Digital Mahjong-Based Cognitive Engagement Intervention for Older Adults: Randomized Controlled Trial
Heng-Hsin Tung, Chen-Yuan Kuo, Pei-Lin Lee, Chih-Wen Chang, Kun-Hsien Chou, Katelyn E Chen, Ching-Po Lin, Chih-Kuang Liang, Liang-Kung Chen, Qiping Fan, Esther Brill, Olivia Shen · 2026
Read Digital Mahjong-Based Cognitive Engagement Intervention for Older Adults: Randomized Controlled Trial by Heng-Hsin Tung, Chen-Yuan Kuo, Pei-Lin Lee, Chih-Wen Chang, Kun-Hsien Chou, Katelyn E Chen, Ching-Po Lin, Chih-Kuang Liang, Liang-Kung Chen, Qiping Fan, Esther Brill, Olivia Shen (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13448193.txt.
Description
Heng-Hsin Tung and colleagues run a randomised trial of a digital mahjong programme for older adults in Taipei, reported in 2026. Game-based digital training may keep ageing minds engaged longer than drills, yet proof linking behaviour gains to brain changes was thin. Mahjong, a familiar tile game, was adapted into a tablet app paired with step tracking that rewarded walking with in-game tokens.
Sixty community-dwelling adults aged fifty-five and older were assigned to six months of twice-weekly sessions or to no intervention. Nearly all finished the main assessments. The game group improved more on a delayed recall part of a standard cognition test. Brain scans showed local activity gains in a right insula region and volume or activity drops in frontal areas, with recall gains tracking several scan changes in exploratory analyses.
Catalog record
| CREATOR | Heng-Hsin Tung, Chen-Yuan Kuo, Pei-Lin Lee, Chih-Wen Chang, Kun-Hsien Chou, Katelyn E Chen, Ching-Po Lin, Chih-Kuang Liang, Liang-Kung Chen, Qiping Fan, Esther Brill, Olivia Shen |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 48642 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |