Evidence mapPaperPMID 42588281Full record

ReviewHealthcare (Basel, Switzerland)2026

Game-Based Interventions for Health Promotion in Older Adults: A Systematic Review of Protocols and ICF-Based Outcomes.

Susana Lopes, Raul Antunes, Cândida G Silva, Marlene Rosa

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Susana LopesDoctoral School "Studii Salamantini", University of Salamanca, 37008 Salamanca, Spain.ORCID 0000-0001-7363-7078
Raul AntunesSchool of Education and Social Sciences, Polytechnic University of Leiria, 2411-901 Leiria, Portugal.ORCID 0000-0002-5485-9430
Cândida G SilvaciTechCare-Center for Innovation in Health Technologies and Care, Polytechnic University of Leiria, 2414-016 Leiria, Portugal.ORCID 0000-0002-7092-1169
Marlene RosaciTechCare-Center for Innovation in Health Technologies and Care, Polytechnic University of Leiria, 2414-016 Leiria, Portugal.ORCID 0000-0001-8276-655X

Funding

Foundation for Science and Technology 2023.02549.BDANAFoundation for Science and Technology UID/04045/2025Foundation for Science and Technology UID/05704/2025Foundation for Science and Technology UID/PRR/04045/2025Foundation for Science and Technology UID/PRR2/04045/2025
6 · The paper itself

Abstract

BACKGROUND/

objectivesHealth promotion programs are essential for older adults, and game-based interventions have emerged as promising health-promotion approaches. This systematic review aimed to synthesize and characterize game-based intervention protocols and their effects on health promotion in older adults.

methodsRandomized controlled trials and quasi-experimental studies published between January 2014 and 31 May 2026, in English or Portuguese, with participants aged 60 years or older, were analyzed. Methodological quality and risk of bias were assessed using Joanna Briggs Institute tools. Health outcomes were classified according to the International Classification of Functioning, Disability and Health (ICF) domains. The PRISMA methodology was followed.

resultsTwenty-nine studies were included, presenting methodological variability across several JBI domains. Health-related outcomes were identified across multiple ICF domains. Outcomes related to learning and health management showed statistically significant findings more frequently, whereas physical and cognitive outcomes were generally more heterogeneous. Long-term evidence remains limited.

conclusionsGame-based interventions appear to support health promotion in older adults across multiple domains of functioning. The findings suggest that differences in intervention structure, delivery format, and contextual characteristics may contribute to variability in reported outcomes. However, the heterogeneity of game-based interventions and outcome measures limits direct comparison across studies. Further research is needed to validate long-term effects and condition-specific applications.

Indexed as

game-based interventionshealth promotionICFolder adultsserious gamessystematic review

Identifiers

PMID42588281
PMCPMC13465205

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.