dna roulette: understanding genetics and genetic testing through gaming

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DNA Roulette: Understanding Genetics & Genetic Testing through Gaming by Professor Carrie Heeter

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DNA Roulette was developed by Michigan State University professor Carrie Heeter and Stanford geneticist Barry Starr to help players understand what Direct to Consumer (DTC) testing does and does not tell you about your health. This presentation at Games for Health 2012 in Boston introduces the game.

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Page 1: DNA Roulette: Understanding genetics and genetic testing through gaming

DNA Roulette: Understanding Genetics & Genetic

Testing through Gaming

by Professor Carrie Heeter

Page 2: DNA Roulette: Understanding genetics and genetic testing through gaming

Dr. Barry Starr• Geneticist, Stanford• Director of Stanford at the Tech

If only I were in Boston…

Page 3: DNA Roulette: Understanding genetics and genetic testing through gaming

Michigan State University launches fully online graduate certificate in

serious games

web:seriousgames.msu.edu

LIKE us on Facebook:facebook.com/GamesAndMeaningfulPlay

contact:Carrie Heeter

[email protected]

Games for Health Conference 2012

Page 4: DNA Roulette: Understanding genetics and genetic testing through gaming

Meaningful Play conference

• meaningfulplay.msu.edu• July 16 submission deadline

for games, talks, & papers• Keynotes so far:

– Kurt Squire (U Wisconsin)

– Phaedra Boinodiris (IBM)

– Donald Brinkman (Microsoft)

– Ann DeMarle (Emergent Media Center, Breakaway)

– John Ferrara (Fitter Critters, Playful Design)

Games for Health Conference 2012

Page 5: DNA Roulette: Understanding genetics and genetic testing through gaming

What I’m Playing

Games for Health Conference 2012

Innovation Games’ Budget Balancing

Superbetter

Page 6: DNA Roulette: Understanding genetics and genetic testing through gaming

• Who has had your genome tested?

Page 7: DNA Roulette: Understanding genetics and genetic testing through gaming

• If you could buy a kit at Walgreens for $150 to have your genome tested, would you?

• Why or why not?

Page 8: DNA Roulette: Understanding genetics and genetic testing through gaming

Oops, sorry.

• Pathway Genomics had announced that its saliva swab would be on Walgreen's shelves, offering millions of Americans the chance peek into their genetic code for signs of inheritable diseases like Alzheimer's.

• The FDA blocked it, saying the kit has not been proven effective.

• Today, to use Pathways, “ a physician will need to register and order the report for you.”

Games for Health Conference 2012

Page 9: DNA Roulette: Understanding genetics and genetic testing through gaming

Direct to Consumer Testing (DTC)

• Is a big deal because– Science and technology are advancing

rapidly– DTC testing is currently legal and

available– It’s controversial– Legislative decisions may eliminate DTC

Page 10: DNA Roulette: Understanding genetics and genetic testing through gaming

What’s your opinion?• Individuals should be free to find out

information about their own genes to whatever extent they wish, in accord with what they judge to be their own best interests, uncoerced by law or public policy. AGREE!

DISAGREE!

Genetic testing should only be available when ordered by a doctor.

Page 11: DNA Roulette: Understanding genetics and genetic testing through gaming

An informed citizenry

• Citizens, policy makers, and health care professionals need to understand what DTC testing does and does not tell us, to make good decisions.

Page 12: DNA Roulette: Understanding genetics and genetic testing through gaming

One piece of a larger strategy

GameGameGameGame

Pre-game

Post-game

During game

>

Page 13: DNA Roulette: Understanding genetics and genetic testing through gaming

DNA Roulette

• 2 teams, 3 rounds each, high score at the end wins $1.

• 3 collective exploratory rounds to help you plan your strategies.

• Let’s see what you learn.

Page 14: DNA Roulette: Understanding genetics and genetic testing through gaming

Game Demo and Competition

• note: DNA Roulette will be published to the Understanding Genetics web site run by the San Jose Tech Museum of Innovation and Stanford University in August, 2012. To play, go to:

• http://genetics.thetech.org/online-exhibits

Page 15: DNA Roulette: Understanding genetics and genetic testing through gaming

Now that you’ve played, what have you learned? Quick Quiz• Having your DNA tested tells you

exactly what diseases you will develop.– True– False

• Most diseases and traits are caused by:– A single genetic variant– Multiple variants

Page 16: DNA Roulette: Understanding genetics and genetic testing through gaming

Genes are Destiny

• MISCONCEPTION: “Genes determine everything form your sex, and hair color, to what diseases you many have and how high you will grow.”

• CORRECT CONCEPTION: Genes are not necessarily deterministic. More frequently, environmental influences coupled with genotype determine phenotype.

Page 17: DNA Roulette: Understanding genetics and genetic testing through gaming

One Gene, One Trait

•  MISCONCEPTION: One gene is always responsible for one trait or one gene with one mutation always causes one disease.

• CORRECT CONCEPTION: Instead, multiple factors contribute to phenotype. Multiple genes often work together, with the environment, to determine ultimate phenotype.

Essay Contest Reveals Misconceptions of High School Students in Genetics ContentKenna R. Mills Shaw, Katie Van Horne, Hubert Zhang, Joann BoughmanGenetics. 2008 March; 178(3): 1157–1168. doi: 10.1534/genetics.107.084194PMCID: PMC2278104

Games for Health Conference 2012

Page 18: DNA Roulette: Understanding genetics and genetic testing through gaming

Data the game is based on…

• These next slides will show the kinds of data available on DTC genetics testing sites. The screen shots are from 23andMe.com

• DNA Roulette pulls data from an XML file, making it easy to add new traits and disease conditions without changing the game engine.

Page 19: DNA Roulette: Understanding genetics and genetic testing through gaming

118 Diseases

Page 20: DNA Roulette: Understanding genetics and genetic testing through gaming
Page 21: DNA Roulette: Understanding genetics and genetic testing through gaming

(I made a version that plays MY genes)

Page 22: DNA Roulette: Understanding genetics and genetic testing through gaming

44 Carrier Status

Page 23: DNA Roulette: Understanding genetics and genetic testing through gaming

19 Drug Responses

Page 24: DNA Roulette: Understanding genetics and genetic testing through gaming

55 Traits

Page 25: DNA Roulette: Understanding genetics and genetic testing through gaming

Muscle Performance SNP(single nucleotide polymorphism)

Page 26: DNA Roulette: Understanding genetics and genetic testing through gaming

Alzheimer’s Type 2 Diabetes

Games for Health Conference 2012

Scary (and rare): single marker, large genetic impact, no treatment or cure

Not so scary (and common): 11+ markers, moderate genetic impact, treatable

Page 27: DNA Roulette: Understanding genetics and genetic testing through gaming

Games for Health Conference

Games for Health Conference 2012

Page 28: DNA Roulette: Understanding genetics and genetic testing through gaming

Thank you!

Professor Carrie [email protected]

seriousgames.msu.edu

Professor Carrie [email protected]

seriousgames.msu.edu

Games for Health Conference 2012