diabetes gaming

7/26/2019 Diabetes Gaming

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Digital Games for DM

(Type 1>Type 2 focus)

Nabiel Mir

UQ MBBS MS!


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"o#te#ts

$%at are t%e curre#t c%alle#ges &it% T1DM'

$%at maes a goo game'

$%at i# of applicatio#s are out t%ere for all ages'

$%at is t%e curre#t la#scape of DM gami#g'

YourWay* !a#erbilt Diabetes "e#ter

The Glucose Race

Bayer DidgetsbG meter

Games for teac%i#g complia#ce

"a# !irtual +eality play a role'

$%at i#teracti,e games are bei#g pla##e for t%e future'

-re#c% Stuy. $%at sort of success %a,e t%ese games

ac%ie,e'


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"urre#t c%alle#ges i# T1DM /atie#ts

Children%a,e to mo#itor bG0 Diet0 #suli# a#participate i# p%ysical acti,ity Timeco#sumi#g a# stigmatii#g from #o# DM

Adolescentsare gro&i#g #suli# re3uireme#ts c%a#ge &it% age a# %ormo#es

#crease i#epe#e#ce from pare#ts

Social issues4/eer pressure4+isy be%a,iors

5,oi 6ypoglycemia i# social situatio#s (ru# %ig%)

Depressio# a# lo& self esteem 7ati#g 4o

MUST FIND WAY T !N"ANC! CM#$IANC! Supporti,e0 perso#alie0 respo#si,e to #ees


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$%y Digital Games'

#ter#et a# mobile access gi,e us tools to e#%a#ce self care ,ia eucatio# a#

i#formatio# access a# social support &it% ot%er c%ro#icill#ess su8erers

a,ailable to a most co#sumers toay Gamifyi#g isease %as bee# s%o i# t%e literature to

tra#sform bot%ersome tass i#to re&ari#g e9perie#cesto o,ercome isease bure#

"a# %a,e social i# game compo#e#ts to moti,ate

positi,e be%a,ior c%a#ge :B;:


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$%at maes a goo

game'


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Boulos0 Mage N


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$%at i# of applicatio#s

are out t%ere for all ages'


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6elp T2DM %abituate to a Dr prescribe programof meicatio# i#trouctio# a# lifestyle c%a#ge

Deli,ers eucatio#al co#te#t t%at co##ects &it%

real&orl %ealt%y acti,ities Breas up %ealt% relate i#formatio# i#to small

steps43uies &it% feebac

Narrati,e use &it% stories to co##ect &it% t%e

gamer ca# be use o,er a perio of mo#t%s >umpi#g i#formatio# o,er a series of co#sults

Maret researc% o# &ome# age ACI &it% DMs%o&e i#creasi#g self eEcacy a# peer support


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-aceboobase to %elp DM impro,e t%eir %ealt%t%roug% lifestyle c%a#ges

$ors o# multiple e,ices

Supporte by t%e Diabetes 6a#s -ou#atio# a# t%e

osli# Diabetes "e#ter at 6ar,ar Supporti,e social #et&ori#g e#,iro#me#t &it%

actio#able missio#s a# immeiate positi,e feebac

Spa#is% tra#slate as &ell for 6ispa#ic patie#ts

6elps patie#t &or t%roug% t%e stages of c%a#gemoel (co#templatio# actio#)

Qualitati,e e,al s%o&e players respo#e positi,elya# %as bee# use by DM eucators i# t%e past


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$%at is t%e curre#t la#scape of DMgami#g'


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Haem0 S=0 M= $ebster0 $= 6olmes0 a# M= $olf= @Games a#Diabetes. 5 +e,ie& #,estigati#g T%eoretical -rame&ors07,aluatio# Met%oologies0 a# ;pportu#ities for Desig#

Grou#e i# Hear#i#g T%eories=@ our#al of Diabetes Scie#cea# Tec%#ology (21C)

2121C re,ie& of t%e curre#t la#scapeof igital games for c%ilre# &it% DM

1J games

CNT!NT 12 focuse o# selfma#ageme#t a# factors t%at

c%a#ge bG K focuse o# e#couragi#g patie#t to i#crease t%eir bG

c%eci#g be%a,ior

L focuse o# DM eucatio# of S90 biology0mec%a#ics of i#uli# i#ectio#0 estimati#g carb i#taea# %ealt%y lifestyle i#ter,e#tio#


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YourWay* !a#erbilt Diabetes"e#ter

N6 fu#e &ebsite for tee#agers &it% Diabetes (Type 1 2) *target PSYCHOSOCIAL HURDLES

6elp resol,e feeli#gs of stigma4 embarrassme#t4lac ofpla##i#g4istractio#=

Ma#age epressio#4bur#out a# i#ae3uate situatio#al ecisio#

mai#g

-irstperso# accou#ts of situatio#s t%at tee#agers a# t%eirpare#ts e#cou#ter

79.ae0 a soccer player &%o &orries t%at %is brot%er0 a teammate0 is embarrasse

by %im=ae oes #ot &a#t to test %is bloo glucose i# fro#t of %is teammates prior to a

soccer game a# t%e# e9perie#ces a se,ere %ypoglycemic episoe uri#g t%egame=

Moel s%o&s ae lear#i#g %o& to resol,e t%is problem0 i#clui#g a part &%ere%e tals to %is brot%er about t%e situatio# a# a#ot%er part &%ere %e lear#smore about i#suli# osi#g a# sports from %is #urse practitio#er=


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The Glucose Race

i;S platform usi#g gestures to co#trol a c%aractert%at uses a pla#e4car4bie i# a race to see &%o &i#s

T%e game trics t%e players i#to u##o&i#gly usi#gt%eir #o&lege about i#suli# * fuel is foo0 oil4air is

i#suli# a# spee is e9ercise le,el= T%e player s%oul pla# before t%e raceO spee0 fuel

a# oil must be i# bala#ce

+aces agai#st recore races of frie#s gi,i#g t%e

impressio# of li,e i#teractio#= 6elp from frie#s ca# be pro,ie i# form of pre

recore comme#ts a# tips from pre,ious play


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The Glucose Race


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Bayer DidgetsbG meter

Bayer Diabetes "are

a# e8ecti,e &ay of promoti#g goo %ealt% practicesamo#g c%ilre# lie c%eci#g t%eir sugars

DDG7T is t%e Prst bloo glucose mo#itor o#ly for is

&%ic% co##ects to Ni#te#o DS Mae sugar testi#g fu#

+e&ars is for regular testi#g0 meeti#g sugar goals bycollecti#g poi#ts

Stuy DDG7T bG Mo#itori#g ,s regular a#alyer

12A subects age K2K yo

#o i8ere#ce i# t%e e,ices performa#ce or accuracy acrossage subsets=


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Games for teac%i#g complia#ce ;t%er games esig#e for traitio#al computers a# a gami#g

co#sole (Nintendo% Ga&e 'oy Ad(ance) to eucate patie#ts

o# iabetes ma#ageme#t= Ta&agaya.

players fee i#suli# or foo to a# egg a# get a# egg toe9ercise for a simulate &ee=

5fter a &ee0 t%e egg %atc%es &it% a c%ice# &%ose,isual appeara#ce a# be%a,ior is a result of t%e caret%at t%e patie#t pro,ie to t%e egg

/ersuaes t%e user to&ar appropriate be%a,ior bypro,ii#g a (isuali)ation o* e+ects o* good, -ad-eha(ior .ractices

Tantei. 5 ,irtual etecti,e &%o %as type 1 iabetes mellitus a# is

c%asi#g a crimi#al=

T%e etecti,e %as to stop uri#g t%e c%ase to mai#tai# plasmaglucose le,els by co#sumi#g foo or i#suli#=

Users %a,e to a#s&er a 3ui ce#tere o# #o&lege ofiabetes ma#ageme#t=

/isuali)ation o* their -eha(ior as e+ectso# t%e ,irtual


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"a# !irtual +eality play arole'


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+uggiero H0 Moasiri 50 Qui## H=0 et al= Diabetes isla#.prelimi#ary impact of a ,irtual &orl selfcare eucatio#al

i#ter,e#tio# for 5frica# 5merica#s &it% type 2 iabetes= M+Serious Games= 21KO2(2).e1=

Diabetes sla#

5 game o# seco# life &%ic% is a ,irtual &orl4computer simulatee#,iro#me#t t%at users i#%abit a# i#teract ,ia a# a,atar

&as esig#e to facilitate optimal iabetes selfma#ageme#t i# lo&i#come 5frica# 5merica#s &it% iabetes atte#i#g primary care cli#ics

5ccess to DM eucatio#al resources 2K4L /rogramme sce#arios

Nutritio# labels a# eucatio# ce#ters

-ormal prese#tatio#s o# goo ietary c%oices0 meicatio# a%ere#ce0p%ysical acti,ity0 proper DM eucatio# a# foot care * all pro,ie bye9perts

+esults of t%e stuy &ere positi,e

BM le,el ecrease o,er time

51" ecreases o,er AI mo#t%s

#crease %ealt%y substitutio# a# better ietary c%oices


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Dietitian0led discussion o* reading *ood la-elsin the grocery store


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$%at i#teracti,e games are bei#gpla##e for t%e future'


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#tegrati,e gami#gparaigm

6uma# Mac%i#e Symbiosis Haboratoryat t%e "e#ter for Sustai#able 6ealt% 5rio#a State U#i,ersity

5 gamebase storyli#e t%at li#s,arious acti,ities suc% as measuri#g glucose le,els

tai#g i#suli# performi#g e9ercises

problems sol,i#g


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#tegrati,e gami#gparaigm

"e#tral u#it li#s to ma#y i8ere#t i#s of e9ercisee3uipme#t

Mo,e t%roug% ,arious e9ercises or ca# compete &it%multiple patie#ts

Users get persuasi,e game sce#ario R ,isual feebac o#t%eir performa#ce

"a# be o#e i# a gym lie setti#g or e,e# at %ome

7,ery e9ercise coul be ,isualie as a game le,el &%eret%e story li#s all t%e acti,ities

Se#sors mo#itor mo,eme#t0 6+0 Sa;2 etc a# ri,e t%egame

Tra#sitio# to cog#iti,e e9ercises i# t%e co#te9t of DMma#ageme#t


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"u&an Machine Sy&-iosis $a-oratory1 School o* 'iological and"ealth Syste&s !ngineering1 Center *or Sustaina-le "ealth1

'ioDesign Institute1 Ari)ona State Uni(ersity1 Te&.e1 Ari)ona


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$%at sort of success %a,e

t%ese games ac%ie,e'

b i % l li li l


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oubert0 Mic%ael0 "oli#e 5rma#0 ulia Morera0 Heyla Toaye,a0 5uroreGuillaume0 a# ?,es +e#i= @mpact of a Serious !ieogameDesig#e for -le9ible #suli# T%erapy o# t%e


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mpact of a Serious !ieogame Desig#e for -le9ible #suli# T%erapy o# t%e


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+efere#ces

Boulos0 Mage N

diabetes gaming

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