Audiovisual game-based education programs effectively enhance healthcare students’ attitudes toward dementia. This single-arm study aimed to adapt and translate an audiovisual game-based educational program and evaluate its effectiveness in improving Indonesian healthcare students’ attitudes towards people living with dementia (PLWD). A total of 308 nursing and public health students participated in a 90-minute program. Demographic data, attitudes, dementia knowledge, ageism, and helping intention were assessed pre- and post-intervention and analyzed using paired t-tests. The participants’ mean age was 20.3 ± 0.7 years, and 87% were women. Attitudes, dementia knowledge, and helping intention improved significantly (all p < 0.001) post-intervention. The program can effectively improve attitudes toward PLWD, making healthcare settings more supportive and dementia-friendly. It can be used as a healthcare education method to enhance attitudes toward PLWD, dementia knowledge, and helping intention. Future studies should utilize game-based education to enhance the care for PLWD.
Aisy SunaryoS. R.SaifullahA. D.MulyaniS. (2020). Knowledge and attitudes toward people with dementia among nursing students in Yogyakarta, Indonesia. Belitung Nursing Journal, 6(6), 196–202. https://doi.org/10.33546/BNJ.1178
BickfordB.DaleyS.SleaterG.HebditchM.BanerjeeS. (2019). Understanding compassion for people with dementia in medical and nursing students. BMC Medical Education, 19(1), 1–8. https://doi.org/10.1186/s12909-019-1460-y
4.
CarterG.WilsonC. B.MitchellG. (2021). The effectiveness of a digital game to improve public perception of dementia: A pretest-posttest evaluation. PLoS ONE, 16(10), 1–11. https://doi.org/10.1371/journal.pone.0257337
5.
ChernikovaO.HeitzmannN.StadlerM.HolzbergerD.SeidelT.FischerF. (2020). Simulation-based learning in higher education: A meta-analysis. Review of Educational Research, 90(4), 499–541. https://doi.org/10.3102/0034654320933544
6.
CraigS.BarryH. E.CarterG.StarkP.MitchellG.ClarkeS.WilsonC. B. (2024). Evaluation of a dementia awareness game for health professions students in Northern Ireland: A pre-/post-test study. BMC Medical Education, 24(1), 1–7. https://doi.org/10.1186/s12909-024-05656-z
7.
CraigS.StarkP.WilsonC. B.CarterG.ClarkeS.MitchellG. (2023). Evaluation of a dementia awareness game for undergraduate nursing students in Northern Ireland: A Pre-/Post-Test study. BMC Nursing, 22(1), 177. https://doi.org/10.1186/s12912-023-01345-2
DyerE.SwartzlanderB. J.GugliucciM. R. (2018). Using virtual reality in medical education to teach empathy. Journal of the Medical Library Association, 106(4), 498–500. https://doi.org/10.5195/jmla.2018.518
10.
DyerJ.AllenC.KlineM. (2018). The impact of game-based learning on student engagement and motivation in healthcare education. Journal of Educational Technology & Society, 21(4), 123–135.
11.
FarinaN.HassanE.TheresiaI.FitriF. I.SuswantiI.SaniT. P.Evans-LackoS.BanerjeeS.TuranaY. (2024). Awareness, attitudes, and beliefs of dementia in Indonesia. Alzheimer’s and Dementia: Diagnosis, Assessment and Disease Monitoring, 16(2), 1–8. https://doi.org/10.1002/dad2.12570
12.
FarinaN.JacobsR.TuranaY.FitriF. I.SchneiderM.TheresiaI.DocratS.SaniT. P.AugustinaL.AlbaneseE.Comas-HerreraA.Du ToitP.FerriC. P.GoviaI.IbnidrisA.KnappM.BanerjeeS. (2023). Comprehensive measurement of the prevalence of dementia in low- and middle-income countries: STRiDE methodology and its application in Indonesia and South Africa. BJPsych Open, 9(4), 1–7. https://doi.org/10.1192/bjo.2023.76
13.
FraboniM.SaltstoneR.HughesS. (1990). The Fraboni Scale of Ageism (FSA): An attempt at a more precise measure of ageism. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 9(1), 56–66. https://doi.org/10.1017/S0714980800016093
14.
HaradaK.SugisawaH.ShibataH.YamadaY.SugiharaY. (2004). Measurement and correlates of ageism among Japanese young men living in urban areas. The Gerontologist, 44(Special_Issue_I), 1–672. https://doi.org/10.1093/geront/44.Special_Issue_I.1
15.
HebditchM.HoweL.BarrettA.EdgarL.HeadsJ.IngramE.RustedJ. (2020). What is the evidence for tools for the assessment of dementia risk? A systematic review and narrative synthesis. Journal of Alzheimer’s Disease, 77(3), 841–861.
16.
IgarashiA.MatsumotoH.TakaokaM.KugaiH.SuzukiM.MurataS.MiyaharaM.Yamamoto-MitaniN. (2023). Building relationships between community care professionals and convenience stores in Japan: Community-based participatory research. In Community Health Partnerships: Research, Education, and Action (Vol. 17, Issue 1). 1, 11. Johns Hopkins University Press. https://doi.org/10.1353/cpr.2023.0005. https://muse.jhu.edu/article/884420
17.
IgarashiA.MatsumotoH.TakaokaM.KugaiH.SuzukiM.Yamamoto-MitaniN. (2019). Educational program for promoting collaboration between community care professionals and convenience stores. Journal of Applied Gerontology, 39(7), 760–769. https://doi.org/10.1177/0733464819871878
18.
KimK.KurodaK. (2011). Factors related to attitudes toward people with dementia: Development attitude toward dementia scale and dementia knowledge scale. Bulletin of Social Medicine, 28(1), 43–56.
19.
LiY.ChenD.DengX. (2024). The impact of digital educational games on student’s motivation for learning: The mediating effect of learning engagement and the moderating effect of the digital environment. PLoS ONE, 19(1), 1–21. https://doi.org/10.1371/journal.pone.0294350
20.
MatsumotoH.IgarashiA.SakkaM.TakaokaM.KugaiH.ItoK.Yamamoto-MitaniN. (2022). A two-step model for encouraging the general public to exhibit helping behaviors toward people living with dementia. Innovation in Aging, 6(3), 1–9. https://doi.org/10.1093/geroni/igac023
21.
MatsumotoH.IgarashiA.SuzukiM.Yamamoto-MitaniN. (2020). Dementia education is the first step for cooperation: An observational study of the cooperation between convenience stores and community general support centers. Geriatrics and Gerontology International, 20(10), 956–960. https://doi.org/10.1111/ggi.14000
22.
MatsumotoH.TakaokaM.Yamamoto-MitaniN.IgarashiA. (2024). Development of four-item attitudes toward people living with dementia scale for population surveys. Psychogeriatrics, 24(5), 1120–1131. https://doi.org/10.1111/psyg.13168
23.
NicholsE.SzoekeC. E. I.VollsetS. E.AbbasiN.Abd-AllahF.AbdelaJ.AichourM. T. E.AkinyemiR. O.AlahdabF.AsgedomS. W.AwasthiA.Barker-ColloS. L.BauneB. T.BéjotY.BelachewA. B.BennettD. A.BiadgoB.BijaniA.Bin SayeedMurrayM. S. C. J. L. (2019). Global, regional, and national burden of Alzheimer’s disease and other dementias, 1990–2016: A systematic analysis for the global burden of disease study 2016. The Lancet Neurology, 18(1), 88–106. https://doi.org/10.1016/S1474-4422(18)30403-4
24.
PengX.WuL.XieX.DaiM.WangD. (2020). Impact of virtual dementia tour on empathy level of nursing students: A quasi-experimental study. International Journal of Nursing Sciences, 7(3), 258–261. https://doi.org/10.1016/j.ijnss.2020.06.010
25.
PloegE. S. V. D. (2025). Dementia care in Indonesia: Care networks, awareness & perception (pp. 441–461). Journal of Cross-Cultural Gerontology. https://doi.org/10.1007/s10823-025-09544-x
26.
RivaG. (2006). Interactive game-based learning in medical education: Enhancing understanding and empathy. Medical Education Review, 18(2), 45–56.
27.
São JoséJ. M. S.AmadoC. A. F.IlincaS.ButtigiegS. C.Taghizadeh LarssonA. (2019). Ageism in health care: A systematic review of operational definitions and inductive conceptualizations. Gerontologist, 59(2), E98–E108. https://doi.org/10.1093/geront/gnx020
28.
SariD. W.IgarashiA.TakaokaM.YamahanaR.ChieM. N.Yamamoto-mitaniN. (2020). Virtual reality program to develop dementia-friendly communities in Japan. Australasian Journal on Ageing, 39(3), 1–8. https://doi.org/10.1111/ajag.12797
29.
SariD. W.KugaiH.IgarashiA.TakaokaM.MatsumotoH.SuzukiH.WuJ.FitryasariR.NasifahI. A.HasE. M. M.Yamamoto-MitaniN. (2024). Education program for enhancing health care students’ attitudes toward people living with dementia: Protocol for a single-arm pre-post study. JMIR Research Protocols, 13(1), 1–9. https://doi.org/10.2196/62654
30.
ScottT. L.KugelmanM.TullochK. (2019). How medical professional students view older people with dementia: Implications for education and practice. PLoS ONE, 14(11), e0225329. https://doi.org/10.1371/journal.pone.0225329
31.
StojicJ.PetrosanecM.MilosevicM.BobanM. (2022). The attitude and knowledge of medical students regarding dementia. Acta Neurologica Belgica, 122(3), 625–630. https://doi.org/10.1007/s13760-022-01939-8
32.
SumandarHsuH.-T.HsiehH.-F.ChouP.-L.WungS.-F.LinP.-C. (2026). Undergraduate nursing students’ knowledge and attitudes toward dementia by country income level: A systematic review and meta-analysis. Journal of Professional Nursing, 62(2), 52–59. https://doi.org/10.1016/j.profnurs.2025.10.012
33.
SuzukiH.IgarashiA.MatsumotoH.KugaiH.TakaokaM.SakkaM.ItoK.HagiwaraY.Yamamoto-MitaniN. (2024). A dementia-friendly educational program using virtual reality for the general public in Japan: A randomized controlled trial for DRIVE. The Gerontologist, 64(11), gnae113. https://doi.org/10.1093/geront/gnae113
34.
SuzukiH.IgarashiA.MatsumotoH.KugaiH.TakaokaM.Yamamoto-MitaniN. (2022). Effectiveness of a dementia educational program using virtual reality technology for the general public: A randomized controlled trial. In: 22nd IAGG World Congress of Gerontology and Geriatrics. IAGG.
WuJ.IgarashiA.SuzukiH.MatsumotoH.KugaiH.TakaokaM.Yamamoto-MitaniN. (2024). Effects of a dementia educational programme using virtual reality on nurses in an acute care hospital: A pre-post comparative study. International Journal of Older People Nursing, 19(3), 1–11. https://doi.org/10.1111/opn.12616
39.
XuM.LuoY.ZhangY.XiaR.QianH.ZouX. (2023). Game-based learning in medical education. Frontiers in Public Health, 11(1), 1113682. https://doi.org/10.3389/fpubh.2023.1113682
40.
YamoriK.Ajiro. (2004). “Crossroad: Kobe”: A training tool for disaster preparedness and response. In KrizWCE. T. (Ed.), Bridging the gap: Transforming knowledge into action through gaming and simulation (pp. 245–253). SAGSAGA.
