The Impact of Game Activities on Life Satisfaction and Psychological Well-Being in Older Adults (Game4elders)

May 1, 2025 updated by: AYSUN KAZAK, Mersin University
The rapid global increase in the elderly population has made supportive interventions for enhancing quality of life and psychological well-being in older adults increasingly important. Physical activity not only improves physiological functioning but also positively impacts mental health in the elderly. Exercise and even light physical activity contribute to reduced depressive symptoms, improved quality of life, and increased social engagement. Game-based activities such as bocce and Jenga encourage physical movement while also supporting cognitive functioning, thereby enhancing psychological well-being. Although relatively new in Türkiye, bocce has been utilized in nursing homes to promote active aging, while Jenga is a mentally stimulating activity known to improve cognitive performance. In this context, the impact of game-based interventions on life satisfaction and psychological well-being has gained significance. Nurses play a crucial role in facilitating older adults' participation in such activities, supporting their holistic care, and enhancing their well-being. The aim of this study is to investigate the effects of game-based activities-specifically bocce and Jenga-on life satisfaction, quality of life, and psychological well-being among older adults.

Study Overview

Status

Enrolling by invitation

Conditions

Study Type

Interventional

Enrollment (Estimated)

36

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Yenişehir
      • Mersin, Yenişehir, Turkey
        • Mersin University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Be 60 years old or older

Be literate

Not have visual or hearing impairments

Be able to communicate verbally

Not have sensory loss, arthritis, phlebitis, inflammation, eczema, fractures, etc.

Not have any loss of fingers or limbs

Have a score of 25 or higher on the Standardized Mini-Mental State Examination (SMMSE)

Not have been diagnosed with mental illnesses such as Parkinson's, Alzheimer's, or major depression

Be enrolled in the 60+ Lifelong University

Agree to participate in the study

Exclusion Criteria:Be 85 years old or older (35)

Have sensory problems in the hands

Have deformities in the hands and nails

Have open wounds or burns on the hands

Have limb loss in the fingers

Have neuropathy

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Jenga game group
In the Jenga game group, participants will complete the Elderly Information Form and Mini-Mental State Examination (MMSE) before the intervention. As pre-tests, the Life Satisfaction Scale (LSS) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) will also be administered. Participants will play Jenga in pairs for at least 30 minutes once a week over four weeks. Grouping will consider participant preferences and promote social interaction. After the intervention, the same scales (LSS and WEMWBS) will be re-administered as post-tests to evaluate changes in life satisfaction and mental well-being.
In the Jenga game group, participants will complete the Elderly Information Form and Mini-Mental State Examination (MMSE) before the intervention. As pre-tests, the Life Satisfaction Scale (LSS) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) will also be administered. Participants will play Jenga in pairs for at least 30 minutes once a week over four weeks. Grouping will consider participant preferences and promote social interaction. After the intervention, the same scales (LSS and WEMWBS) will be re-administered as post-tests to evaluate changes in life satisfaction and mental well-being.
Other Names:
  • intervention group 1
Experimental: Bocce game group
In the Bocce game group, participants will first complete the Elderly Information Form and Mini-Mental State Examination (MMSE), followed by pre-tests including the SF-36, Life Satisfaction Scale (LSS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). Bocce sessions will take place once a week for four weeks, with each session lasting at least 30 minutes. Games will be played in pairs to enhance social interaction and psychomotor skills. Participants will be randomly assigned to six groups of two, considering individual preferences. Pairings will rotate weekly based on game outcomes to encourage diverse interaction. After the final week, the LSS and WEMWBS will be re-administered as post-tests by the researcher.
In the Bocce game group, participants will first complete the Elderly Information Form and Mini-Mental State Examination (MMSE), followed by pre-tests including the SF-36, Life Satisfaction Scale (LSS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). Bocce sessions will take place once a week for four weeks, with each session lasting at least 30 minutes. Games will be played in pairs to enhance social interaction and psychomotor skills. Participants will be randomly assigned to six groups of two, considering individual preferences. Pairings will rotate weekly based on game outcomes to encourage diverse interaction. After the final week, the LSS and WEMWBS will be re-administered as post-tests by the researcher.
No Intervention: Control group
In the control group, participants will complete the Elderly Information Form and Mini-Mental State Examination (MMSE), along with pre-tests including the Life Satisfaction Scale (LSS) and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). These participants will continue receiving the institution's standard care without any additional intervention from the researcher. At the end of the fourth week, the LSS and WEMWBS will be re-administered as post-tests.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Psychological Well-Being
Time Frame: Pre-intervention and 5th week post-intervention
The scale was developed by Tennant et al. (2007) to assess the mental well-being levels of the general population in the United Kingdom. It is a unidimensional, 14-item, 5-point Likert-type scale. Participants respond to each item using the following options: 1 = Strongly disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5 = Strongly agree. The total score ranges from 14 to 70, with higher scores indicating higher levels of psychological well-being.
Pre-intervention and 5th week post-intervention
Life Satisfaction
Time Frame: Pre-intervention and 5th week post-intervention
The "Satisfaction with Life Scale" (SWLS), developed by Diener, Emmons, Larsen, and Griffin (1985), consists of five items to assess individuals' life satisfaction. The scale is a Likert-type instrument, with responses ranging from "strongly disagree" to "strongly agree," and is scored on a 1-7 point scale. The total score can range from 5 to 35, with higher scores indicating higher life satisfaction.
Pre-intervention and 5th week post-intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 16, 2025

Primary Completion (Estimated)

July 30, 2025

Study Completion (Estimated)

August 1, 2025

Study Registration Dates

First Submitted

May 1, 2025

First Submitted That Met QC Criteria

May 1, 2025

First Posted (Actual)

May 11, 2025

Study Record Updates

Last Update Posted (Actual)

May 11, 2025

Last Update Submitted That Met QC Criteria

May 1, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • 78017789/050.01.04/3072208

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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