Gaming for Cognitive Assessment and Enhancement in Elders: A Secondary Analysis of Literature and Applications.

This paper presents a qualitative review of digital systems and games for cognitive testing and training in older adults. The primary literature was sourced from PubMed, Scopus, and Google Scholar (2010-2024), with a secondary scan (Dec 2024-Mar 2025) using targeted keywords and the Google Play Store. While cognitive training apps are widespread, validated self-assessment tools remain scarce. Clinical systems offer higher validity but are often inaccessible to non-expert users. Some digital games show promise in enhancing specific cognitive functions, though broader outcomes remain inconclusive. This review identifies key gaps in current solutions, particularly in accessibility, validation, and engagement for older users. By combining clinical and technical perspectives, the study aims to support the development of next-generation tools that integrate scientific validity, user-centered design, and technical innovation. The findings are intended to inform IT researchers and developers working at the intersection of digital health, aging, and cognitive technologies.