games for health europe - federico semeraro & luca marchetti - relive: a game to learn how to...
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Relive: a game
to learn how to save lives
Dr Federico Semeraro
Italian Resuscitation Council, Bologna Italy
Luca Marchetti
CEO Studio Evil, Bologna Italy
Dedicated to the Next Generation
Andrea was born 20th November 2010
20th November 2010 6.35 his first photo with iPhone
2nd December 2010 First Skype Call Bologna-Porto
21st November 2010 Andrea’s Secret Facebook Group
23th November 2010 Andrea slept with music from iPod
2 full jumbo jets crashing with
no survivors each and every day.
Cardiac Arrest
www.restartaheart.eu
1,000 deaths per day every day of the year across Europe.
Bystanders CPR
• Sweden 55% (Norderg et al. 2005)
• Amsterdam 54% (Koster et al. 2001)
• Seattle 52% (EMS Report 2012)
• London 36.7% (London Ambul.Serv. NHS 2011)
• US 32% (AHA 2012)
• Bologna 11% (118 Bologna 2011)
• Milano 11% (Morici et al. 2010)
• Europe 11% (ERC 2013)
European Restart a Heart day
Mini-VREM project
Future of Health Award 2012
Future of Health Award 2012
Veel Dank
Motion detection technology as a tool for cardiopulmonary resuscitation
(CPR) quality training: a randomised crossover mannequin pilot study
Resuscitation 84 (April 2013) 501– 507
Motion detection technology as a tool for cardiopulmonary
resuscitation (CPR) quality training: a randomised crossover
manikin pilot study
Conclusions
The Mini-VREM system was able to improve
significantly the quality of chest compressions,
in terms of compression rate and depth,
performed by healthcare professionals and lay people
in a simulated cardiac arrest scenario.
The system was perceived as easy to use and
providing an effective feedback.
Mini-VREM project
present
Federico Semeraro: o Specialty Doctor Anaesthesia and Intensive Care
Maggiore Hospital Bologna, Italy.
o Italian Resuscitation Council Executive Committee
o Relive Project coordinator
Erga Cerchiari:o Clinical Director Anaesthesia and Intensive Care
Maggiore Hospital Bologna, Italy.
o Past-President Italian Resuscitation Council.
o Relive Scientific Supervision
“The doctors”
Antonio Frisoli:o Associate Professor, PERCRO Laboratory, Scuola
Superiore Sant'Anna Pisa, Italy. Relive Tracking engine
coordinator & scientific supervisor
Claudio Loconsole:o Eng. PhD, PERCRO Laboratory, Scuola Superiore
Sant'Anna Pisa, Italy. Relive Tracking engine developer
“The Engineers”
Fabio Stroppa:o Reserch Fellow, PERCRO Laboratory, Scuola
Superiore Sant'Anna Pisa, Italy. Relive Tracking
engine developer
Nicola Mastronicola:o Research Fellow, PERCRO Laboratory, Scuola
Superiore Sant'Anna Pisa, Italy. Relive Tracking
engine developer
“The Engineers”
Luca Marchetti:o Studio Evil CEO
o Relive Game Development coordinator
Marco Di Timoteo:o Studio Evil art director, lead designer
o Relive Game Design
“…and Game Dev”
Christian Meneghini:o Studio Evil CTO
o Relive Game Technical Artist
Luca Salmin:o Studio Evil Senior Developer
o Relive Game Tools and Game play programmer
“…Game Dev”
IRC Executive Committe
RELIVE
RELIVE is a game about cardiopulmonary resuscitation.
The main purpose of this game is to increase the awareness about this
topic and push people, especially teenagers and young adults, to take
a CPR class and be prepared to intervene in case of need.
The idea is to create a fun and entertaining game, a SCI-FI opera, to
gather the attention of the audience, and let the CPR concept slip
through the game.
During the game the player is forced to learn the basis of CPR to move
forward in the story, in an interesting and non-invasive way.
To keep the CPR skills razor sharp and for a fun and fast CPR
challenge a tournament mode will encourage group play.
Family, schools and groups will challenge themselves to beat the best
score.
RELIVE
RELIVE
TOURNAMENT MODE
to increase CPR
skill and knowledge
STORY MODE
to increase cardiac
arrest awareness
• Standard setup (PC Keyboard & Mouse)
• Tournament mode setup – Full tracking setup 1 – Microsoft Kinect
– Full tracking setup 2 – Intel Perceptual Camera (2015)
– Oculus Rift (2015)
RELIVE
Relive Study
• Baseline CPR knowledge and skill of target groups (March 2014)
collecting data from a selected target group as a baseline knowledge
(MCQ) and CPR skills (CPR quality data):
– MCQ about cardiac arrest, CPR and algorithm BLS & AED;
– 2 minute CPR without any previous training (quality data collected
with Relive)
• Game Phase - Target group play with RELIVE game (May 2014)
– Target groups played with RELIVE in the competition mode
directly at school; the mission of the target groups was to
participate to a 2-minute CPR competition.
– Only one session of 2-minute CPR competition
Relive Study
• Retention collecting data from the same target groups about
CPR skills (CPR quality data) and knowledge (MCQ) (Sept 2014):
– MCQ about cardiac arrest, CPR and algorithm BLS & AED
– 2 minute CPR (quality data collected with Relive).
Baseline
March
Competition
MayRetention
Sept
B/C
B/R
Relive Study B/C
• Baseline (based on 65 students):– Mean compression rate (cpm): 92±34
– Mean compression depth (mm): 29±12
• Competition (based on 65 students):– Mean compression rate (cpm): 111±10
– Mean compression depth (mm): 46±8
• ERC GL: rate 100-120 cpm & depth 50-60 mm
• t student baseline vs competition– Mean compression rate p < 0.0001
– Mean compression depth p < 0.0001
Relive Study B/R
• Baseline (based on 52 students):– Mean compression rate (cpm): 97±35
– Mean compression depth (mm): 30±11
• Retention (based on 52 students)– Mean compression rate (cpm): 133±39
– Mean compression depth (mm): 47±15
• ERC GL: rate 100-120 cpm & depth 50-60 mm
• t student baseline vs retention– Mean compression rate p < 0.0001
– Mean compression depth p < 0.0001
RELIVE
RELIVE TOURNAMENT MODE EVALUATION
Relive Study
Q1 It was difficult to use Relive in the competition mode
1 - Strongly disagree
2 - Disagree
3 - Somewhat disagree
4 - Neither agree or disagree
5 - Somewhat agree
6 - Agree
7 -Strongly agree
Median response (65): 3 Somewhat disagree
Q2The feedback that you received from Relive game on
your chest compressions performance during 2
minutes of CPR were clear
Median response (65): 6 Agree
Relive Study
Q3 Relive helped you to perform a chest compression rate
between 100 and 120 compressions per minute as
recommended by 2010 guidelines
1 - Strongly disagree
2 - Disagree
3 - Somewhat disagree
4 - Neither agree or disagree
5 - Somewhat agree
6 - Agree
7 -Strongly agree
Median response (65): 6 Agree
Q4 Relive helped you to perform a chest compression
depth between 50 and 60 millimeters as
recommended by 2010 guidelines
Median response (65): 6 Agree
Relive Study
Relive game competition evaluation (2 Italian Schools)
65 students Q1 Q2 Q3 Q4
3 6 6 6
Relive Study
Relive game competition evaluation (Public Place Event Bologna)
33 students Q1 Q2 Q3 Q4
3 6 6 6
Relive Study
Relive game competition evaluation (IRC Congress Naples)
34 HPs Q1 Q2 Q3 Q4
3 6 6 6
Testing & Outcome
Primary outcome:
• increase awareness about cardiac arrest and CPR in TG
• > 70% in TG
Secondary outcome:
• a significant improvement of CPR knowledge in TG
• > 50% in TG
• a significant improvement of CPR skills in TG• Improve significantly CPR skill quality data pre-post
- chest compression rate and depth baseline (pre) vs post (feedback)
The game will accomplish the compliance objective if the primary
outcome and at least one of the secondary outcome are reached.
TG Target Group
Relive Study
Secondary outcome:
• a significant improvement of CPR knowledge in TG
> 50% in TG
MCQ (10 questions) – 52 students
Baseline 46±13 vs Retention 62±13 p ≤ 0.01
Students 38/52 (improvement in 73% of target group)
• a significant improvement of CPR skills in TGImprove significantly CPR skill quality data pre-post
- chest compression rate and depth baseline (pre) vs retention (post)
Relive Study B/R
• Baseline (based on 52 students):– Mean compression rate (cpm): 97±35
– Mean compression depth (mm): 30±11
• Retention (based on 52 students)– Mean compression rate (cpm): 133±39
– Mean compression depth (mm): 47±15
• t student baseline vs retention– Mean compression rate p < 0.0001
– Mean compression depth p < 0.0001
– Students 38/52 (improvement in 73% of target group)
Testing & Outcome
Primary outcome:
• increase awareness about cardiac arrest and CPR in TG
> 70% in TG
CPR Knowledge improvement in 73% of target group
CPR Skill improvement in 73% of target group
The game will accomplish the compliance objective if the primary
outcome and at least one of the secondary outcome are reached.
• Relive International launch
• Relive Netherlands Study
• ERC collaboration in several countries
• European Restart Heart Day 2015
The Future
relivegame.com
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