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Balancing Engagement and Validity in Game-Based Cognitive Assessments.
Krister Bauge1, Ankica Babic1,2
1Department of Information Science and Media Studies, University of Bergen, Bergen, Norway.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
Game features boost engagement in cognitive tests but can alter measured cognitive skills. Some features like points improve engagement with low risk, while others like narratives may change what the test measures.
Area of Science:
- Cognitive psychology
- Human-computer interaction
- Psychometrics
Background:
- Cognitive assessments increasingly use game features to enhance user engagement.
- The impact of these game features on the validity of cognitive constructs is not fully understood.
- Existing research highlights potential trade-offs between engagement and measurement accuracy.
Purpose of the Study:
- To review empirical evidence on how specific game features influence engagement and construct validity in cognitive assessments.
- To identify game design elements that may pose risks to the validity of cognitive measurements.
- To highlight gaps in current validation frameworks for gamified cognitive tests.
Main Methods:
- Literature review of empirical studies examining game features in cognitive assessments.
- Analysis of how structural features (e.g., points, feedback) and content features (e.g., narrative, time pressure) affect engagement.
- Evaluation of the impact of these features on construct validity.
Main Results:
- Structural game features like points and feedback generally increase engagement with minimal impact on construct validity.
- Content-focused features, such as narratives and time pressure, show a greater potential to alter user strategies and thus affect what is being measured.
- Empirical evidence is limited, suggesting a need for more rigorous validation studies.
Conclusions:
- While game features can enhance engagement in cognitive assessments, careful design is needed to maintain construct validity.
- Developers and researchers must consider the potential for certain features to inadvertently measure strategy changes rather than stable cognitive abilities.
- There is a critical need for standardized validation frameworks to guide the development and use of gamified cognitive assessments.
