A serious gaming alternative to pen-and-paper cognitive scoring: A pilot study of BrightScreener™

Gregory P. House, Grigore Burdea, Kevin Polistico, Joel Ross, Mark Leibick

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


The majority of cognitive virtual reality (VR) applications have been used for therapy, not cognitive stratification / scoring. This paper describes the BrightScreener™ and its first pilot feasibility study for evaluating elderly with various degrees of cognitive impairment. BrightScreener is a portable (laptop-based) serious-gaming system which incorporates a bimanual game interface for more ecological interaction with virtual worlds. The purpose is to determine if BrightScreener is able to differentiate levels of cognitive impairment based on game performance, as well as to evaluate the technology acceptance by the target population. Eleven elderly subjects were recruited by the Clinical Coordinator at the Memory Enhancement Center of America MECA (Eatontown, NJ) site. They had an average age of 73.6 years, and averaged 14.5 years of education. Subjects underwent clinical scoring with the standardized Mini Mental State Exam (MMSE). During the same visit they underwent a familiarization session and then an evaluation session on the BrightScreener. At the end of their visit, each subject filled a subjective evaluation exit form. Group analysis of the Pearson correlation coefficient showed a high degree of correlation between the subjects’ MMSE scores and their Composite Game Scores (0.90, |P| < 0.01). Despite the small sample size, results suggest that serious-gaming strategies can be used as a digital technique to stratify levels of cognitive impairment. This may be an alternative to conventional standardized scoring for Mild Cognitive Impairment and Dementia.

Original languageEnglish (US)
Pages (from-to)255-264
Number of pages10
JournalJournal of Pain Management
Issue number3
StatePublished - 2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine


  • Cognitive screening
  • Custom games
  • Dementia
  • MMSE
  • Mini mental state exam
  • Virtual reality


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