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DESIGNING SERIOUS GAMES
FOR BEHAVIORAL CHANGE IN
HEALTHCARE
Milan, 21 Januaryst
Antonio Grillo
@antonio_grillo
DESIGNER15+
6+
@antonio_grillo
HEALTHCARE
HEALTHCARE
IS A PRIVILEGED
OBSERVATORY
FOR INNOVATION
Diagnostic Augmentation
Regeneration Treatment
3D Printed
Personalised
Drugs
EMT Biogerontology
HEALTHCARE
INNOVATION
BUSINESS
Digital Health Funding Tops $4.1B
$4.1B, nearly the total of all three prior years combined.
258 companies that had their coffers filled by investors.
source: Rock Health Founding Database. Rock Health has been tracking digital health funding since 2011
HEALTHCARE
AND GAMES
It is a Paradigm that aims
to bridge the gap among…
Technology Education
Health Benefit
Needs
Motivation
“Serious game or Applied game is a
game designed for a primary
purpose other than pure
entertainment.”
— Wikipedia
A behavioral change solution based
on a Serious Game to turn bad
habits of chronic disease patients
into good ones
OUR CHALLENGE
Inclusive game Design
Rewards based on the real benefit
Supporting each other
Intrinsic Motivation
ASK vs. NEEDS
CLIENT
Farmville-like game mechanics
Rewards based on game coins
Competition among the user
Extrinsic Motivation
Human-like Avatar Companion as Mentor
play the game CHANGE YOUR BEHAVIOR
DIALOGUE
Sketching the Companion
Digital
Companion
MORE Pervasive
LESS Intrusive
Mentor
Funny
Optimistic
Vital
Emphatic
Encourages
Creativity
The Mentor may increase
intrinsic motivation by
allowing “students” to have
greater autonomy, making
the workplace fun, or
encouraging creativity.
Motivational Framework
MOTIVATIONAL
FRAMEWORK
Extrinsic Motivation
Intrinsic Motivation
desire to do something because
of external rewards
desire to do something because
it is enjoyable
or
MOTIVATIONAL
FRAMEWORK
Intrinsic Motivation
Rewards always connected to
the received BENEFIT
MOTIVATIONAL
FRAMEWORK
Intrinsic Motivation
No “Shops” but “a place where
the user can learn by facing the
progresses
MOTIVATIONAL
FRAMEWORK
No competition based on
Extrinsic Reward but -at least-
based on the Intrinsic Reward
Intrinsic Motivation
MOTIVATIONAL
FRAMEWORK
Inclusive Game Journey
Adopting RAMP
RELATEDNESS
the desire to be connected to others
User type: Socialiser
Social Status, Social Connection,
Belonging
MOTIVATIONAL
FRAMEWORK
Inclusive Game Journey
Adopting RAMP
AUTONOMY
freedom
User type: Free Spirit
Creativity, Choice, Freedom, Agency
MOTIVATIONAL
FRAMEWORK
Inclusive Game Journey
Adopting RAMP
MASTERY
the process of becoming skilled at
something
User type: Achiever
Learning, Personal Development, Skill Up
MOTIVATIONAL
FRAMEWORK
Inclusive Game Journey
Adopting RAMP
PURPOSE
our need for there to be meaning to our
actions (i.e.: Wikipedia contributor)
User type: Philanthropist
Altruism, Meaning, A Reason Why
Game Mechanics
Students who are challenged enjoy
learning and learn more
ENJOYMENT RULES
1 Comfort Challenging but Completable Tasks
2 Clear Goals
3 Immediate Feedback
4 Deep, Effortless Involvement
5 Sense of Control over Actions
OPTIMAL
EXPERIENCE
SKILLS
CHALLENGES
Boredom
Anxiety
source: "Flow: The Psychology of Optimal Experience” -p74, Csikszentmihayli
A1
A3
A2
A4
FLOW
CHANNEL
GAME
MECHANICS
LEARNING BY
CHALLENGING
Challenges
Goals
Evolution
Rewards
Motivation
GAME
MECHANICS
LEARNING BY
CHALLENGING
Failure Cycle
Collect user behavioral data in a non
intrusive way including failed attempts
and incorrect behavior
GAME
MECHANICS
LEARNING BY
CHALLENGING
Challenges
Goals
Accept | Refuse | Not Now
GAME
MECHANICS
EVOLUTION
Once the user has reached a
certain loyalty within the
system, the final level consists
of becoming part of the
system itself.

At this stage, the user is called
to become a system
contributor and to support
users.
+ Goals Achieved
+ Community inter.
+ …
Wisdom
Explorer
Mentor
GAME
MECHANICS
REWARDS
Intrinsic Motivation
Context
The user is asked to “cultivate” his/her
Benefits by following the “Mentor”
indication, otherwise the earned
benefits will degenerate.
GAME
MECHANICS
COMMUNITY
People
Stories
EvolutionDialogues
Wisdom
Competition
GAME
MECHANICS
COMMUNITY
Temporary Community
The user is allowed to create
temporary a community to achieve a
certain goal / challenge. Within the
temporary community context the
users can support one each other.
GAME
MECHANICS
COMMUNITY
Competitions
Among Mentors
The user becomes Mentor for the rest
of the community.
The game mechanics will be enriched
by including a competitive scenario
about the Reputations among the
“Mentors”.
Game Environment
Connected Object
Storytelling
Game Environment
Storytelling
“Connected Objects are
Natural Born Storytellers
— Leandro Agrò
Magnify stories might be created with the right
combination of automatic contribution coming
from objects’ sensors with ‘low resistance’ /
commons habits from humans.”
WHAT / WHEN / HOW /…
THE USER WANTS
Collect user behavioral data in an non
intrusive way by Listening what the user
does within and outside the system.AI
ME
Internet of
Internet of
caring
Things
DIALOGUE WITH THE FUTURE
THANK YOU
@antonio_grillo
antobird71@gmail.com
Milan, 21 Januaryst

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