Effects of a Mobile Game in Menopausal Women

Overview

The goal of this clinical trial is to evaluate the effect of a mobile game-based cognitive intervention on brain fog and psychological well-being in menopausal women aged 45-55 years. The main questions it aims to answer are: Are Brain Fog Scale scores lower among women in the mobile game intervention group compared with women in the control group? Are Warwick-Edinburgh Mental Well-Being Scale scores higher among women in the mobile game intervention group compared with women in the control group? Do women participating in the mobile game intervention demonstrate greater reductions in Brain Fog Scale scores and greater improvements in Warwick-Edinburgh Mental Well-Being Scale scores after the intervention compared with their baseline measurements? Researchers will compare participants receiving the mobile game-based cognitive intervention with participants receiving routine follow-up only to determine the effectiveness of the intervention on brain fog and psychological well-being. Participants will: Complete baseline assessments using the Brain Fog Scale and the Warwick-Edinburgh Mental Well-Being Scale. Be randomly assigned to either the intervention group or the control group. Use the cognitive training mobile game for 15 minutes per day, 5 days per week, for 6 weeks if assigned to the intervention group. Receive routine follow-up only if assigned to the control group. Complete post-intervention assessments at the end of the 6-week study period.

Menopause is a natural stage in a woman's life characterized by hormonal changes that may affect physical, psychological, and cognitive health. In addition to vasomotor symptoms, many women report cognitive difficulties during the menopausal transition, commonly referred to as "brain fog." Brain fog encompasses subjective experiences such as reduced concentration, forgetfulness, slower information processing, and difficulties in maintaining attention. These cognitive challenges may negatively influence daily functioning, work productivity, self-confidence, and overall quality of life. Psychological well-being is another important aspect of women's health during menopause. Hormonal fluctuations, aging-related changes, and psychosocial factors may contribute to declines in well-being. Cognitive difficulties and psychological well-being are closely interrelated, as persistent cognitive concerns may increase emotional distress and negatively affect individuals' perceptions of their mental health and well-being. Digital health interventions have gained increasing attention as accessible and scalable approaches for supporting health promotion and symptom management. Among these interventions, mobile games offer opportunities to engage users through interactive and motivating activities while facilitating learning and cognitive stimulation. Cognitive training exercises delivered through mobile games may support cognitive functions such as attention, working memory, cognitive flexibility, verbal fluency, and visual memory. However, evidence regarding the effectiveness of mobile game-based cognitive interventions specifically designed for menopausal women remains limited. The mobile game used in this study was developed to provide cognitive training through gamified activities targeting multiple cognitive domains. The intervention incorporates structured exercises intended to support attention, memory, problem-solving, and cognitive flexibility while promoting sustained engagement through an interactive digital format. This study will investigate whether participation in a mobile game-based cognitive intervention can improve cognitive functioning related to brain fog and enhance psychological well-being among menopausal women. The findings are expected to contribute to the growing evidence base on non-pharmacological digital interventions and may support the development of accessible, low-cost, and sustainable approaches for promoting cognitive and psychological health during menopause.