Technology for Long-Term Care

Information on assistive technologies for long-term care settings

Digital Games and Recreation in Long-Term Care

Digital Games and Recreation in Long-Term Care — original editorial illustration

Digital games can become one part of a varied recreation program in long-term care. Their value does not come from a screen itself: it comes from whether the activity is enjoyable, accessible, and chosen by the person taking part. This is a new editorial guide, not a recovered page from the original TechForLTC catalogue.

Begin with the resident, not the device

A facility may have tablets, shared displays, and internet access but still lack activities that people want to use. Ask residents what kinds of recreation they already enjoy: music, word puzzles, familiar card games, local history, family photo sharing, creative drawing, or gentle movement. A familiar interest usually makes a better starting point than an unfamiliar app selected because it is fashionable.

Staff should provide choices rather than assume every older adult has the same abilities or tastes. A resident who enjoys a simple word puzzle may dislike competitive play; another may prefer cooperative activities that invite conversation. Participation should remain voluntary, and alternative non-digital activities should be equally available.

What digital recreation can—and cannot—do

Games and interactive activities may offer enjoyment, variety, and opportunities to talk with others. Some structured movement-based games, often called exergames, have been studied in long-term care. A 2023 systematic review of 15 studies reported encouraging outcomes for certain physical and social functions, but every intervention in that review was an exergame. It would be inaccurate to assume that ordinary browser games provide the same clinical benefits.

Think of digital recreation activities as optional components of a person-centred activity program, not treatments or substitutes for visits, rehabilitation, or professional care. The goal for an ordinary leisure session can simply be enjoyment.

Make a session welcoming and manageable

Use a quiet place, a comfortable seating arrangement, and a device with a screen that is easy to see. Minimize interruptions, explain the controls before beginning, and offer a way to stop without losing face. Consider larger text, adequate contrast, adjustable volume, and interfaces that do not demand fast reactions. A volunteer or activities coordinator can demonstrate a game and then step aside when the resident is comfortable.

For group sessions, match the format to participants. A collaborative quiz can prompt stories and shared memories; a simple drawing exercise may work better one-to-one. Encourage residents to provide feedback after the session rather than measuring success only by how many people opened an application.

Connect leisure choices to accessibility

When activity leaders explore accessible browser-based activities for older adults, they can compare controls, text readability, and optional audio before choosing a game. Those looking beyond a single game can consult our evaluation guide to online game platforms for privacy and practical review questions.

This topic also connects to the existing technology for social connection and recreation guide and the historically documented Leisure Enhancement category.

A short checklist for activities teams

  • Ask about individual interests and consent before planning a session.
  • Test controls, contrast, audio, and the ability to pause.
  • Offer non-digital alternatives without stigma.
  • Review any accounts, permissions, and personal data before use.
  • Invite honest feedback and stop activities that cause frustration or fatigue.

Sources and scope

Research context: Kukkohovi et al., 2023 systematic review of digital gaming in long-term care. Accessibility context: W3C Web Accessibility Initiative, Older Users and Web Accessibility. This article provides general editorial guidance, not a claim that recreation software improves an individual’s health.

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