Conceptual framework for designing video games for children with type 1 diabetes

Sparapani, Valéria de Cássia; Fels, Sidney; Nascimento, Lucila Castanheira

doi:10.1590/1518-8345.2764.3090

Cited by 10 publications

(39 citation statements)

References 57 publications

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“…Despite the significant number of scientific studies on T1DM in children and adolescents in international ( 11 - 12 ) and national literature ( 8 , 13 - 14 ) , there are only few studies investigating its relationship with socio-economic, clinical and biochemical characteristics. These aspects may affect the treatment and self-management of the disease and, consequently, compromise the quality of life of adolescents with T1DM.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life of adolescents with type 1 diabetes mellitus

Souza

Freitas

Lima

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective:To evaluate the health-related quality of life of adolescents with type 1 diabetes mellitus, associating it with socio-demographic, clinical and biochemical variables.Method:Cross-sectional study with 92 adolescents with type 1 diabetes mellitus. A form containing socio-demographic, clinical and biochemical variables was used, as well as the Diabetes Quality of Life for Youths questionnaire. Descriptive statistics and logistic regression were used for analysis.Results:Regarding socio-demographic variables, economic class showed statistically significant differences in relation to total Health Related Quality of Life (p-value =0.02) and the impact domain (p-value =0.009). However, the impact domain was more compromised. Diabetes-related complications (p-value =0.004), number of hospitalizations (p-value =0.01), number of daily insulin injections (p-value =0.02), glycated hemoglobin (p-value =0.002) and triglycerides (p-value =0.03) were associated with greater impairment of quality of life related to total health and greater dissatisfaction.Conclusion:Single male adolescents with lower level of education and high glycated hemoglobin levels were more likely to have lower health-related quality of life.

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Section: Introductionmentioning

confidence: 99%

Health-related quality of life of adolescents with type 1 diabetes mellitus

Souza

Freitas

Lima

et al. 2019

Rev. Latino-Am. Enfermagem

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“…30,[32][33][34]36,37,39,[41][42][43] In other articles, the narratives were about a health professional who helps patients with T1D. 28,38,39 Health-based narratives were also designed as either action-adventure 31,33,34,37,40,44 or more realistic. [28][29][30]39 The outcomes of T1D-oriented narratives were demystification, 28 increased understanding of self-management, 31,[38][39][40][41] and an easier transfer of knowledge and skills from serious games to real-world situations.…”

Section: Narrative Contextsmentioning

confidence: 99%

“…28,36 Feedback contributed to learning, reflection, understanding of T1D and self-management, and it corrected misunderstandings. [33][34][35]37,38,[42][43][44] Furthermore, feedback led to increased confidence, induced the feeling of competence 28,35,36,44 and increased the motivation both to play, learn, and engage in self-management. 28,[33][34][35]37,44,45 Rewards.…”

Section: Feedbackmentioning

confidence: 99%

Game Mechanisms in Serious Games That Teach Children with Type 1 Diabetes How to Self-Manage: A Systematic Scoping Review

Nørlev

Sondrup

Derosche

et al. 2021

J Diabetes Sci Technol

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Introduction: The use of serious games is a popular approach to help children with Type-1 diabetes (T1D) learn how to self-manage. Many different game mechanisms exist. However, it is unclear which game mechanisms a serious game should include to teach self-management to children with T1D. Therefore, the aim of this scoping review is to map and describe the game mechanisms used in serious games that teach children with T1D how to self-manage and explain how they contribute to teaching self-management. Methods: A systematic scoping review was conducted to map and describe the important game mechanisms published before 23 September 2020. A comprehensive search was performed in the PubMed, CINAHL, Embase, PsycINFO, Scopus, and Education Database. Relevant literature was selected, synthesized, and reported. Results: Of the 800 articles identified, 18 were included in this systematic scoping review. The game mechanisms used in serious games that teach self-management included narrative contexts, feedback, avatars, simulations, goals, levels, and social interactions. Discussion: This review identified 7 game mechanisms used in serious games that teach children how to self-manage. A serious game is most effective in teaching self-management when it is T1D-oriented and when multiple game mechanisms are combined. However, the most effective combination of game mechanisms has yet to be determined.

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“…When developing a serious game for children with T1D, it is crucial to involve children with T1D in the process to arrive at an appropriate final product [ 5 , 37 - 40 ]. When the end user participates in the development process and the findings are translated into product design, the likelihood that the indented target group will engage with the final product is increased [ 38 - 42 ].…”

Section: Introductionmentioning

confidence: 99%

Using Distance Communication for the User-Centered Development of a Smartphone-Based Serious Game for Children With Type 1 Diabetes: Participatory Design Approach

Nørlev¹,

Derosche²,

Sondrup³

et al. 2022

JMIR Serious Games

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Background The complications of type 1 diabetes (T1D) can be delayed or prevented in children with T1D who receive proper self-management education. Smartphone-based serious games are increasingly being used as an effective tool for teaching self-management. When developing a serious game, it is important that the development process be user-centered. Traditionally, different face-to-face methods have been used when children participate in the development process. However, face-to-face data collection is not always feasible. In such situations, distance communication can be used when developing a serious game. Objective The objective of this study is to develop a user-centered smartphone-based serious game that teaches self-management focused on carbohydrate intake in children aged 8-14 years with T1D using distance communication in both the development and evaluation of the game. Methods The development and evaluation of a smartphone-based serious game prototype was inspired by the Lean principles, and a user-centered approach was applied. The development process included 1 expert interview and design workshops with children with T1D. On the basis of the interview and design workshop results, a serious game prototype was developed using Microsoft PowerPoint. The evaluation of the serious game prototype included an interview with a dietitian and a playtest with children with T1D. All data were collected using distance communication. Results A user-centered smartphone-based serious game prototype was developed and evaluated. The expert interview with the dietitian formed the basis for the learning outcomes in the game. Four children and their parents contributed to the preferences, needs, requirements, and ideas for selected parts of the game design. The dietitian evaluated the prototype positively and validated its content and accuracy. The serious game prototype was well-received by the children and their parents during the playtest. The serious game prototype was perceived as a useful and engaging way to learn. However, the difficulty level was not appropriate, and the information was too basic for participants who had been diagnosed over a year ago. The use of digital communication platforms did not cause any problems. Conclusions The smartphone-based serious game prototype has the potential to be a useful and attractive tool for teaching disease self-management. The use of distance communication proved to be a useful approach in the development of a serious game.

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Conceptual framework for designing video games for children with type 1 diabetes

Cited by 10 publications

References 57 publications

Health-related quality of life of adolescents with type 1 diabetes mellitus

Health-related quality of life of adolescents with type 1 diabetes mellitus

Game Mechanisms in Serious Games That Teach Children with Type 1 Diabetes How to Self-Manage: A Systematic Scoping Review

Using Distance Communication for the User-Centered Development of a Smartphone-Based Serious Game for Children With Type 1 Diabetes: Participatory Design Approach

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