Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement

NCT07195578 | Completed

• 1 other identifier: 224S415
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Title: Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement\* Objective: The research is a randomized controlled experimental study with a pre-test-post-test design conducted to evaluate the effects of a three-dimensional puzzle (3D puzzle) game applied to geriatric individuals on cognitive skills and life engagement. Materials and Methods: The study was completed with a total of 40 individuals, 20 in the intervention group and 20 in the control group, at the Bolvadin Nursing Home affiliated with the Afyonkarahisar Provincial Directorate of Family and Social Services. The 3D puzzle game was administered to the individuals in the intervention group, three days a week, for a total of 10 weeks. Three-dimensional puzzle figures, with pieces ranging from 20 to 50, were administered in 30 sessions, each with a different figure. The Standardized Mini Mental Test was used in the sample selection process. Research data were collected using the "Introductory Information Form," the "Montreal Cognitive Assessment Scale," the "Life Engagement Scale," the "Individual Tracking Form," and the "Three-Dimensional Puzzle Assessment Form." Data were analyzed using the Shapiro-Wilk, Kolmogorov-Smirnov, Chi-square (χ²) independent samples t-test, dependent samples t-test, Mann-Whitney U, and Wilcoxon rank-order tests. Results: At the end of the three-dimensional puzzle game, a significant increase in the mean MOCA score of the geriatric individuals in the intervention group was observed (p\<0.001). In terms of the cognitive dimensions of the MOCA scale, significant improvements were observed in the "Attention and Concentration" cognitive dimension (p=0.006) and the "Visual Construction Skills" cognitive dimension (p=0.001) in the intervention group. Following the 3D puzzle game, it was determined that the mean Life Engagement Scale score of the geriatric individuals in the intervention group showed a significant increase (p=0.012). Conclusion: The study determined that the 3D puzzle game applied to geriatric individuals had a positive effect on cognitive skills and life engagement.

Conditions

Geriatric Care

Keywords

Keywords: Elderly, cognitive skills, life engagement, puzzle game, geriatric nursing

Outcome Measures

Primary Outcomes (1)

• Mean MOBID score of geriatric individuals

  In terms of the cognitive dimensions of the MOCA scale, significant improvements were observed in the "Attention and Concentration" cognitive dimension (p=0.006) and the "Visual Construction Skills" cognitive dimension (p=0.001) in the intervention group.

  Outcome assessed after 10 weeks of intervention

Study Arms (2)

Intervention group

EXPERIMENTAL

3D PUZZLE APPLICATION FOR 10 WEEKS

Other: Three Dimensional Puzzle Game (3D puzzle)

Control group

NO INTERVENTION

CONTINUING ROUTINE INTERNAL ACTIVITIES

Interventions

Three Dimensional Puzzle Game (3D puzzle) OTHER

Individuals in the intervention group were exposed to the 3D puzzle game three days a week for a total of 10 weeks. Three-dimensional puzzle figures, ranging in size from 20 to 50 pieces, were used in 30 sessions, each with a different figure.

Intervention group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Age 65 and over
• Agree to participate in the study
• Can speak and understand Turkish
• Can read and write
• Can understand and comply with simple commands
• Individuals without upper extremity motor dysfunction (hand tremors, paralysis, etc.)
• Individuals who scored 24 or higher on the Standardized Mini Mental State Examination

You may not qualify if:

• \- • Individuals with a psychiatric diagnosis that could affect mental status, such as major depression
• Individuals with a chronic neurological disorder \[dementia, cerebrovascular accidents (excluding transischemic attacks), epilepsy, Parkinson's disease, mental retardation\]
• Individuals with severe hearing and vision problems
• Individuals with complex illnesses such as malignancy
• Individuals with upper extremity motor dysfunction (hand tremors, paralysis, etc.)
• Individuals whose routine treatment plan has been changed
• Individuals participating in another ongoing study

Sponsors & Collaborators

• Eskisehir Osmangazi University: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Sites (1)

Bolvadin Nursing Home Directorate

Afyonkarahisar, 03100, Turkey (Türkiye)

Location

Related Links

• Fissler, P., Küster, O. C., Loy, L. S., Laptinskaya, D., Rosenfelder, M. J., von Arnim, C. A., \& Kolassa, I. T. (2017). Jigsaw Puzzles as Cognitive Enrichment (PACE)-the effect of solving jigsaw puzzles on global visuospatial cognition in adults 50 years
• Related Info

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: ÖĞRETİM GÖREVLİSİ

Model Details: The study was completed with a total of 40 individuals, 20 in the intervention group and 20 in the control group, at the Bolvadin Nursing Home affiliated with the Afyonkarahisar Provincial Directorate of Family and Social Services. The 3D puzzle game was administered to the individuals in the intervention group, three days a week, for a total of 10 weeks.

Study Record Dates

• First Submitted: September 10, 2025
• First Posted: September 26, 2025
• Study Start: November 18, 2024
• Primary Completion: January 24, 2025
• Study Completion: July 24, 2025
• Last Updated: September 26, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)