQuest、Wiley Online Library.检索时间为建库至2024年6月12日.对纳入的文献进行整合性分析.结果 共纳入12篇文献,最常用的游戏化元素是以成就和进展为导向,最常用的行为改变理论是行为改变技术和社会认知理论.结论 基于游戏化设计的运动干预方案可以提高认知障碍老年人运动依从性,促进身体活动,改善认知功能.未来研究应重视不同理论与不同游戏化元素相结合,促进认知障碍老年人主动运动行为.
Abstract
Objective To conduct a scoping review on gamified exercise interventions for elderly patients with cognitive impairment to provide insights for the application of gamification design in exercise programs for this population.Methods Guided by the scoping review framework proposed by Arksey and O'Malley,a systematic search was conducted in databases including China National Knowledge Infrastructure,Wanfang,VIP,SinoMed,PubMed,Cochrane Library,CINAHL,Web of Science,Scopus,ProQuest,and Wiley Online Library.The search covered the period from the establishment of the databases to June 12,2024.An integrative analysis was performed on the included literature.Results A total of 12 studies were included.The most commonly used gamification elements were achievement-and progress-oriented features,while the most frequently applied behavior change theories were behavior change techniques and social cognitive theory.Conclusions Gamification-based exercise interventions can improve adherence to exercise programs in elderly patients with cognitive impairment,promote physical activity,and enhance cognitive function.Future research should focus on combining various theories with different gamification elements to encourage proactive exercise behavior in elderly individuals with cognitive impairment.