@Article{info:doi/10.2196/34756,
author="Wu, Wen-Lan
and Huang, Yu-Ling
and Liang, Jing-Min
and Chen, Chia-Hsin
and Wang, Chih-Chung
and Ho, Wen-Hsien",
title="Interactive Digital Game for Improving Visual--Perceptual Defects in Children With a Developmental Disability: Randomized Controlled Trial",
journal="JMIR Serious Games",
year="2022",
month="Apr",
day="15",
volume="10",
number="2",
pages="e34756",
keywords="interactive digital game; visual--perceptual defect; developmental disability; Children; Test of Visual Perceptual Skills; rehabilitation",
abstract="Background: Visual--perceptual defects in children can negatively affect their ability to perform activities of daily living. Conventional rehabilitation training for correcting visual--perceptual defects has limited training patterns and limited interactivity, which makes motivation difficult to sustain. Objective: We aimed to develop and evaluate an interactive digital game system for correcting visual--perceptual defects and evaluate its effectiveness. Methods: Participants were children aged 5 to 10 years with a diagnosis of visual--perceptual defect associated with a developmental disability. The children were randomized into a digital game group who received the traditional course of rehabilitation combined with an interactive digital game intervention (n=12) and a standard rehabilitation group (n=11) who only received the traditional course of rehabilitation. Each group underwent rehabilitation once a week for 4 weeks. Overall improvement in Test of Visual Perceptual Skills 3rd edition (TVPS-3) score and overall improvement in performance in the interactive digital game were evaluated. Parents and therapists were asked to complete a satisfaction questionnaire. Results: After 4 weeks, the TVPS-3 score had significantly increased (P=.002) in the digital game group (pre: mean 41.67, SD 13.88; post: 61.50, SD 21.64). In the standard rehabilitation group, the TVPS-3 score also increased, but the increase was not statistically significant (P=.58). Additionally, TVPS-3 score increases were significantly larger for the digital game group compared with those for the standard rehabilitation group (P=.005). Moreover, both parents and therapists were highly satisfied with the system. All 5 themes of satisfaction had mean scores higher than 4 in a 5-point scale questionnaire (mean 4.30, SD 0.56). Conclusions: The system has potential applications for improving visual--perceptual function in children undergoing medical rehabilitation for developmental disability. Trial Registration: ClinicalTrials.gov NCT05016492; http://clinicaltrials.gov/ct2/show/NCT05016492 ",
issn="2291-9279",
doi="10.2196/34756",
url="https://games.jmir.org/2022/2/e34756",
url="https://doi.org/10.2196/34756",
url="http://www.ncbi.nlm.nih.gov/pubmed/35436215"
}