Purpose: This scoping review explores the documented effects of assistive products on video game players with disabilities.
Research Design: The review was conducted using the PRISMA-ScR methodology. PubMed, Web of Science, and IEEE databases were systematically searched.
Results: The search yielded a total of 1254 articles, of which only eight met the inclusion criteria after screening. Of these, three studies investigated the impact of assistive products for adapted gaming on quality of life, employment, and social isolation, while five studies reported on the development of novel hardware solutions to improve accessibility of video games for players with motor difficulties.
Conclusions: The findings highlight the potential benefits of enabling people with disabilities accessing off-the-shelf video games. However, the limited number of studies identified in this review highlights a significant gap in this research area.
GreitemeyerT. The dark and bright side of video game consumption: effects of violent and prosocial video games. Curr Opin Psychol2022; 46: 101326.
9.
HalbrookYJO’DonnellATMsetfiRM. When and how video games can be good: a review of the positive effects of video games on well-being. Perspect Psychol Sci2019; 14(6): 1096–1104.
10.
VuorreMJohannesNMagnussonK, et al.Time spent playing video games is unlikely to impact well-being. R Soc Open Sci2022; 9(7): 220411.
11.
VillaniDCarissoliCTribertiS, et al.Videogames for emotion regulation: a systematic review. Game Health J2018; 7(2): 85–99.
12.
PallaviciniFPepeAMantovaniF. Commercial off-the-shelf video games for reducing stress and anxiety: systematic review. JMIR Ment Health2021; 8(8): e28150.
13.
Blanco-HerreraJAGentileDARokkumJN. Video games can increase creativity, but with caveats. Creat Res J2019; 31(2): 119–131.
14.
CabellosBPozoJIMarín-RubioK, et al.Do pro-social video games promote moral activity? An analysis of user reviews of papers, please. Educ Inf Technol2022; 27(8): 11411–11442.
15.
WilliamsWMAyresCG. Can active video games improve physical activity in adolescents? A review of RCT. Int J Environ Res Publ Health2020; 17(2): 669.
AndersonSLSchrierK. Disability and video games journalism: a discourse analysis of accessibility and gaming culture. Game Cult2022; 17(2): 179–197.
18.
HorowitzA.Accessibility by Numbers: A Critical Review of Game Accessibility Guidelines. In: SpöhrerMOchsnerB, editors. Disability and Video Games: Practices of En-/Disabling Modes of Digital Gaming. Cham: Palgrave Macmillan; 2024. p. 259–294.
DesideriLSalatinoCBorgnisF. Assistive technology service delivery outcome assessment: from challenges to standards. In: BennettGGoodallE, editors. The Palgrave Encyclopedia of Disability. Cham: Springer Nature Switzerland; 2024. p. 1–13.
21.
TriccoACLillieEZarinW, et al.PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med2018; 169(7): 467–473.
22.
VickersSIstanceHHyrskykariA. Performing locomotion tasks in immersive computer games with an adapted eye-tracking interface. ACM Trans Access Comput2013; 5(1): 1–33.
23.
ThirumalaiMKirklandWBMiskoSR, et al.Adapting the Wii Fit balance board to enable active video game play by wheelchair users: user-centered design and usability evaluation. JMIR Rehabil Assist Technol2018; 5(1): e8003.
24.
MaloneLADavlyatovGKPadalabalanarayananS, et al.Active video gaming using an adapted gaming mat in youth and adults with physical disabilities: observational study. JMIR Serious Games2021; 9(3): e30672.
25.
TabacofLDewilSHerreraJE, et al.Adaptive esports for people with spinal cord injury: new frontiers for inclusion in mainstream sports performance. Front Psychol2021; 12: 699126.
26.
RedepenningDHHussSAMaddaliS. Influence of adaptive video gaming on quality of life and social relationships. Assist Technol2022; 35(4): 339–346.
27.
MaloneLAMendoncaCJMohanrajS, et al.Usability of the GAIMplank video game controller for people with mobility impairments: observational study. JMIR Serious Games2023; 11: e38484.
28.
MendoncaCJMaloneLAMohanrajS, et al.The usability of a touchpad active video game controller for individuals with impaired mobility: observational study. JMIR Rehabil Assist Technol2023; 10: e41993.
29.
RedepenningDHBellMAdenaiyeO, et al.Relationship between employment and adaptive video gaming in individuals with physical disabilities. Disabil Rehabil Assist Technol2024; 19: 1–8.
30.
AlbertBTullisTTedescoD. Beyond the usability lab: conducting large-scale online user experience studies. San Francisco, CA: Morgan Kaufmann, 2009.
31.
TaheriAWeissmanZSraM. Design and evaluation of a hands-free video game controller for individuals with motor impairments. Front Comput Sci2021; 3: 751455.
32.
WillseyMSShahNPAvansinoDT, et al.A high-performance brain–computer interface for finger decoding and quadcopter game control in an individual with paralysis. Nat Med2025; 31: 1–9.
33.
EmersonEFortuneNLlewellynG, et al.Loneliness, social support, social isolation and wellbeing among working age adults with and without disability: cross-sectional study. Disabil Health J2021; 14(1): 100965.
34.
BowmanNDRiegerDLinJHT. Social video gaming and well-being. Curr Opin Psychol2022; 45: 101316.
35.
DalgleishM. There are no universal interfaces. How asymmetrical roles and asymmetrical controllers can increase access diversity. Game ital. J Game Stud2018; 7: 11–25.
36.
World Health Organization, United Nations Children’s Fund. Global report on assistive technology. Geneva: World Health Organization, 2022.
37.
KuoHJYeomansMRuizD, et al.Video games and disability—a risk and benefit analysis. Front Rehabil Sci2024; 5: 1343057.
38.
BrownMAndersonSL. Designing for disability: evaluating the state of accessibility design in video games. Game Cult2021; 16(6): 702–718.
