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I love you Pecha Kucha!




                                              You cheating bastard!




ePatient Connections | Philadelphia, PA | Sept 21, 2011
1. “GAMIFICATION”| 2. MECHANICS | 3. FRAMEWORK
Breathe easier w/Cystic Fibrosis   Blast cancer and learn




Fight iron overload                       Shred diabetes
Gamification of Health
HealthSeeker
Nike+ FitBit




 Zamzee        HealthMonth
A pedal-powered vending machine?
    Why didn’t I think of that?!?!




 ActivateDrinks.com


  Because you’re too busy with your
    stupid video games, moron!
Puzzle-loving Gamers Solve One of
  Science’s Biggest Riddles in 10 Days!




Fold.it

 Competitive social interaction is a
      strong driving force.
Gamification.org



                   Achievements     Blissful       Behavioral     Bonuses      Appointment        Cascading
                                  Productivity     Momentum                     Dynamics      Information Theory




                     Combos        Community       Countdown       Discovery   Epic Meaning       Free Lunch
                                  Collaboration




                     Infinite       Levels        Loss Aversion    Lottery      Ownership          Points




                                                                                                                   Gamification.org
                    Gameplay




                   Progression       Quest         Reward           Status       Urgent            Virality
                                                  Schedules                     Optimism
Game Mechanics               Gamification
Rule-based systems that      The application
facilitate, motivate, and    of          game
encourage users to           mechanics and
explore and learn the        game-thinking in
properties     of    their   non-game
possibility         space    environments to
through the use of           increase fun and
feedback mechanisms.         engagement.



                                       Source: Gamification.org Wiki
Countdown Dynamics
ProgressWars.com
The ultimate game of being better than all your
        friends at filling progress bars
“Reality doesn’t motivate us effectively.
Reality isn’t engineered to maximize our
potential. Reality wasn’t designed from the
bottom up to make us happy.

Reality, compared to games, is broken.”
                                   Jane McGonical, author of REALITY IS
                                      BROKEN (2011), speaks at TED 3/11
Reality: Worst Game Ever
Player on the verge of an
            EPIC WIN
Introducing…




a health gaming model


Experience | Purpose | Incentive | Catharsis
experience
 Create an experience set in
 a engaging environment
purpose
  Ensure players progress
  with w/plan & purpose
incentive
 integrate incentives to
 drive increased
 involvement & interaction
catharsis
  Deliver cathartic moments
  on a continuous course of
  escalating challenges
It will thank you later
Let’s Myagi the world

   @SKYPEN | IGNITE HEALTH | THANK YOU!

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Gamification of Health

  • 1. I love you Pecha Kucha! You cheating bastard! ePatient Connections | Philadelphia, PA | Sept 21, 2011
  • 2. 1. “GAMIFICATION”| 2. MECHANICS | 3. FRAMEWORK
  • 3. Breathe easier w/Cystic Fibrosis Blast cancer and learn Fight iron overload Shred diabetes
  • 6. A pedal-powered vending machine? Why didn’t I think of that?!?! ActivateDrinks.com Because you’re too busy with your stupid video games, moron!
  • 7. Puzzle-loving Gamers Solve One of Science’s Biggest Riddles in 10 Days! Fold.it Competitive social interaction is a strong driving force.
  • 8. Gamification.org Achievements Blissful Behavioral Bonuses Appointment Cascading Productivity Momentum Dynamics Information Theory Combos Community Countdown Discovery Epic Meaning Free Lunch Collaboration Infinite Levels Loss Aversion Lottery Ownership Points Gamification.org Gameplay Progression Quest Reward Status Urgent Virality Schedules Optimism
  • 9. Game Mechanics Gamification Rule-based systems that The application facilitate, motivate, and of game encourage users to mechanics and explore and learn the game-thinking in properties of their non-game possibility space environments to through the use of increase fun and feedback mechanisms. engagement. Source: Gamification.org Wiki
  • 11. ProgressWars.com The ultimate game of being better than all your friends at filling progress bars
  • 12. “Reality doesn’t motivate us effectively. Reality isn’t engineered to maximize our potential. Reality wasn’t designed from the bottom up to make us happy. Reality, compared to games, is broken.” Jane McGonical, author of REALITY IS BROKEN (2011), speaks at TED 3/11
  • 14. Player on the verge of an EPIC WIN
  • 15. Introducing… a health gaming model Experience | Purpose | Incentive | Catharsis
  • 16. experience Create an experience set in a engaging environment
  • 17. purpose Ensure players progress with w/plan & purpose
  • 18. incentive integrate incentives to drive increased involvement & interaction
  • 19. catharsis Deliver cathartic moments on a continuous course of escalating challenges
  • 20. It will thank you later Let’s Myagi the world @SKYPEN | IGNITE HEALTH | THANK YOU!

Hinweis der Redaktion

  1. Good afternoon. I’m Fabio Gratton, Chief Innovation officer of Ignite Health.And beyond the love I have for what I do, my family and my two Chihuahuas, I love games. I created my first board game when I was 7, programmed my first computer game in basic when I was 12, and have owned every single game system available since there were any – starting with the Atari 2600 in ‘77 with its KILLER APP – Space Invaders.
  2. Today, I want to talk to you about the “Gamification of Health” – more importantly, I want to make sure we agree on what exactly we mean when we use this term. And then I’d like to briefly talk about some key mechanics that underlygamification, and introduce a framework that I have found to be effective when thinking about gamification specifically in the healthcare space.
  3. When most of us thing about games in the context of health – we think about a classic arcade style genre infused with health-related content, where instead of shooting aliens with a laser, we’re blasting a tumor with a chemotherapy gun.Despite the fact that most of us have probably never played a game that cured cancer – let alone a cold -- there are many published studies that show that these forms of game-style interventions can be very effective in improving knowledge, adherence, and proving emotional and psychological support. So while these are “Games for Health”, this is NOT what we mean by “gamification of health”.
  4. And in recent years as game console manufacturers have introduced innovative controller technologies like the Wii or Kinect, we’ve seen the birth of a new genre known as EXERGAMING – which in less than 2 years has already become a $1 billion dollar industry, led by Nintendo’s Wii Fit. While no one would argue that this genre of “game” delivers direct health benefits and makes exercising fun -- it is still not what we mean by GAMIFICATION OF HEALTH.
  5. And then just in the past few years as social networks, wireless and mobile devices have become pervasive and ubiquitous – we’ve seen the emergence of whole new wave of game-like services that begin to blend the virtual and the real, creating what Scavenger’s Chief Ninja calls “The Game Layer” on our real lives. People’s morning run is suddenly a 2 mile stretch of virtual marathon on Saturn. A facebook game awards me experience points and badges for eating healthy in the real world.What’s happening here? Is this gamification?  
  6. And the other day I found myself walking down the street and I was lured by a young woman to a vending machine where she asked me to ride a stationary bike for ten minutes – ion exchange for a free drinks.I hate bikes that go nowhere, but I love free shit and I WAS thirst. So there I was pedaling in place – and suddenly I am became aware of a sign on the machine that my 10 minute ride was actually burning the exact amount of calories in the drink I was workingfor. Realizing the it would take me over 1 hour to ride my way to a BigMac, I suddenly found myself with a whole new appreciation and understanding of the connection between food and exercise. But what the hell just happened? Was I gamified?
  7. And then a few days ago I see a story about a new breakthrough in protein modeling that can lead to entire new therapies in HIV – a riddle that’s been baffling scientists for decades … And here’s the kicker – it was solved in under 10 days by a group of puzzle-loving gamers in a competition that used a 3D game tool called Fold.it.These gamers knew nothing about protein structure – but their adeptness in manipulating objects within3D environments combined with the communal goal and countdown competition led to a previously inconceivable solution.
  8. “Rewards”, “points”, “achievements”, “badges”, “status”, “leaderboards” – what are all these critters that we’re starting to see everywhere? Dozens of them, each with its own unique ability to motivate, reinforce, or engage people to accomplish things they never could have or would have before?And when combined in just the right way, they can work to power entire business models.These critters have a name indeed. They’re called GAME MECHANICS.
  9. So while game mechanics are like the gears that make an engine work inside a car, it’s their application and effectiveness in non-game systems that make them extremely intriguing to all of us. In fact, it’s the application of gamemechanics that truly defines what it means to GAMMIFY a system. A principle so simple and powerful that Gartner believes by 2015 50% of all business will be somehow GAMIFIED.
  10. Just to bring this a bit more to life, let’s look at one of my favorite game mechanics – the “countdown clock”.The classic sand-filled hour glass made us jeer and jump with excitement as came up with words for boggle or drew pictures in Pictionary – yet this is the exact same mechanic at work that creates urgency and engagement for companies like Groupon, Ebay or Gilt.Sprinkle in some reward points, badges, a free lunch and bam, you have a multi-billion dollar company. Right? 
  11. Not exactly. As notable game designer Sebastian Deterding described, simply adding game mechanics to systems is flawed “pop behavioralism” – not unlike dolling out a sugar pellet to a rat everytime it hits a lever.To highlight the absurdity of this notion JakobSkjerning went on to create an online game called progress wars – where you are assigned meaningless tasks (plunder your family, Beat an Eggplant, annoy a rat), and you simply hit a button and watch the progress bar fill until it’s complete and you level up. Amusing for about one second – but makes its point brilliantly.Because in reality – the fun and engagement that comes from a gamified system has a lot to do with learning and achieving a certain mastery of something.
  12. As Nancy McGonical wrote in her book “Reality is Broken”, game mechanics can be an effective way to add a layer of meaning and sense to our otherwise chaotic world -- structure that helps motivate people based on proven principles (ie, game mechanics).And given that this reality is broken, we can either continue to watch the people’s exodus into the virtual world, or try to keep people from escaping into games by making life as engaging as the games they enjoy playing.And that’s our task, folks.
  13. So w/in the context of this compelling theory, is it really use game mechanics to make reality better, improve lives, and improve health? If the numbers are true – that the average person has played over 10,000 hours of video games before they are 21 – and that over 60% of all adults played several hours of video games each week – then maybe, just maybe, we can turn what seems like an impossible task of making the world a better, healthier place, into an achievable goal – albeit perhaps still remarkably difficult. This shift into the realm of possibility is the first step of our great mission.
  14. In her Ted Talk earlier this year on the same topic, Nancy showed us a picture of a gamer on the verge of an EPIC WIN – An EPIC WIN, for those that don’t know, is a victory so great that even the person doesn’t believe it’s possible until they’ve actually achieved it. That, right there, is the face.For an EPIC win to be possible, there needs to be some kind of EPIC MEANING – something you are working to achieve that is great, awe-inspiring, bigger than ourselves. Well, that’s exactly what we need to accomplish in healthcare, because lives depend on it. That’s pretty epic. So today I want to introduce to you a new framework for how we can GAMIFY HEALTH, and ensure that game mechanics are applied effectively.
  15. Instead of re-inventing the wheel, I’ve simply decoded the alphabetical DNA of the word “EPIC” Nancy introduced to us and ascribed meaning to each of its letters – letters that stand for key components that I believe are essential in any gamified system – understand, this is not some abstract invention of mine, it’s a distillation of hundreds of different game theories and models, looked at through a health lens.These components are: Experience, Purpose, Incentive, and Catharsis, and in the final 2 minutes I will briefly touch on each one.
  16. If game mechanics are actors, then by experience we mean “the story” – or the set and environment where the story takes place. No matter what our goal is with our gamifying projects, we need to remember that we are NOT simply building a button and progress-bar dashboard for our users. They need and WANT to be part of an engaging experience – however short or long – in whatever the channel.While this may seem obvious to many of you in the room who specialize in communications, the art form of storytelling seems to get lost when people start tinkering with game mehanics. As though somehow a great actor requires no great script or direction for the movie to be great. Has anyone seen Ishtar, Waterworld, or the Adventures of Pluto Nash?
  17. Keep in mind, many game mechanics like “progress bars”, “badges”, and “points” are simply visualizations / articulations / feedback loops of some achievement.Game mechanics are there to ensure a person remains engaged, understands the progress in their journey -- where they’ve come from and how far they have to go – and oftentimes they can function as both a feedback loop of achievement and a small carrot of motivation – but one thing is certain: Mechanics are NOT the WHY – they are not the driving force of why people actually do what they do. So it’s important to remember that there needs to be a higher purpose – an EPIC MEANING – for a gamified experience to succeed.
  18. It’s impossible to talk about gamification without discussing “Incentives”. W/out a question this is one of the most fundamental elements of any gamified system. Keep in mind, an incentive does not have to be monetary or even physical. It can be a boost to self esteem by visibly displaying a badge for an achievement. Incentives come in many shapes and sizes – as they say: One Man’s Garbage is Another Man’s Gold.
  19. One effective game mechanic employeedin game-level design is called “scaffolding”, where just as a person master a new skill, they are faced with a new challenge that will teach them new skills – it’s a way to prevent boredom and keep users engaged. But one common failure we have seen in the implementation of this system is to not let people FEEL that moment of “leveling up” – again, giving it meaning.It’s important for those of us looking to gamify health systems that we ensure we are enabling use to EXPERIENCE THE CATHARSIS. CATHARSIS, a term first used by Aristotle in reference to characters in a play when there is a RELEASE OF PENT UP EMOTION OR ENERGY, is one of the greatest reward systems of all time.It is in fact these ongoing, mini-cathartic moments that keep people addicted to games. These are the real sugar pellets of life that will keep people hitting the lever over and over.
  20. In closing, I want to say 3 final things.To reiterate: GAMIFICATION OF HEALTH is not the the same as making a video-game that communicates health-related messages—it’s the application of the appropriate GAME MECHANICS to create engagement and fun in a system. The EPIC framework I’ve shared is a helpful checklist of core components that can make or break any attempt at gamification.And lastly, game mechanics, when done well, are invisible to a user. Like me, pedaling away on a stationary bike wanting and expecting nothing more than a free drink from a vending machine – and then suddenly found myself sweating and learning – then subsequently making better diet choices as a result of my experience. As I like to call it, “I’ve been Miyagied.” So go forth and Myagi the world. Thank you.