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Digital Games and Improvement of the Inhibitory Control: a Study With Children in Specialized Educational Service

ABSTRACT:

Interaction with digital games can have an impact on executive functions and offer contributions to education. Among the dimensions of the executive functions, we highlight inhibitory control and its importance for self-control, selective attention, impulse control and behavioral adjustment. Therefore, interventions were proposed in the Specialized Educational Service (SES), with the support of the family for the use of digital games in the school context for the purpose of exercising executive functions. The objective was to evaluate the contributions of the use of digital games as a complementary strategy in SES, aimed at children who were identified by the teachers as having difficulties in the performance of the inhibitory control. For that, it was performed a quasi-experimental study of mixed approach with 8 children divided into a participant and control group, who were evaluated before and after interventions based on performance in proposed playful activities and psychological test application. The results indicated superior improvement in general, in the participant group when compared to the control group that did not participate in the interventions with the digital games. In the playful activities, they showed greater assertiveness, control of actions and performance. In the tests, it was observed better performance when comparing the pre and post interventions and the groups in four of the five tests applied. It is concluded that digital games can be used as an alternative intervention in SES to enhance executive functions and improve the conditions for learning in the school context.

KEYWORDS:
Special Education; Games; Educational technology; Cognitive process; Self control

RESUMO:

A interação com jogos digitais pode ter impacto sobre as funções executivas e oferecer contribuições à educação. Dentre as dimensões das funções executivas, destaca-se o controle inibitório e sua importância para o autocontrole, atenção seletiva, controle dos impulsos e adequação do comportamento. Diante disso, propôs-se intervenções no Atendimento Educacional Especializado (AEE), contando com o apoio da família para o uso de jogos digitais no contexto escolar com o propósito de exercitar as funções executivas. O objetivo foi avaliar as contribuições do uso dos jogos digitais como estratégia complementar no AEE, voltado a crianças que foram identificadas pelas professoras como tendo dificuldades no desempenho do controle inibitório. Para tanto, realizou-se um estudo quase-experimental de abordagem mista com 8 crianças dividas em grupo participante e controle, as quais foram avaliadas pré e pós intervenções com base no desempenho em atividades lúdicas propostas e na aplicação de testes psicológicos. Os resultados indicaram, de modo geral, melhora superior no grupo participante quando comparado ao controle que não participou das intervenções com os jogos digitais. Nas atividades lúdicas, revelaram maior assertividade, controle das ações e desempenho. Nos testes, observou-se melhor desempenho ao compararem-se as intervenções pré e pós e os grupos em quatro dos cinco testes aplicados. Conclui-se que os jogos digitais podem ser recursos alternativos às intervenções que ocorrem no AEE para aprimorar as funções executivas e melhorar as condições para aprendizagem no contexto escolar.

PALAVRAS-CHAVE:
Educação Especial; Jogos; Tecnologia Educacional; Processo cognitivo; Autocontrole

1 Introduction

In this study, we discuss the cognitive impact of digital games and the contributions they can offer to education, more specifically in the context of Specialized Educational Service (SES), when the use is based on objectives, intentionality and pedagogical mediation. Interaction with digital games involves the exercise of important cognitive abilities, which influence learning (Moita, 2007Moita, F. (2007). Game on: Jogos eletrônicos na escola e na vida da geração. Campinas: Alínea.; Lalueza, Crespo, & Camps, 2010Lalueza, J. L., Crespo, I., & Camps, S. (2010). As tecnologias da informação e da comunicação e os processos de desenvolvimento e socialização. In C. Coll, & C. Monereo (Eds.), Psicologia da educação virtual: Aprender e ensinar com as tecnologias da informação e da comunicação (pp. 15-46). Porto Alegre: Artmed .; Rivero, Querino, & Starling-Alves, 2012Rivero, T. S., Querino, E. H. G., & Starling-Alves, I. (2012). Videogame: Seu impacto na atenção, percepção e funções executivas.Neuropsicologia Latinoamericana, 4(3), 38-52. doi: 10.5579/rnl.2012.109.
https://doi.org/10.5579/rnl.2012.109...
; Ramos, 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.). Among the cognitive abilities developed by the use of digital games, some research indicate advances in the inhibitory control of children (Dovis, Van Der Oord, Wiers, & Prins, 2015Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
https://doi.org/10.1371/journal.pone.012...
; Martinovic, Burgess, Pomerleau, & Marin, 2015Martinovic, D., Burgess, G. H., Pomerleau, C. M., & Marin, C. (2015). Comparison of children’s gaming scores to NEPSY-II scores: Validation of computer games as cognitive tools.Computers in Human Behavior, 49, 487-498. doi: https://doi.org/10.1016/j.chb.2015.03.039.
https://doi.org/10.1016/j.chb.2015.03.03...
; Ramos, 2013).

Inhibitory control refers to an important dimension of executive functions, which involves the ability to control attention, thoughts, behavior and emotions to overcome internal predispositions or external attraction, in order to act contrary to the impulses to respond to what is necessary or more appropriate (Diamond, 2013Diamond, A. (2013). Executive functions. Annual review of psychology, 64, 135-168.). Considering the breadth and relevance of this function, we emphasize that the capacities contemplated by the inhibitory control are essential for children’s cognitive development.

Executive functions are “the set of mental operations that organize and direct the various categories of cognitive domains to function in a biologically adaptive way” (Lent, 2013Lent, R. (2013). Neurociência da mente e do comportamento. Rio de Janeiro: Guanabara Koogan., p. 289). These functions influence the performance of daily activities, even if we have external interferences that hinder execution, and help us to stay focused and concentrated until these activities are completed (Diamond, 2012Diamond, A. (2012). Activities and programs that improve children’s executive functions.Current Directions in Psychological Science, 21(5), 335-341. doi: 10.1177/0963721412453722.
https://doi.org/10.1177/0963721412453722...
).

The dimension of the inhibitory control is responsible for the domain of internal and external interferences that act as distractors, which can compromise student performance in school tasks (Klawe-Schiavon, Viola, & Grassi-Oliveira, 2012Klawe-Schiavon, B., Viola, T. W., & Grassi-Oliveira, R. (2012). Modelos teóricos sobre construto único ou múltiplos processos das funções executivas. Neuropsicologia Latino Americana, 4(2), 29-34.). In addition to the aspect of self-control, inhibitory control is more comprehensive, when contemplating the control of emotions, discipline and selective attention (Diamond, 2013Diamond, A. (2013). Executive functions. Annual review of psychology, 64, 135-168.). According to the author, as a consequence of all these characteristics, it is the inhibitory control that allows us to evaluate situations and choose the best way to act, which is not easy, considering that we have more environmental stimuli than we realize.

Several conditions may lead to difficulties in the performance of executive functions, including inhibitory control. Among them, we highlight, in the context of this study, children with special needs and attend SES in schools, as a proposition and alternative to inclusive education due to the recognition of different conditions for learning and attending them, which includes learning or development difficulties (Carvalho, 2013Carvalho, R. E. (2013). Educação inclusiva com os pingos nos “is”. Porto Alegre: Mediação.).

Inclusive education contemplates a series of differences, related to social and economic aspects as well. However, our focus was on target public students of Special Education in the context of regular education. To González (2007, p. 19)González, E. (2007). Necessidades educacionais específicas: Intervenção psicoeducacional. Porto Alegre: Artmed., Special Education is understood as “the set of personal and material resources placed at the disposal of the educational system so that it can adequately respond to the needs that, in a transient or permanent way, some students may present”.

Among the strategies, resources and methodologies used in SES, we highlight the use of digital games, which are already described as resources used with students in the activities developed in the SES, as indicated in research on the area (Emer, 2011Emer, S. de O. (2011). Inclusão escolar: Formação docente para o uso das TICs aplicada como tecnologia assistiva na sala de recurso multifuncional e sala de aula (Dissertação de Mestrado). Faculdade de Educação, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.; Salomão, 2013Salomão, B. R. de L. (2013). O atendimento educacional especializado em uma sala de recursos de Brasília: A sistematização do atendimento e o uso do computador como apoio pedagógico: Um estudo de caso (Dissertação de Mestrado). Faculdade de Educação, Universidade de Brasília, Brasília, DF, Brasil.; Alves, Santos, Hostins, & Santos, 2014Alves, A. G., Santos, M. A., Hostins, R. C. L., & Santos, R. A. (2014). Jogos digitais acessíveis na inclusão de alunos com deficiências, transtornos globais do desenvolvimento e altas habilidades: Desenvolvendo e avaliando um jogo sob a perspectiva do design universal. Anais do Seminário Nacional de Inclusão, Passo Fundo, RS, Brasil, 3.). In addition, we point out the use of digital games as a playful alternative for the exercise of cognitive abilities.

Digital games are presented as a didactic resource that can bring a number of benefits to teaching and learning practices, such as motivating effect, cognitive skills development and learning by discovery (Savi & Ulbricht, 2008Savi, R., & Ulbricht, V. R. (2008). Jogos digitais educacionais: Benefícios e desafios.Renote, 6(1), 1-10.; Ramos, 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.). In relation to the developed skills, to Santaella and Feitoza (2009)Santaella, L. (2013). Comunicação ubíqua: Repercussões na cultura e na educação. São Paulo: Paulus., digital games lead the players to learn without noticing, to develop teamwork, to anticipate experiences and the readiness in decision making, as well as to exercise the resolution of problems.

Several features can be associated with digital games such as rules, goals or objectives; results and feedback (Gee, 2009Gee, J. P. (2009). Bons videogames e boa aprendizagem.Perspectiva, 27(1), 167-178.; Mcgonigal, 2012McGonigal, J. (2012). A realidade em jogo: Por que os games nos tornam melhores e como eles podem mudar o mundo. Rio de Janeiro: BestSeller.; Prensky, 2012Prensky, M. (2012). Aprendizagem baseada em jogos digitais. São Paulo: SENAC.); immersion and interactivity (Ranhel, 2009Ranhel, J. (2009). O conceito de jogo e os jogos computacionais. In M. Feitoza, & L. Santaella (Orgs.), O mapa do jogo: A diversidade cultural dos games (pp. 2-22). São Paulo: Cengage Learning.; Santaella & Feitoza, 2009Santaella, L., & Feitoza, M. (2009). Mapa do jogo: A diversidade cultural dos games. São Paulo: Cengage Learning.; Prensky, 2012Prensky, M. (2012). Aprendizagem baseada em jogos digitais. São Paulo: SENAC.), active agency and player participation (Gee, 2009Gee, J. P. (2009). Bons videogames e boa aprendizagem.Perspectiva, 27(1), 167-178.; Santaella & Feitoza, 2009Santaella, L., & Feitoza, M. (2009). Mapa do jogo: A diversidade cultural dos games. São Paulo: Cengage Learning.). The combination of these characteristics creates experiences that influence cognition as a result of the decoding of a series of complex symbolic relations, as well as the development of spatial perception by these digital technologies and the new form of interaction between users and digital media (Luz, 2010Luz, A. R. da. (2010). Videogame: História, linguagem e expressão gráfica - Do nascimento à consolidação do videogame como linguagem. São Paulo: Edgard Blucher.).

Considering the contributions of the games and the specific audience, we call attention to a study conducted by Mason et al. (2014)Mason, R., Kamps, D., Turcotte, A., Cox, S., Feldmiller, S., & Miller, T. (2014). Peer mediation to increase communication and interaction at recess for students with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 8(3), 334-344. doi: 10.1016/j.rasd.2013.12.014.
https://doi.org/10.1016/j.rasd.2013.12.0...
, which proposes the use of games during recess as an important space for the development of the interaction and communication of autistic students with their peers. The research was carried out with a sample of three boys from 6 to 8 years old, all with diagnosis of autism. These children were chosen among participants enrolled in a randomized clinical trial. Interventions with proposed games occurred for 13 sessions, distributed two or three times a week, each lasting about 10 minutes. Regarding the changes that arose after the intervention of the research, the children presented significant improvements in language development and interaction with their peers (Mason et al., 2014Mason, R., Kamps, D., Turcotte, A., Cox, S., Feldmiller, S., & Miller, T. (2014). Peer mediation to increase communication and interaction at recess for students with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 8(3), 334-344. doi: 10.1016/j.rasd.2013.12.014.
https://doi.org/10.1016/j.rasd.2013.12.0...
).

Another study conducted by Sande, Segers and Verhoeven (2014)Sande, E., Segers, E., & Verhoeven, L. (2015). The role of executive control in young children’s serious gaming behavior. Computers & Education, 82, 432-441. doi: https://doi.org/10.1016/j.compedu.2014.12.004.
https://doi.org/10.1016/j.compedu.2014.1...
examined the use of serious games designed with a focus on goals such as vocabulary, social-emotional learning skills and problem solving. Based on this conception, researchers carried out a study with a sample of 106 children, about six years old, who attended Early Childhood Education, which were randomly selected by class. Interactions with the games were conducted individually in two 15-minute sessions and presented educational benefits (Sande et al., 2014Sande, E., Segers, E., & Verhoeven, L. (2015). The role of executive control in young children’s serious gaming behavior. Computers & Education, 82, 432-441. doi: https://doi.org/10.1016/j.compedu.2014.12.004.
https://doi.org/10.1016/j.compedu.2014.1...
).

In the study developed by Thorell, Lindqvist, Bergman, Bohlin and Klingberg (2009)Thorell, L. B., Lindqvist, S., Bergman, N. S., Bohlin, G., & Klingberg, T. (2009). Training and transfer effects of executive functions in preschool children.Developmental science, 12(1), 106-113. doi: 10.1111/j.1467-7687.2008.00745.x.
https://doi.org/10.1111/j.1467-7687.2008...
, preschool children participated in a computerized memory training for visuospatial work and inhibition for 5 weeks. The children were organized into different groups and the results revealed that children trained in working memory improved significantly on the tasks being trained, including improvements in attention. Children involved in inhibition showed a significant improvement in two of three trained tasks (Thorell et al., 2009Thorell, L. B., Lindqvist, S., Bergman, N. S., Bohlin, G., & Klingberg, T. (2009). Training and transfer effects of executive functions in preschool children.Developmental science, 12(1), 106-113. doi: 10.1111/j.1467-7687.2008.00745.x.
https://doi.org/10.1111/j.1467-7687.2008...
).

Considering the importance of executive functions in human development and its implications for learning, the characteristics of the games and the evidence that they can contribute to the improvement of executive functions, we propose, in this study, interventions in SES, with the support of the family for the use of digital games in the school context with the purpose of exercising executive functions in a more playful way. Based on this intervention, the objective of this study was to evaluate the contributions of the use of digital games as a complementary strategy in SES, aimed at children who were identified by the teachers as having difficulties in the performance of the inhibitory control.

2 Methodology

The context of the research refers to SES, an important space, where different strategies and methodologies are sought and used to favor the participation of the target public student of Special Education in regular education. Considering this, our study proposes the use of digital games for students, who attend this service in a school. However, the intervention with games was carried out in the homes, with an invitation to the parents to mediate in order to contribute to the improvement of the inhibitory control. To do so, we proposed the use of digital games integrated to the Brain School, because they present results related mainly to the development of attention and inhibitory control (Ramos & Rocha, 2016Ramos, D. K., & Rocha, N. L. (2016). Avaliação do uso de jogos eletrônicos para o aprimoramento das funções executivas no contexto escolar.Revista Psicopedagogia, 33(101), 133-143.).

2.1 Participants

The study was carried out in a federal public school, which had, during the collection of data from this research, 32 target public students from the Special Education. Of those students 24 performed the Specialized Educational Service at the school itself. However, of these students, eight of them participated in the research. During the development of this study, as criteria for selecting participants, we included children who presented difficulties in inhibitory control, verbal communication, family interest in participating in the research, as well as children’s interest in digital games.

The identification of difficulties in inhibitory control was performed by means of an instrument to assess behaviors indicative of difficulties in inhibitory control completed by the SES teacher in conjunction with the class teacher. The results obtained with the application of this instrument allowed identification of eight students with difficulty in inhibitory control.

From this, the sample consisted of the participation of these eight children in the age group from 8 to 11 years old (6 boys and 2 girls) enrolled in different classes - two students attended the second grade, three students the fourth grade, two students the 5th and one student the 6th grade.

Table 1
Profile of the participant group related to the use of ICT.

For the organization of the children in the participant and control group, the child’s interest in playing the “Brain School” games and the parents’ willingness to participate in the research were considered in order to help mediate the use of games at home.

2.2 Procedures

The procedures used in the research observed the design of a quasi-experimental study, in order to infer if the proposed intervention could be associated with the results obtained (Cozby, 2003Cozby, P. (2003). Métodos de pesquisa em ciências do comportamento. São Paulo: Atlas.). To do so, we organized the participants into two groups: participant and control and a participant group, we used the same procedures and evaluation instruments before and after the intervention, in order to isolate possible intervening variables.

After all groups were organized, the participants were evaluated through the proposition of three play activities and the application of some psychological tests. After that, the participating students received tablets, which were taken home; parents and students received guidelines on how to access digital games. Parents were advised that children should have access to the game at least three times a week for 15 minutes on average. The intervention period lasted five weeks.

At the end of the interventions, the children were again evaluated, both the participants in the control group and the participant group, in order to use the same activities and tests. It should be noted that we have the understanding that the interval of the tests should be higher, as indicated by Lavratti and Bastos (2010)Lavratti, C., & Bastos, A. G. (2010). Dificuldades na mensuração da inteligência em crianças em situação de risco: Um estudo de caso. Revista Contemporânea - Psicanálise e Transdisciplinaridade, 9, 129-148.. However, we had to reduce the application period due to the end of the school year.

Among the procedures used to evaluate the children of both groups, we highlight the proposition of three play activities. In the first activity, the child chose a song that he knew best. Then the music was accessed and listened to. After this stage, the child was invited to sing along until the music was paused. This was the first evaluation moment, which aimed at verifying if the child could continue singing even though he/she could not hear the background music as a reference. The next step of this activity was to listen to the music until the next break; however, the child should create different lyrics from the one he/she was listening to as soon as the melody was paused. In this activity, self-control was observed, when the child could contain the impulse to continue singing the lyrics that he/she already knew and attributed other lyrics to continue that song.

In the second activity, the child was initially asked to imitate the researcher’s movement. There were six movements that ranged from the closed fist to the thumb pointing upward. Then, if the child who was able to perform this first step would go to the second, which consisted in performing the reverse movement, that is, when making the movement of the closed fist, the child should perform the movement of the thumb pointed upwards.

Activity 3 was aimed at verifying the interaction with digital games different from those presented by the Brain School. These digital games were chosen according to the profile of the students, considering different possibilities of intervention with different levels of gameplay, some using the computer keyboard, others only the mouse. It started from the pre-selection of some games, which were suggested to the children. In interaction with the games, before and after the intervention, it could be observed the skills related to the gameplay, such as avoiding colliding with some obstacle or time to pass the stage.

2.3 Brain school

The games used in the development of the research, in the intervention with the participating group, are part of the Brain School, a system that integrates digital cognitive games into a database as an alternative to the playful exercise of cognitive abilities. The games can be downloaded as applications on Android mobile technologies and can then be played online or offline, as well as accessed online through computers (Ramos & Rocha, 2016Ramos, D. K., & Rocha, N. L. (2016). Avaliação do uso de jogos eletrônicos para o aprimoramento das funções executivas no contexto escolar.Revista Psicopedagogia, 33(101), 133-143.). In the period of interventions, the Brain School had seven games described in Table 2 below.

Table 2
Description of the Brain School Games.

2.4 Instruments

The instruments used in the research were the questionnaire answered by the teachers to select the children and the psychological tests used in the pre and post intervention evaluation:

  1. Raven’s Coloured Progressive Matrices applied with the objective of evaluating the potential of non-verbal reasoning; it proposes tasks in which the child needs to complete images by choosing options (Dovis et al., 2015Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
    https://doi.org/10.1371/journal.pone.012...
    ). This test assesses the intellectual development of children between the ages of 5 and 11 (Bandeira, Alves, Giacomel, & Lorenzatto, 2004Bandeira, D. R., Alves, I. C. B., Giacomel, A. E., & Lorenzatto, L. (2004). Matrizes progressivas coloridas de Raven-escala especial: Normas para Porto Alegre, RS.Psicologia em Estudo, 9(3), 479-486. doi: 10.1590/S1413-73722004000300016.
    https://doi.org/10.1590/S1413-7372200400...
    ).

  2. Subtest of WISC IV Digits that aims to evaluate attention, concentration, sequencing and short-term memory. A series of numerical sequences is presented orally and the child is invited to repeat some of them in a direct order and others in reverse order (Wechsler, 2015Wechsler, D. (2015). WISC-IV: Administration and scoring manual. Toronto: Psychological Corporation.).

  3. Subtest Sequence of numbers and letters of the WISC IV aims to evaluate the operational memory. The evaluator reads to the child a sequence of letters and numbers, and the child should repeat by arranging the letters in alphabetical order and the numbers in ascending order (Wechsler, 2015Wechsler, D. (2015). WISC-IV: Administration and scoring manual. Toronto: Psychological Corporation.).

  4. Subtest WISC Code IV aims to evaluate processing speed, including short-term memory, learning, motivation, cognitive flexibility and visual perception. In the proposed task, a series of simple forms (Code A) or numbers (Code B) are presented, written on a sheet, each paired with a simple symbol for the child to draw the corresponding symbol at a given time (Wechsler, 2015Wechsler, D. (2015). WISC-IV: Administration and scoring manual. Toronto: Psychological Corporation.).

  5. Subtest Search WISC IV Symbols aims to evaluate processing speed, also involving visual memory, visual and motor coordination, cognitive flexibility and attention. To do so, it presents a set of stimuli (symbols) written on a sheet that the child must examine whether or not they appear in a set of symbols that are presented on the same line at a given time (Wechsler, 2015Wechsler, D. (2015). WISC-IV: Administration and scoring manual. Toronto: Psychological Corporation.).

In the research, four WISC-IV subtests were used, which constitute a battery of tests to evaluate the intellectual capacity of people from 6 to 16 years old (Figueiredo, Pinheiro, & Nascimento, 1998Figueiredo, V. L. M., Pinheiro, S., & Nascimento, E. (1998). Teste de inteligência WISC-III adaptado para a população brasileira. Psicologia Escolar e Educacional, 2(2), 101-107. doi: http://dx.doi.org/10.1590/S1413-85571998000200004.
http://dx.doi.org/10.1590/S1413-85571998...
). For the research, we used some subtests of the Operational Memory Index (OMI) and the Processing Speed Index (PSI).

3 Results

The results are based on observations and records made by the researcher in proposing play activities and applying psychological tests, before and after the interventions, also comparing the performance between the participant group and the control group. Although the research has focused on the intervention with digital games, evaluative activities that could offer indications about the performance of the inhibitory control in other contexts, such as a game with music, body movements, interaction with other digital games and realization of paper tasks in psychological tests were envisaged.

In Table 3, the evaluation of each child in the three proposed activities can be observed in relation to what was identified in terms of progress and performance in the task performed, comparing to the accomplishment before the beginning of the interventions and after their completion.

Table 3
Evolution of performance in activity 1 before and after interventions.

In activity 1, in the participating group, three children had the same initial performance, only one child progressed. In activity 2, both the children in the control group and the children in the participating group had one child from each group with the same initial performance and three children with advances. In activity 3, in the participant group, one child presented the same performance; three children improved their results; where as the control group had exactly the same result. When we observed the results by groups in general, there were 7 advances in the participant group and 3 in the control group, indicating a better performance in the participating group.

Graph 1
Comparison of the results presented between the control and participant groups.

Evaluations conducted through the application of psychological tests were used as indicators to compare performance gains in some skills related to executive functions before and after interventions without any intention of evaluating or classifying children. The results obtained offered other indicators to analyze the differences obtained, aiding in the comparison of the development presented during the period of data collection for the research.

Table 4
Results of psychological tests by groups.

From the table, we can observe that all students in the participating group showed improvement in the general intelligence test. In the Matrix test, two students in the control group showed improvement in results; whereas two others reduced the score, which, in the end, maintained the same score of the initial test.

The results of the WISC subtests also revealed, on average, superior improvements in the participant group compared to the control group. In the IMO Digits test, it can be observed that, of the four children in the participating group, three presented advances. In the control group, of the four children, one presented improvement, one presented the same performance and the other two had a lower performance.

In the subtest Sequence of numbers and letters, an improvement was observed in all the participating children. In the mean of the final result, this group showed an improvement of two points in relation to the control group. Whereas the students in the control group presented the same mean, since two presented better performance and two worsened in relation to the initial score.

In the PSI Code test, the participant group had improvement in two participants and had one underperformed when comparing to the initial one. In the control group, one of the students reduced the score; however, three others improved the score. Nevertheless, on average, the comparative performance between the two groups showed better performance in the participating group.

In the PSI Symbols 2 test, the participant group presented an important decrease in the final mean of the group - 2.5. One of the participants had exactly the same score, one of them presented improvement and two of them presented lower scores than in the initial evaluation. The control group showed an improvement in the final group mean in 3 points, and only one of the students presented a worse result in the second evaluation and three students improved their results.

Considering all the subtests used, in the next graph we present the mean of the psychological tests in both groups, to observe the changes presented in the two periods.

Graph 2
Comparison between the means of the psychological tests between the two groups.

When we consider the average difference between the groups, we can observe that, in four of them, we have a better performance of the participant group. Only one test had a better outcome for the control group.

4 Discussion

The results observed in the playful activities proposed with the children, in general, revealed superior improvements in the participant group, which highlighted a more qualitative performance in relation to self-control. To Diamond (2013)Diamond, A. (2013). Executive functions. Annual review of psychology, 64, 135-168., self-control is one of the aspects of inhibitory control responsible for the adequacy of behavior and emotions, involving aspects such as resisting temptations and not acting impulsively.

We emphasize that the proposition of activity 2 was inspired by the reports described by Luria (1992)Luria, A. R. (1992).A construção da mente. São Paulo: Ícone.. In his research, the author describes an experiment performed with children, in which he proposed a provocation to them. He explained that when he lifted his fist, the child should raise his/her finger; when Luria lifted his finger, the child should raise his/her fist. The activity aimed to generate a conflict, between what children saw and what they should do, since the initial tendency was to imitate the researcher (Luria, 1992Luria, A. R. (1992).A construção da mente. São Paulo: Ícone.). Thus, in order to perform correctly, it was necessary to make use of attention and self-control, as the child had to observe the movement with focused attention, to contain his/her impulses to imitate and to respond with the contrary movement.

The result obtained in the proposed playful activities indicates that the children who had access to the cognitive games presented a better performance in this stage of the activities in the SES. These activities involved the exercise of cognitive skills essential to learning, such as attention, self-control, and self-regulation. This better performance reinforces the use of games in an intentional way in the school context to favor the improvement of cognitive abilities in a playful way, which can influence the learning processes (Ramos, 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.). An advance, especially in activity 3 with digital games, was observed; however, the children who participated in the interventions with the use of the Brain School games also presented better performance in music activity (activity 1).

To Moita (2007)Moita, F. (2007). Game on: Jogos eletrônicos na escola e na vida da geração. Campinas: Alínea., when playing, the child needs to appropriate the rules, demonstrate persistence, exercise the reasoning to overcome challenges and, thus, achieve the ultimate goal of winning the game. In addition, to the author, interaction with games favors the development of cognitive abilities, which impacts on how players behave, interact and work out problem solving.

The improvements observed also reinforce the contributions of the games described by Mason et al. (2014)Mason, R., Kamps, D., Turcotte, A., Cox, S., Feldmiller, S., & Miller, T. (2014). Peer mediation to increase communication and interaction at recess for students with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 8(3), 334-344. doi: 10.1016/j.rasd.2013.12.014.
https://doi.org/10.1016/j.rasd.2013.12.0...
who, when proposing the use of games with autistic students, reported significant improvements in language and peer interaction.

It is also added, in relation to the changes presented in the course of the data collection, an improvement in the execution time in the last stage of tests. In the first round, it took around three weeks; most children needed two sessions to perform the tests, one child needed three sessions. At the end of the data collection, the tests for each child could be performed in only one session. This aspect can be taken as an indicative in the improvement of the speed of cognitive processing, which can be related to the mental capacity, the performance in tasks and the learning (Wechsler, 2015Wechsler, D. (2015). WISC-IV: Administration and scoring manual. Toronto: Psychological Corporation.). Moreover, the results observed in the playful activities proposed with the children could be triangulated with the performance compared in the psychological tests applied to evaluate some abilities related to the executive functions.

The result obtained in the Raven’s Matrix test, which evaluates general intelligence, reinforces that what often influences learning in the school context are other factors, such as those related to motivation or social interaction, since the children participating in the study did not perform below expectations.

In the Matrix test, the participant group presented a better performance related to the reasoning, considering that the control group presented exactly the same average of the beginning of the data collection. These data point to the enhancement of the reasoning due to the contact with digital games, as indicated by studies in the area (Diamond & Lee, 2011Diamond A., & Lee K. (2011). Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333(6045), 959-64. doi: 10.1126/science.1204529.
https://doi.org/10.1126/science.1204529....
; Dovis et al., 2015Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
https://doi.org/10.1371/journal.pone.012...
; Moita, 2007Moita, F. (2007). Game on: Jogos eletrônicos na escola e na vida da geração. Campinas: Alínea.; Ramos, 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.).

Considering that the objective was to evaluate non-verbal reasoning ability, we highlight the study conducted by Dovis et al. (2015)Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
https://doi.org/10.1371/journal.pone.012...
, which includes, among other tests, the Matrix Test, to evaluate executive functions with children with Attention Deficit Hyperactivity Disorder (ADHD), indicating improvements in inhibition and short-term visual memory in children who have counted on the “partially active” and “full active” experience after 25 interventions that lasted 3 months with 89 children aged 8 to 12 years (Dovis et al., 2015Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
https://doi.org/10.1371/journal.pone.012...
).

Taking into account that the two subtests that make up the WISC operational memory index, which is one of the main dimensions of executive functions (Center on the developing child at Harvard University, 2011), we can infer that interventions with the use of digital games on average influenced in the skills evaluated in the tests, such as attention, concentration, sequencing and short-term memory, corroborating with results obtained in other studies that sought to establish relationships between interaction with digital games and the improvement of executive functions (Diamond & Lee, 2011Diamond A., & Lee K. (2011). Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333(6045), 959-64. doi: 10.1126/science.1204529.
https://doi.org/10.1126/science.1204529....
; Ramos, 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.; Ramos & Rocha, 2016Ramos, D. K., & Rocha, N. L. (2016). Avaliação do uso de jogos eletrônicos para o aprimoramento das funções executivas no contexto escolar.Revista Psicopedagogia, 33(101), 133-143.) and memory (Diamond & Lee, 2011Diamond A., & Lee K. (2011). Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333(6045), 959-64. doi: 10.1126/science.1204529.
https://doi.org/10.1126/science.1204529....
; Dovis et al., 2015Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
https://doi.org/10.1371/journal.pone.012...
; Ramos, 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.).

The advances presented in the aspects evaluated in this group point out to a study that examines how executive control contributes to behavior in children when playing the Brain School, which can be considered a serious game because it has a defined goal aimed at the improvement of specific cognitive skills. These results corroborate with those obtained by Sande et al. (2014)Sande, E., Segers, E., & Verhoeven, L. (2015). The role of executive control in young children’s serious gaming behavior. Computers & Education, 82, 432-441. doi: https://doi.org/10.1016/j.compedu.2014.12.004.
https://doi.org/10.1016/j.compedu.2014.1...
when they used the game for benefits on socioemotional aspects and problem solving.

Even without the data presented by one of the students, the participating group showed a 5-point advance in the PSI Code test. This data refers to the influence of interaction with digital games on memory (Dovis et al., 2015Dovis, S., Van der Oord, S., Wiers, R. W., & Prins, P. J. M. (2015). Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial.PloSone, 10(4), 1-30. doi: https://doi.org/10.1371/journal.pone.0121651.
https://doi.org/10.1371/journal.pone.012...
; Ramos 2013Ramos, D. K. (2013). Jogos Cognitivos Eletrônicos: Contribuições à aprendizagem no contexto escolar. Ciência e Cognição, 18(1), 19-32.), learning (Prensky, 2012Prensky, M. (2012). Aprendizagem baseada em jogos digitais. São Paulo: SENAC.; Santaella, 2013Santaella, L. (2013). Comunicação ubíqua: Repercussões na cultura e na educação. São Paulo: Paulus.) and motivation (Gee, 2009Gee, J. P. (2009). Bons videogames e boa aprendizagem.Perspectiva, 27(1), 167-178.; Santaella, 2013Santaella, L. (2013). Comunicação ubíqua: Repercussões na cultura e na educação. São Paulo: Paulus.; Savi & Ulbricht, 2008Savi, R., & Ulbricht, V. R. (2008). Jogos digitais educacionais: Benefícios e desafios.Renote, 6(1), 1-10.).

The result of the Code subtest, which composes the Processing Speed Index and involves skills such as concentration, visual memory and short-term memory, visual discrimination and cognitive flexibility (Wechsler, 2015Wechsler, D. (2015). WISC-IV: Administration and scoring manual. Toronto: Psychological Corporation.), showed a better performance of the participating group. However, in the Search Symbols subtest, we obtained a better performance in the control group, which may be justified because it was the last test applied or, still, other environmental or psychological factors may have influenced. Despite this, we emphasize that, in general, the participant group performed better in activities and tests when compared to the control group. The results reinforce the idea that children with difficulties related to executive functions end up benefiting more from training when using digital games. This offers the possibility of these children reaching levels close to their peers, which guarantees better learning conditions (Diamond, 2012Diamond, A. (2012). Activities and programs that improve children’s executive functions.Current Directions in Psychological Science, 21(5), 335-341. doi: 10.1177/0963721412453722.
https://doi.org/10.1177/0963721412453722...
).

5 Final considerations

The results obtained reinforce that the use of games can contribute to the development of executive functions, including children participating in the SES. We emphasize that the characteristics of the game, such as rules, create experiences for the exercise of self-control, when defining limits and what can be done. At the same time that challenges and storytelling create a fun and playful context, the ability to repeat actions and feedbacks often provide a safe learning environment.

Despite the described indicatives of improvement, we recognized the limitations of the study that was based on observations and application of tests, since it would be necessary to deepen, especially in the context of the classroom, on the changes resulting from the interventions. In addition, the games were used for a few weeks due to circumstances other than the research and the end of the school year.

Many questions can be raised from the approach carried out with the games in the context of SES, which can encourage and guide future studies, such as valuing the use of the digital game as a differentiated context of learning and exercise of cognitive functions.

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Publication Dates

  • Publication in this collection
    Jan-Mar 2019

History

  • Received
    23 May 2018
  • Reviewed
    26 Oct 2018
  • Accepted
    18 Nov 2018
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