Geriatric CareNCT07195578
Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement
A study testing Three Dimensional Puzzle Game (3D puzzle) in people with Geriatric Care, run by Eskisehir Osmangazi University at 1 site in Turkey (Türkiye).
Trial summary
Title: Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement* Objective: The research is a randomized controlled experimental study with a pre-test-post-test design conducted to evaluate the effects of a three-dimensional puzzle (3D puzzle) game… Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Geriatric Care
- What is being tested?
- Three Dimensional Puzzle Game (3D puzzle)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 18 Nov 2024to 24 Jul 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Age 65 and over
- Agree to participate in the study
- Can speak and understand Turkish
- Can read and write
- Can understand and comply with simple commands
- Individuals without upper extremity motor dysfunction (hand tremors, paralysis, etc.)
- Individuals who scored 24 or higher on the Standardized Mini Mental State Examination
Who cannot join
- • Individuals with a psychiatric diagnosis that could affect mental status, such as major depression
- Individuals with a chronic neurological disorder [dementia, cerebrovascular accidents (excluding transischemic attacks), epilepsy, Parkinson's disease, mental retardation]
- Individuals with severe hearing and vision problems
- Individuals with complex illnesses such as malignancy
- Individuals with upper extremity motor dysfunction (hand tremors, paralysis, etc.)
- Individuals whose routine treatment plan has been changed
- Individuals participating in another ongoing study
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Bolvadin Nursing Home Directorate
Afyonkarahisar, 03100
About this study
Title: Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement* Objective: The research is a randomized controlled experimental study with a pre-test-post-test design conducted to evaluate the effects of a three-dimensional puzzle (3D puzzle) game applied to geriatric individuals on cognitive skills and life engagement.
Materials and Methods: The study was completed with a total of 40 individuals, 20 in the intervention group and 20 in the control group, at the Bolvadin Nursing Home affiliated with the Afyonkarahisar Provincial Directorate of Family and Social Services. The 3D puzzle game was administered to the individuals in the intervention group, three days a week, for a total of 10 weeks. Three-dimensional puzzle figures, with pieces ranging from 20 to 50, were administered in 30 sessions, each with a different figure. The Standardized Mini Mental Test was used in the sample selection process. Research data were collected using the "Introductory Information Form," the "Montreal Cognitive Assessment Scale," the "Life Engagement Scale," the "Individual Tracking Form," and the "Three-Dimensional Puzzle Assessment Form." Data were analyzed using the Shapiro-Wilk, Kolmogorov-Smirnov, Chi-square (χ²) independent samples t-test, dependent samples t-test, Mann-Whitney U, and Wilcoxon rank-order tests.
Read more
Results: At the end of the three-dimensional puzzle game, a significant increase in the mean MOCA score of the geriatric individuals in the intervention group was observed (p<0.001). In terms of the cognitive dimensions of the MOCA scale, significant improvements were observed in the "Attention and Concentration" cognitive dimension (p=0.006) and the "Visual Construction Skills" cognitive dimension (p=0.001) in the intervention group. Following the 3D puzzle game, it was determined that the mean Life Engagement Scale score of the geriatric individuals in the intervention group showed a significant increase (p=0.012).
Conclusion: The study determined that the 3D puzzle game applied to geriatric individuals had a positive effect on cognitive skills and life engagement.
- Conditions
- Geriatric Care
- Being tested
- Three Dimensional Puzzle Game (3D puzzle)
- Keywords
- Keywords: Elderly, cognitive skills, life engagement, puzzle game, geriatric nursing
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Three Dimensional Puzzle Game (3D puzzle)Other
Individuals in the intervention group were exposed to the 3D puzzle game three days a week for a total of 10 weeks. Three-dimensional puzzle figures, ranging in size from 20 to 50 pieces, were used in 30 sessions, each with a different figure.
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | Experimental | 3D PUZZLE APPLICATION FOR 10 WEEKS Receives: Other: Three Dimensional Puzzle Game (3D puzzle) |
| Control group | No intervention | CONTINUING ROUTINE INTERNAL ACTIVITIES |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean MOBID score of geriatric individuals
In terms of the cognitive dimensions of the MOCA scale, significant improvements were observed in the "Attention and Concentration" cognitive dimension (p=0.006) and the "Visual Construction Skills" cognitive dimension (p=0.001) in the intervention group.
Measured: Outcome assessed after 10 weeks of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Sep 2025
- Study start18 Nov 2024
- Primary completion24 Jan 2025
- Study completion24 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Geriatric CareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- The study was completed with a total of 40 individuals, 20 in the intervention group and 20 in the control group, at the Bolvadin Nursing Home affiliated with the Afyonkarahisar Provincial Directorate of Family and Social Services. The 3D puzzle game was administered to the individuals in the intervention group, three days a week, for a total of 10 weeks.
- Masking
- None (open label)
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eskisehir Osmangazi University
- Sponsor type
- University, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey
- Responsible party
- Principal investigator, MERVE AKPINAR YILMAZ, Eskisehir Osmangazi University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07195578
- Sponsor's protocol ID
- 224S415
- Status last verified
- Sep 2025
- First submitted
- 10 Sep 2025
- Last updated
- 26 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement
- ClinicalTrials.gov ID
- NCT07195578
- Acronym / sponsor ID
- 224S415
- Conditions
- Geriatric Care
- Keywords
- Keywords: Elderly, cognitive skills, life engagement, puzzle game, geriatric nursing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Eskisehir Osmangazi UniversityUniversity, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey
- Study start
- 18 Nov 2024 (actual)
- Primary completion
- 24 Jan 2025 (actual)
- Study completion
- 24 Jul 2025 (actual)
- First posted
- 26 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Title: Three Dimensional Puzzle (3D Puzzle) Game Applied to Geriatric Individuals Cognitive Skills and Impact on Life Engagement* Objective: The research is a randomized controlled experimental study with a pre-test-post-test design conducted to evaluate the effects of a three-dimensional puzzle (3D puzzle) game applied to geriatric individuals on cognitive skills and life engagement.
Materials and Methods: The study was completed with a total of 40 individuals, 20 in the intervention group and 20 in the control group, at the Bolvadin Nursing Home affiliated with the Afyonkarahisar Provincial Directorate of Family and Social Services. The 3D puzzle game was administered to the individuals in the intervention group, three days a week, for a total of 10 weeks. Three-dimensional puzzle figures, with pieces ranging from 20 to 50, were administered in 30 sessions, each with a different figure. The Standardized Mini Mental Test was used in the sample selection process. Research data were collected using the "Introductory Information Form," the "Montreal Cognitive Assessment Scale," the "Life Engagement Scale," the "Individual Tracking Form," and the "Three-Dimensional Puzzle Assessment Form." Data were analyzed using the Shapiro-Wilk, Kolmogorov-Smirnov, Chi-square (χ²) independent samples t-test, dependent samples t-test, Mann-Whitney U, and Wilcoxon rank-order tests.
Results: At the end of the three-dimensional puzzle game, a significant increase in the mean MOCA score of the geriatric individuals in the intervention group was observed (p<0.001). In terms of the cognitive dimensions of the MOCA scale, significant improvements were observed in the "Attention and Concentration" cognitive dimension (p=0.006) and the "Visual Construction Skills" cognitive dimension (p=0.001) in the intervention group. Following the 3D puzzle game, it was determined that the mean Life Engagement Scale score of the geriatric individuals in the intervention group showed a significant increase (p=0.012).
Conclusion: The study determined that the 3D puzzle game applied to geriatric individuals had a positive effect on cognitive skills and life engagement.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- The study was completed with a total of 40 individuals, 20 in the intervention group and 20 in the control group, at the Bolvadin Nursing Home affiliated with the Afyonkarahisar Provincial Directorate of Family and Social Services. The 3D puzzle game was administered to the individuals in the intervention group, three days a week, for a total of 10 weeks.
| Arm | Type | Receives |
|---|---|---|
| Intervention group | Experimental | Other: Three Dimensional Puzzle Game (3D puzzle)3D PUZZLE APPLICATION FOR 10 WEEKS |
| Control group | No intervention | –CONTINUING ROUTINE INTERNAL ACTIVITIES |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (7 listed)
- Age 65 and over
- Agree to participate in the study
- Can speak and understand Turkish
- Can read and write
- Can understand and comply with simple commands
Key exclusion criteria (7 listed)
- • Individuals with a psychiatric diagnosis that could affect mental status, such as major depression
- Individuals with a chronic neurological disorder [dementia, cerebrovascular accidents (excluding transischemic attacks), epilepsy, Parkinson's disease, mental retardation]
- Individuals with severe hearing and vision problems
- Individuals with complex illnesses such as malignancy
- Individuals with upper extremity motor dysfunction (hand tremors, paralysis, etc.)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Three Dimensional Puzzle Game (3D puzzle)Individuals in the intervention group were exposed to the 3D puzzle game three days a week for a total of 10 weeks. Three-dimensional puzzle figures, ranging in size from 20 to 50 pieces, were used in 30 sessions, each with a different figure. | Other | Intervention group |
Primary outcome
Mean MOBID score of geriatric individuals
Time frame: Outcome assessed after 10 weeks of intervention
In terms of the cognitive dimensions of the MOCA scale, significant improvements were observed in the "Attention and Concentration" cognitive dimension (p=0.006) and the "Visual Construction Skills" cognitive dimension (p=0.001) in the intervention group.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2025.
- Fissler, P., Küster, O. C., Loy, L. S., Laptinskaya, D., Rosenfelder, M. J., von Arnim, C. A., \& Kolassa, I. T. (2017). Jigsaw Puzzles as Cognitive Enrichment (PACE)-the effect of solving jigsaw puzzles on global visuospatial cognition in adults 50 yearsLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Three Dimensional Puzzle Game (3D puzzle) in people with Geriatric Care, run by Eskisehir Osmangazi University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean MOBID score of geriatric individuals (time frame: Outcome assessed after 10 weeks of intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2025.