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HEaring and LIstening eXperience (HELIX): Evaluation of a co-designed serious game for auditory-cognitive training
Emily Frost, Paresh Malhotra, Talya Porat, Katarina C. Poole, Aarya Menon, Lorenzo Picinali. Quarterly Journal of Experimental Psychology, 2025-02-19
Topic: Risk, prevention and care in population studies
In the dementia field, a number of applications are being developed aimed at boosting functional abilities. There is an interesting gap as to how utilising serious games can further the knowledge on the potential relationship between hearing and cognitive health in mid-life. The aim of this study was to evaluate the auditory-cognitive training application HELIX, against outcome measures for speech-in-noise, cognitive tasks, communication confidence, quality of life, and usability. A randomised-controlled trial was completed for 43 participants with subjective hearing loss and/or cognitive impairment, over a play period of 4 weeks and a follow-up period of another 4 weeks. Outcome measures included a new online implementation of the Digit-Triplet-Test, a battery of online cognitive tests, and quality of life questionnaires. Paired semi-structured interviews and usability measures were completed to assess HELIX's impact on quality of life and usability. An improvement in the performance of the Digit-Triplet-Test, measured 4 and 8 weeks after the baseline, was found within the training group; however, this improvement was not significant between the training and control groups. No significant improvements were found in any other outcome measures. Thematic analysis suggested HELIX prompted the realisation of difficulties and actions required, improved listening, and positive behaviour change. Employing a participatory design approach has ensured HELIX is relevant and useful for participants who may be at risk of developing age-related hearing loss and cognitive decline. Although an improvement in the Digit-Triplet-Test was seen, it is not possible to conclude whether this was as a result of playing HELIX.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Frost, E., Malhotra, P., Porat, T., Poole, K. C., Menon, A., & Picinali, L. (2025). HEaring and LIstening eXperience (HELIX): Evaluation of a co-designed serious game for auditory-cognitive training. Quarterly Journal of Experimental Psychology. https://doi.org/10.1177/17470218251324168
Vancouver
Frost E, Malhotra P, Porat T, Poole KC, Menon A, Picinali L. HEaring and LIstening eXperience (HELIX): Evaluation of a co-designed serious game for auditory-cognitive training. Quarterly Journal of Experimental Psychology. 2025. doi:10.1177/17470218251324168. PMID: 39972554.
BibTeX
@article{frost2025-39972554,
author = {Frost, Emily and Malhotra, Paresh and Porat, Talya and Poole, Katarina C. and Menon, Aarya and Picinali, Lorenzo},
title = {{HEaring and LIstening eXperience (HELIX): Evaluation of a co-designed serious game for auditory-cognitive training}},
journal = {Quarterly Journal of Experimental Psychology},
year = {2025},
doi = {10.1177/17470218251324168},
pmid = {39972554},
url = {https://doi.org/10.1177/17470218251324168}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- An improvement in the performance of the Digit-Triplet-Test, measured 4 and 8 weeks after the baseline, was found within the training group; however, this improvement was not significant between the training and control groups.
- No significant improvements were found in any other outcome measures.
- Although an improvement in the Digit-Triplet-Test was seen, it is not possible to conclude whether this was as a result of playing HELIX.
Why it matters
In this randomized controlled trial of 43 participants, the HELIX auditory-cognitive training game showed an improvement in the Digit-Triplet-Test within the training group, but this was not significant between training and control groups. No significant improvements were found in any other outcome measures, so it cannot be concluded that the game improves cognition.
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Study details
- Participants43
- Evidence strengthHigh
How this study scored 44/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Quarterly Journal of Experimental Psychology) |
| Journal's citation record | 2 / 4 | Quarterly Journal of Experimental Psychology: journal h-index 157 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 43 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Lorenzo Picinali: h-index 23 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Imperial College London: institution h-index 1,744 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 39972554) |
| Free to read | 2 / 2 | Free to read |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1177/17470218251324168
- PubMed: 39972554
- Original source →
- Free full text: Quarterly Journal of Experimental Psychology →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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