Embedded Assessment of Cognitive Performance with Elders ’ Use of Computer Games in a Residential Environment

Elders are the fastest growing demographic of new computer users, and those over the age of 75 are at risk for medically related cognitive decline and confusion. The early detection of cognitive problems enables earlier treatment that may be much more effective. To address this issue, we have developed a method for embedding cognitive assessment algorithms within computer games that are enjoyable for elders to play on a routine basis. The cognitive assessment algorithms also serve as input to tailored automated hints and help functions for users of various cognitive abilities. In this paper we describe a software architecture and methodology for monitoring cognitive performance using data from a suite of computer games designed to assess multiple dimensions of cognitive performance