Review Article

A Systematic Review on Serious Games in Attention Rehabilitation and Their Effects

Table 3

Attention measures and results.

NumAssessment toolsAttention subdomainIndexResultRef

1EEG dataGeneralLevel of attention (% of time with an attention)Sig improved[52]
EEG dataNumber of changes between threshold (a lower number of changes is better)Sig improved
EEG dataLength of attention block (seconds)No sig
ADHD-T questionnaireGeneralDistracted frequency(a lower number is better)Sig improved
CRSD-ant test questionnaireSustained attentionAverage score of sustained attentionSig improved
2Stroop test (ST)Sustained attentionMean (SD) scoreSig improved[53]
Paced auditory serial additional test (PASAT)Sustained attentionMean (SD) scoreNo sig
Symbol Digit Modalities Test (SDMT)Sustained attentionMean (SD) scoreSig improved
3Game performanceGeneralTask difficulty levelSig improved[42]
Game performanceGeneralTime limitSig improved
Game dual task performanceDivided attentionDiamond time (DT)Sig improved
Game task switching performanceAlternating attentionDiamond time (DT)Sig improved
4Cross-modal oddball attention taskVisual, spatial, focused, divided, selective, and transient attentionDistraction scorePostSig improved[54]
3-month follow-upNo sig
Alertness scorePostSig improved
3-month follow-upNo sig
5The test of variables of attention (TOVA)Sustained attentionScoreNo sig[55]
CogStateGeneralSimple reaction time: playing card turningNo sig
CogStateGeneralChoice reaction time: red playing card turning log msecNo sig
CogStateGeneralMaze chase correct moves per secondSig deteriorated
6Focused spatial attention taskFocused attentionMean accuracy (SD)Sig improved[56]
Distributed spatial attention taskDivided attentionMean accuracy (SD)Sig improved
Cross-modal oddball attention taskVisual, spatial, focused, divided, selective, and transient attentionFirst cue-target interval RT (ms)No sig
Second cue-target interval RT (ms)No sig
First cue-target interval accuracyNo sig
Second cue-target interval accuracyNo sig
7Identification testVisual attentionAccuracyNo sig[57]
Speed perf. (ms)No sig
8Game performanceGeneralCorrect tries, number of omission errors, number of commission errors, number of uncompleted tries, correct response times, try time, engagement factor, inattention factor, impulsivity factor, error factor, and correct response factorSig improved[58]
9[59]
10Digit cancellation task (D-CAT)GeneralMean (SD) scoreNo sig[60]
Digit Span Forward (DS-F)GeneralMean (SD) scoreNo sig
Digit Span Backward (DS-B)GeneralMean (SD) scoreNo sig
11Cross-modal oddball attention taskAuditory, visual, focused, selective, divided, and transient attentionDistraction (mean (SD) score)Sig improved[61]
Alertness (mean (SD) score)Sig improved
12The test of everyday attention (TEA)Visual, selective attentionMap searchSig improved[62]
Visual, selective attentionTelephone searchNo sig
Alternating attentionVisual elevator (number correct)Sig improved
Sustained attentionElevator countingNo sig
Sustained attentionTelephone search (dual task decrement)No sig
Auditory, focused attentionElevator counting with distractionSig improved
Auditory, alternating attentionElevator counting with reversalNo sig
Attentional blinkVisual, selective, focused, alternating, transient attentionScoreNo sig
13Toulouse-Pieron test (TPT)Sustained attentionScoreSig improved[63]
14The test of variables of attention (TOVA)Sustained attentionPercent omission errors, percent commission errors, response time (ms), response time variability (ms)Sig improved[64]
15Attentional matricesVisual, auditory, focused attentionScoreSig improved[65]
16Vienna Test System (COG-S9)Selective attentionScore[66]
Game performanceGeneralSum reactions, percentage incorrect reaction, sum correct reaction, sum incorrect reaction, mean time correct reactions, mean time incorrect reactions, sum hits, sum correct rejectionsSig improved
17Cross-modal oddball attention taskSelective attention (distraction & alertness)Mean differences in reaction timeNo sig[84]
Stroop test (ST)Effortful inhibitory controlMean reaction timeNo sig
Negative priming taskAutomatic passive inhibitionMean reaction timeNo sig
18Trail making test (TMT)GeneralMean (SD) scoreNo sig[68]
Digit symbol substitution testGeneralMean (SD) scoreNo sig
19[69]
20Symbol Digit Modalities Test (SDMT)GeneralMean (SD) scoreNo sig[70]
Trail making test (TMT)GeneralMean (SD) scoreNo sig
Paced auditory serial additional test (PASAT)GeneralMean (SD) scoreNo sig
Continuous Performance Test X task (CPT-X)GeneralMean (SD) scoreNo sig
Moss Attention Rating Scale (MARS)GeneralMean (SD) scoreNo sig
21Test of everyday attention (TEA)Visual, selective attentionMap searchNo sig[71]
Visual, selective attentionTelephone searchNo sig
Alternating attentionVisual elevator (number correct)No sig
Sustained attentionElevator countingNo sig
Sustained attentionTelephone search (dual task decrement)No sig
Auditory, focused attentionElevator counting with distractionNo sig
Auditory, alternating attentionElevator counting with reversalNo sig
22Test of attentional performance Children’s version (KiTAP): game performanceGhost’s ball: sustained attentionMean difference in errorsNo sig[72]
Sad/happy ghost: selective attentionMean difference in errorsSig improved
Owls: divided attentionMean difference in errorsNo sig
23Cross-modal oddball attention taskAuditory, visual, focused, selective, divided, and transient attentionMean differences in reaction timeSig improved[73]
24[74]
25Neglect tests (VR-test battery)Visual spatial attentionMean scoreSig improved[75]
26Go/Nogo taskSelective visual attentionMean (SD) scoreSig improved[76]
27Paced auditory serial additional test (PASAT)GeneralMean (SD) scoreNo sig[77]
Symbol Digit Modalities Test (SDMT)GeneralMean (SD) scoreNo sig
28Speed subtaskVisual divided, selective attentionMean (SD) scoreSig improved[78]
29[79]
30Game performance (Lumosity Performance Index (LPI))GeneralMean (SD) scoreSig improved[80]

EEG: electroencephalogram; Sig improved: significantly improved; No sig: no significant change; Sig deteriorated: significantly deteriorated.