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| Id | 587 | |
| Author | Bruggers C.S., Baranowski S., Beseris M., Leonard R., Long D., Schulte E., Shorter A., Stigner R., Mason C.C., Bedrov A., Pascual I., Bulaj G. | |
| Title | A prototype exercise-empowerment mobile video game for children with cancer, and its usability assessment: Developing digital empowerment interventions for pediatric diseases | |
| Reference | Bruggers C.S., Baranowski S., Beseris M., Leonard R., Long D., Schulte E., Shorter A., Stigner R., Mason C.C., Bedrov A., Pascual I., Bulaj G.; A prototype exercise-empowerment mobile video game for children with cancer, and its usability assessment: Developing digital empowerment interventions for pediatric diseases ;Frontiers in Pediatrics vol:6 issue: page: |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046666949&doi=10.3389%2ffped.2018.00069&partnerID=40&md5=37d41ffaff413bc86505df00d8eb5d6f |
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| Abstract | Background: Medical advances continue to improve morbidity and mortality of serious pediatric diseases, including cancer, driving research addressing diminished physical and psychological quality of life in children with these chronic conditions. Empowerment enhances resilience and positively influences health, disease, and therapy understanding. We describe the development and usability assessment of a prototype Empower Stars! mobile video game grounded in behavioral and exercise theories with the purpose of coupling physical exercise with empowerment over disease in children with cancer. Methods: Academic faculty, health-care providers, and community video game developers collaborated in this project. The iPadAir was selected as a delivery platform for its accelerometer and gyroscope features facilitating exercise design. Unity multiplatform technology provided animation and audiovisual features for immediate player feedback. Javascript, C#, Photoshop, Flash, and SketchUp were used for coding, creating graphical assets, Sprite sheets, and printing files, respectively. 3D-printed handles and case backing were used to adapt the iPad for physical exercise. Game usability, engagement, and enjoyment were assessed via a multilevel study of children undergoing cancer chemotherapy, their parents, and pediatric cancer health-care providers. Feedback crucial for ongoing game development was analyzed. Results: A prototype Empower Stars! mobile video game was developed for children 7-14 years old with cancer. Active, sedentary, educational, and empowerment-centered elements intermix for 20 min of exercise within a 30 min one-day treatment gameplay session involving superheroes, space exploration, metaphorical cancer challenges, life restoration on a barren planet, and innumerable star rewards. No player dies. Usability assessment data analyses showed widespread enthusiasm for integrating exercise with empowerment over cancer and the game itself. Favorite elements included collecting star rewards and planet terraforming. Traveling in space and the Healthy Food Choice game were least liked. The need for improved gameplay instructions was expressed by all groups. The usability study provided essential feedback for converting the prototype into alpha version of Empower Stars! Conclusion: Adapting exercise empowerment-promoting video game technology to mobile platforms facilitates usability and widespread dissemination for children with cancer. We discuss broader therapeutic applicability in diverse chronic pediatric diseases, including obesity, asthma, cystic fibrosis, diabetes, and juvenile idiopathic arthritis. © 2018 Bruggers, Baranowski, Beseris, Leonard, Long, Schulte, Shorter, Stigner, Mason, Bedrov, Pascual and Bulaj. |
A prototype exercise-empowerment mobile video game for children with cancer, and its usability assessment: Developing digital empowerment interventions for pediatric diseases. Extrinsic and intrinsic glory rewards include innumerable collectible bright stars achievement-related auditory sounds to reinforce feelings of accomplishment numerical account of stars earned numerical and bar graph visual indicators of progress toward terraforming the planet conquering the Cercer crabs and achieving empowerment over the metaphoric cancer challenges. It consisted of a series of discrete metaphorical mini-games centered on overcoming cancer-related challenges and integrated physical exercise with promoting teamwork a fighting spirit and a sense of personal empowerment in children with cancer. Health-care providers were particularly keen on the idea of incorporating cancer education and empowerment and exercise in a portable disease-specific video game. One attractive development pathway for the prototype Empower Stars!
MESOC has received funding
from Horizon 2020 - the EU Framework Programme
for Research and Innovation (2014-2020) -
under Grant Agreement n°870935.
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