Effects of Modified Board Game–Based Cognitive Stimulation on Cognitive Function in Community-Dwelling Older Adults: an Occupational Therapy Intervention Study
DOI:
10.29303/jppipa.v12i3.14884Published:
2026-04-25Downloads
Abstract
Cognitive decline is a common condition among older adults that may affect memory, attention, and functional independence. Non-pharmacological interventions, particularly activity-based approaches, are increasingly recommended to maintain cognitive function. Board game–based cognitive stimulation has emerged as a promising, engaging, and accessible intervention within occupational therapy practice. This study aimed to examine the effect of a modified board game–based cognitive stimulation program on cognitive function among community-dwelling older adults. This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. A total of 50 pre-elderly and older adults were recruited using purposive sampling based on predetermined inclusion criteria. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) before and after the intervention. The intervention consisted of a modified board game program conducted over eight sessions, each lasting 30–60 minutes, integrating cognitive tasks across multiple domains. Data were analyzed using descriptive statistics and paired sample t-test with a significance level of p < 0.05. The findings showed a statistically significant improvement in cognitive function after the intervention (p = 0.000, p < 0.05). Participants demonstrated increased scores across multiple cognitive domains following the modified board game–based cognitive stimulation program. The modified board game–based intervention was effective in improving cognitive function among community-dwelling older adults. This approach offers a practical, low-cost, and engaging strategy that can be implemented in community and occupational therapy settings to support cognitive health and functional independence in aging populations.
Keywords:
Board game Cognitive stimulation Community TherapyReferences
Ahmed, S. K. (2024). How to choose a sampling technique and determine sample size for research: A simplified guide for researchers. Oral Oncology Reports, 12. https://doi.org/10.1016/j.oor.2024.100662
Ambros-Antemate, J. F., Beristain-Colorado, M. del P., Vargas-Treviño, M., Gutiérrez-Gutiérrez, J., Hernández-Cruz, P. A., Gallegos-Velasco, I. B., & Moreno-Rodr’iguez, A. (2023). Improving adherence to physical therapy in the development of serious games: conceptual framework design study. JMIR Formative Research, 7, e39838. https://doi.org/10.2196/39838
Bahar-Fuchs, A., Clare, L., & Woods, B. (2013). Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer’s disease and vascular dementia. Cochrane Database of Systematic Reviews, 6. https://doi.org/10.1002/14651858.CD003260.pub2
Bahrudin, M., Pratiwi, A., Seta, A. B., & Prabawati, R. K. (2022). The Effect of Brain Training Game activities on Improvement of Cognitive Function measured by Montreal Cognitive Assesment Indonesia version (MoCA-Ina). Saintika Medika, 18(1), 80–91. https://doi.org/10.22219/sm.Vol18.SMUMM1.21569
Cès, P., Duflos, M., Tricard, E., Jhean-Larose, S., & Giraudeau, C. (2024). Playing board games to increase emotional competencies in school-age children and older people: A systematic review. Leisure Sciences, 1–24. https://doi.org/10.1080/01490400.2024.2373415
Chen, P.-J., Hsu, H.-F., Chen, K.-M., & Belcastro, F. (2022). Effects of tabletop games on cognition in older adults: a systematic review and meta-analysis. Games for Health Journal, 11(4), 225–235. https://doi.org/10.1089/g4h.2021.0132
Chen, Y., Chen, T., Wang, Y., & Jiang, X. (2024). The effect of cognitive leisure activities on cognitive reasoning among the elderly individuals: The mediating role of need for cognition. Current Psychology, 43(47), 36450–36459. https://doi.org/10.1007/s12144-024-07106
Corso, G., Deng, A., Fry, B., Polizzi, N., Barzilay, R., & Jaakkola, T. (2024). Deep confident steps to new pockets: Strategies for docking generalization. ArXiv, arXiv--2402. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC10925391/
Guardabassi, V., Maranesi, A., Di Massimo, M., Manoni, E., Cirilli, E., & Nicolini, P. (2025). Are board games useful for people with dementia? A preliminary study for a non-pharmacological intervention. Frontiers in Psychology, 16, 1569406. https://doi.org/10.3389/fpsyg.2025.1569406
Herrero, A. J., Argente, E. C., Lahuerta, A., Jensen-Casado, E., Herrero-Mart’in, M., Sacristán-Rodriguez, J. M., Bullón-Benito, E., Aldavero, C., & Martinez-Sinovas, R. (2025). Impact of modern board games on executive functions and quality of life in the elderly: A randomized controlled trial. Games for Health Journal, 14(6), 456–464. https://doi.org/10.1089/g4h.2024.0195
Jaroudi, W., Garami, J., Garrido, S., Hornberger, M., Keri, S., & Moustafa, A. A. (2017). Factors underlying cognitive decline in old age and Alzheimer’s disease: the role of the hippocampus. Reviews in the Neurosciences, 28(7), 705–714. https://doi.org/10.1515/revneuro-2016-0086
Kueider, A. M., Parisi, J. M., Gross, A. L., & Rebok, G. W. (2012). Computerized cognitive training with older adults: a systematic review. PloS One, 7(7), e40588. https://doi.org/10.1371/journal.pone.0040588
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., & others. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413–446. Retrieved from https://shorturl.asia/Ck0PF
Llorente, Á., Del Rio, A., Can Semerci, Y., Alfonso Kurano, J., Jimenez, D., & Menéndez, J. M. (2024). Assessment of cognitive games to improve the quality of life of Parkinson’s and Alzheimer’s patients. Digital Health, 10, 20552076241254732. https://doi.org/10.1177/20552076241254733
Lv, G., Zhang, Y., Liu, S., Zhu, J., Chen, X., Wu, H., Liu, C., Chai, W., Lv, J., & Wang, R. (2025). Effect of leisure activities on cognitive and memory function in older adults: A systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Neuroscience, 133, 111055. https://doi.org/10.1016/j.jocn.2025.111055
Malito, N. (2024). The Relationship Between Cognitive Reserve, Video Game Playing, and Cognition in Older Adults [Keiser University]. Retrieved from https://shorturl.asia/uH6aK
Martinez, L., Gimenes, M., & Lambert, E. (2023). Video games and board games: Effects of playing practice on cognition. PloS One, 18(3), e0283654. https://doi.org/10.1371/journal.pone.0283654
Noda, S., Shirotsuki, K., & Nakao, M. (2019). The effectiveness of intervention with board games: a systematic review. BioPsychoSocial Medicine, 13(1), 22. https://doi.org/10.1186/s13030-019-0164-1
Pais, R., Ruano, L., P. Carvalho, O., & Barros, H. (2020). Global cognitive impairment prevalence and incidence in community dwelling older adults—a systematic review. Geriatrics, 5(4), 84. https://doi.org/10.3390/geriatrics5040084
Piolatto, M., Bianchi, F., Rota, M., Marengoni, A., Akbaritabar, A., & Squazzoni, F. (2022). The effect of social relationships on cognitive decline in older adults: an updated systematic review and meta-analysis of longitudinal cohort studies. BMC Public Health, 22(1), 278. https://doi.org/10.1186/s12889-022-12567-5
Pozzi, F. E., Appollonio, I., Ferrarese, C., & Tremolizzo, L. (2023). Can traditional board games prevent or slow down cognitive impairment? A systematic review and meta-analysis. Journal of Alzheimer’s Disease, 95(3), 829–845. https://doi.org/10.3233/JAD-230473
Puspitosari, A., & Nurhidayah, N. (2025). Cognitive Stimulation Therapy (Indonesian Version): Effects on Factors Associated with Cognitive Function in Middle Adult. Jurnal Penelitian Pendidikan IPA, 11(1), 490–495. https://doi.org/10.29303/jppipa.v11i1.9890
Puspitosari, A., & Putri, N. K. (2024). Improving Cognitive Performance with Board Activities in Older Adults. Asian Journal of Healthy and Science, 3(9), 210–215. https://doi.org/10.58631/ajhs.v3i9.128
Raifman, S., DeVost, M. A., Digitale, J. C., Chen, Y.-H., & Morris, M. D. (2022). Respondent-driven sampling: a sampling method for hard-to-reach populations and beyond. Current Epidemiology Reports, 9(1), 38–47. https://doi.org/10.1007/s40471-022-00287-8
Stephen, R., Barbera, M., Peters, R., Ee, N., Zheng, L., Lehtisalo, J., Kulmala, J., Håkansson, K., Chowdhary, N., Dua, T., & others. (2021). Development of the first WHO guidelines for risk reduction of cognitive decline and dementia: lessons learned and future directions. Frontiers in Neurology, 12, 763573. https://doi.org/10.3389/fneur.2021.763573
Traykov, L., Raoux, N., Latour, F., Gallo, L., Hanon, O., Baudic, S., Bayle, C., Wenisch, E., Remy, P., & Rigaud, A.-S. (2007). Executive functions deficit in mild cognitive impairment. Cognitive and Behavioral Neurology, 20(4), 219–224. https://doi.org/10.1097/WNN.0b013e31815e6254
Vásquez-Carrasco, E., Gomez, C. S., Valdés-Badilla, P., Hernandez-Martinez, J., Villagran-Silva, F., Aravena-Sagardia, P., Sandoval, C., & Miralles, P. M. (2025). Effectiveness of combined cognitive stimulation and physical activity interventions on activities of daily living, cognitive function, and physical function in older people with mild cognitive impairment: a systematic review with meta-analysis. Journal of Clinical Medicine, 14(7), 2261. https://doi.org/10.3390/jcm14072261
Vita-Barrull, N., March-Llanes, J., Guzmán, N., Estrada-Plana, V., Mayoral, M., Moya-Higueras, J., & Committe, C. J. E. (2022). The cognitive processes behind commercialized board games for intervening in mental health and education: a Committee of Experts. Games for Health Journal, 11(6), 414–424. https://doi.org/10.1089/g4h.2022.0109
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