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Serious Games and digital interactive technologies for Healthcare Lucia Pannese Kranj, 25 September 2012
Brief History of Games for Healthcare Games and Simulations for Healthcare are not new!The Nursery Rhyme “game” Ring a ring o‘ Roses is associated with the Plague Children play “Doctors and Nurses” etc…
Games for Collaborative Learning Collaborative Learning is growing in importance andgames are now being applied to support collaboration and knowledge sharing
Fields of application of Serious Games & simulations in Healthcare Supporting therapy, rehabilitation after severe illness Self‐management of illness /chronic conditions (e.g. diabetes) “Exergames“ ‐ motivating and supporting physical activity and healthy lifestyle Anonymous group therapy Preventive medicine Behavioural change Healthy Nutrition Train healthcare professionals (medical procedures, methods for diagnosis, patient monitoring …..) Doctor‐patient communication
Training for Rare and Hostile Situations Triage Trainer is a good example of training medical professionals in emergency situations
Simulation of Medical Conditions“Dying Dave” and “Patient Rescue” are examples of high fidelity representation of medical conditions and link real‐world data to visualisations
Haptic Devices in SimulationsHaptic devices in simulations develop physical skills: multisensory learning experience
Virtual World VisualisationsVirtual World 3D visualisations help to orient staff and patients
Games for Staff at Hospital Hoists are used to move and handle children in situations when manual handling is a high risk. There is a risk of injury if the equipment is not used correctly. GOSH created a 30 minute simulation to reinforce practical training for operators using a hoist in a practical setting.GOSH:Great Ormond Street Hospital
The Virtual Pain Manager‐ target group: nurses‐ simulation contents: student nurses must use a Patient Controlled Analgesia (PCA) machine with a post‐operative patient in order tocontrol and reduce the patient’s pain sufficiently, ideally within 48 gamehours
Virtual ECG- target group: students and professionals‐ simulation contents: user is supposed to place electrodes correctly on the body of the patient in order to connect the ECG machine and record the ECG‐ online, high fidelity, simulation that aims to reduce the incidence of inaccurate ECG scans by teaching accurate recording of ECG scans through practice. Learners attach the ECG electrodes and cables to a ‘patient’ and record an ECG.
Games for Behavioural Change„Pos or Not“ is a viral game to raise awareness of HIV/Aids and change behaviour
Self‐management of illness and chronic conditionsPacky & Marlon: ‐ adventure game for the Nintendo platformpopular in the early 1990s‐ target group: diabetic children and adolescents‐ game contents: player has to manage his character’s blood‐glucose monitoring, insulin use, and food selections while he tries to save a diabetes summer camp from marauding rats and mice. ‐ studies and researches: clinical trial of outpatients at Stanford University Medical Center and Kaiser Permanente clinic, the game reduced their diabetes‐related, urgent‐care, and emergency room visits by 77 percent.
Smash Your FoodAn award‐winning mobile game called Smash Your Food is making strides among kids by allowing them to virtually smash junk food into oblivion, aiming for both fun and gross‐out appeal, all while learning about nutrition.• Created by Washington‐based nutritionist Marta De Wulf, • game was released in late March as an iPad app• winner in First Lady Michelle Obamas "Apps for Health Kids" Competition, part of her Lets Move! initiative.
MY FOOD FIGHT!® MY FOOD FIGHT!® is a fun interactive journey to combat the health enemies that we each encounter daily. Focused on nutrient density in food, players are rewarded for their consumption of high nutrient dense and organic foods
Train Nutrition Seriously • Portal with recipes • Nutrition database • Mobile game • Community
Supporting therapyHope Labs Re‐Mission Game:‐ target group: adolescent and young‐adult cancerpatients‐ game contents: player controls a robot that entersthe bodies of cancer patients in order to destroy diseased cells; meanwhile he has to monitor and manage side effects of cancer and its treatment‐ studies and research: improving of both treatment adherence as well as indicators of cancer‐related self‐efficacy and knowledge
Exergames: Dance Dance Revolution ‐ developed in Japan for children‐ game contents: music video game that requires players todance in progressively more complicated and strenuous patternsin time with music. ‐ studies and research: game has been implemented in schools in West Virginia→ improvements in aerobic capacity, blood pressure, and overall fitness level as well as childrens self‐esteem
Exergames ‐ Recent design trendsMany incentives in the USA to fight against severehealth problems and lack of healthy culture (food, etc.)The most recent Exergames are based on specialhardware / input devices (e.g. Wii Remote and WiiBalance Board for Nintendo Wii, Kinect for Xbox360, PlayStation Move for PlayStation 3 or Gamercize, which connects exercise machines such as stationary cyclesand steppers to diverse video game consoles)→ players movements are turned into the gamescontroller Gamercize played on PS2 Exergaming, nowadays, can be found in specialist rooms oflarger fitness facilities or gyms designed only for exergamingprogrammes
Effectiveness of ExergamesA study by the University of California San Diego and San Diego StateUniversity of 29 seniors and the Wii exercise showed a decrease indepression as well as an improvement of mental capacity, emotional health, social aspects and painStudies have shown that Gamercize notably increases players motivationto keep up their exercise routineFurthermore, combining cardiovascular exercise and balance practice hasbeen shown to increase academic successResearch projects have shown that exergaming can connect players over anetwork and, this way, support the social power of exercising together
Microsoft Kinect Xbox Kinect is an input device developed by Microsoft for the Xbox 360 video gameconsole and Windows PCsFeatures: Motion sensor: tracks your entire body Skeletal tracking: Kinect creates a digital skeleton based on depth data Facial recognition: Kinect collects physical data to be able to recognize youVoice recognition: microphones recognize and seperate your voice fromother noises in the room
The Kinect EffectPeople have started to use Kinect in creative ways: not only forentertainment but also in education and healthcare sectors.Some innovative examples:Integration of Kinect into the therapy of autistic people (e.g. at the LakesideCenter in Issaquah, WA)Supporting the rehabilitation progress of stroke and other brain injurypatients by motivating them to move certain parts of their body (e.g. RoyalBerkshire Hospital in Reading, UK) Usage in hospitals, for example in operating rooms, to help doctors navigate MRIsand CAT scans with a wave of their hand (e.g. Tedesys in Spain) → this way they can avoid bacteria infections since they do not have totouch anything Usage for vitual anonymous group therapy through the creation of a Kinect avatar
More to come….Rehab4Life:Engaging Game‐based Home Rehabilitation for Improved Quality of LifeCombining Nintendo Wii / Sony PlayStation Move / Microsoft KINECT + Serious Games for rehabilitation at home after hospitalizationREHAB4LIFE will transform the patient’s home in a place where physical and cognitive rehabilitation process can be performed in an intensive and engaging though properly controlled way, while promoting social inclusion and quality of life.