Cochrane · systematic review · CD012844

Video games for people with schizophrenia

Roberts, MT, Lloyd, J, Välimäki, M, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

SchizophreniaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 11 · 52.4%Very low 4 · 19%Low 6 · 28.6%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) compared to COGNITIVE REMEDIATION (plus standard care) for people with schizophrenia

Population: people with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Functioning: general ‐ average endpoint score (Strauss Carpenter Outcome Scale)* ‐ by end of treatment
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
no estimate extracted1 study · 86 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Functioning: specific ‐ cognitive ‐ improved (MCCB, at least 1 domain) ‐ 3‐month
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
RR 0.58 [0.34, 0.99]1 study · 42 participantsLow
Downgraded: risk of bias, imprecision
Functioning: specific ‐ social ‐ average endpoint score (SLOF, high = good)* ‐ by end of treatment
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
no estimate extracted1 study · 53 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adverse effects*: leaving the study early ‐ did not leave ‐ by end of treatment
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
RR 0.96 [0.87, 1.06]5 studies · 395 participantsLow
Downgraded: risk of bias, indirectness
Mental state: overall ‐ average endpoint score (PANSS, total, high = poor)* ‐ by end of treatment
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
no estimate extracted4 studies · 269 participantsLow
Downgraded: risk of bias, indirectness
Physical fitness: clinically important change
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded
Quality of life: overall ‐ average endpoint score (QLS, high = good) ‐ by end of treatment
VIDEO GAMES (COMMERCIAL NON‐EXERGAMES) (plus standard care) vs COGNITIVE REMEDIATION (plus standard care)
no estimate extracted1 study · 87 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

VIDEO GAMES (EXERGAMES) (plus standard care) compared to STANDARD CARE for people with schizophrenia

Population: people with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Functioning: general ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
no estimate extracted0 studies · 0 participantsUngraded
Functioning: specific ‐ cognitive ‐ average change score (MCCB, increase = good)*
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
no estimate extracted1 study · 33 participantsLow
Downgraded: imprecision, indirectness
Functioning: specific ‐ social ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects*: leaving the study early ‐ did not leave
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
RR 1.06 [0.75, 1.51]1 study · 33 participantsLow
Downgraded: imprecision, indirectness
Mental state: overall ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
no estimate extracted0 studies · 0 participantsUngraded
Physical fitness*: average change VO2 peak (AF, increase = good)
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
no estimate extracted1 study · 33 participantsLow
Downgraded: imprecision, indirectness
Quality of life: overall ‐ any change
VIDEO GAMES (EXERGAMES) (plus standard care) vs STANDARD CARE
no estimate extracted0 studies · 0 participantsUngraded

VIDEO GAMES (EXERGAMES) (plus standard care) compared to VIDEO GAMES (NON‐EXERGAMES) (plus standard care) for people with schizophrenia

Population: people with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Functioning: general ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded
Functioning: specific ‐ cognitive ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded
Functioning: specific ‐ social ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded
Adverse effect: any important adverse effect
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded
Mental state: overall ‐ clinically important change
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded
Physical fitness: specific ‐ walking speed ‐ average endpoint (seconds taken to walk 3 metres)*
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted1 study · 28 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Quality of life: overall ‐ any change
VIDEO GAMES (EXERGAMES) (plus standard care) vs VIDEO GAMES (NON‐EXERGAMES) (plus standard care)
no estimate extracted0 studies · 0 participantsUngraded