GameUp aal forum 2014 side event

GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS

GameUp project is cofunded by the AAL Joint Programme (AAL-2011-4-090)


PARTNERSCOFUNDING


Project Number: AAL-2011-4-090 AAL Forum 2014 9th September

User Forum and workshop for exergames in AAL

AAL Forum 2014

Palace of the ParliamentBucharest, Romania



Agenda• Overview GAMEUP Project

– Antonio Remartinez (Ibernex)• Mobility and fall prevention Apps

– Viviane Hasselmann (K. Valens)• User-centric design

– Ellen Brox (Norut)• Rehabilitation Games

– Luis Luque (Norut/USE)• Panel discussion



Overview GAMEUP Project:Exergames for enhanced

mobility

Antonio Remartinez



GameUp Main ObjectiveThe main objective is to sustain mobility of senior citizens, prolonging the time they can live autonomously in their home environment and consequently enhance quality of life

Done by:

Developing an ecosystem of personalized social and motivational exercise games to reduce physical and motivational barriers of elderly people’s mobility

General Overview

User Interface Coaching Portal

TV with SetTopBox

PC with keyboard

Indoor motion sensor

Outdoor motion sensor/pedometer

Internet

Internetpersonalized exergames with motivational and social elements

User is the controller



Example Games

• Strength games• Balance games• Walking games• Flexibility games

• Games with several levels

• Levels in each game depending on abilities

• Personal safety while playing is considered important

General Overview



Exercises

• Chosen exercises are recognized as important for mobility of elderly, focusing on leg strength and balance.

• Research shows that Long-lasting and high-intensive multicomponent exercise programs have a positive effect on Activities of Daily Living.

• A coach portal will enable instructors to follow progress

General Overview



Technologies• Will use Kinect sensor for detecting movement

• Will use Fitbit pedometer for outdoor walking

• Must be very easy to use withas little buttons and remotes as possible

• Price is important

• Will use TV and Small PC connected to internet

General Overview



Mobility and Fall Prevention Apps: the role of rehabilitation clinics

Viviane Hasselmann, MAS PT



ContextPercentage of the population over 65 in Europe in 2010

Based on data from the CIA World Factbook.


Project Number: AAL-2011-4-090 AAL Forum Bucarest September 2014

Age structure of patients in Valens Clinics (2013)

-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

90+

150 100 50 n Patients 50 100 150

FemaleMale



WHO Recommendations

• Adults aged over 65 should practice aerobic physical activity

for at least 150 minutes of moderate intensity or 75 minutes

of high intensity per week (WHO, 2010).

• elderly people should perform strengthening exercises

minimum twice a week and balance exercises minimum

thrice a week (NIH, 2013).

• Sitting and lying should be reduced at maximum (WHO, 2010).



Rehabilitation programs for elderlies

• Rehabilitation programs are highly effective for geriatric

patients (Daniels et al., 2008; Seematter-Bagnoud et al.,2013).

• Specific inpatient rehabilitative programs increase physical

abilities of elderlies and thus reduce institutional placement

and mortality (Bachmann et al., 2010).

→ Unsufficient available data to properly define all the features

of the most successful and efficient rehabilitation program.



Therapies offered in Valens Clinics

1. Chest physiotherapy 2. Exercises

3. Hydrotherapy 4. Gait training and ADL



Therapies -2

5. Outdoor activities 6. Armeo® robotic rehabilitation

7. Wii® game console



Self-training to improve mobility

• Self-training programs improve significantly physical

capacities, likewise therapist-assisted sessions (Olney, Nymark et al., 2006).

serves as a proven efficient and cost-effective mean for

inpatient rehabilitation settings. However, the compliance of elderly people to execute self-exercise programs varies

considerably. These programs are often prematurely stopped.

(Phillips, Schneider et al., 2004; Burdea, 2002; Robertson et al., 2010; Rego et al., 2010).



Exergames as an alternative to increase patient’s motivation

• Valens Clinics had already positive experiences with the

use of exergames promoting mobility.

• Feasibility study demonstrated that stroke patients were

highly motivated to use Nintendo Wii® game console for

training balance exercises (Schurr and Oesch, 2012).



Roles of rehabilitation clinics



1. Ensure users’ involvement in the game design

• Group discussions

• Semi-structured interviews



2. Know users’ physical / medical requirements

• Clinical observations

• Focus group discussion with

physiotherapits and

occupational therapists

• Development of adapted

exercises



3. Test prototypes: usability study

Clinics Valens (CH)

O+Berri (E)Tromsøysund Menighet (N)



4. Pilot clinical trial: for evidence-based recommendations



5. Ensure exploitation and dissemination

• Health professionals (MD, PT, OT, sport therapists).

• Rehabilitation centers, clinics and hospitals.

• Interface between industry and community-dwelling

older population.



Rehabilitation clinics‘ perspective

• provide insight into the effectiveness of exergames

promoting mobility within a inpatient rehabilitation.

• contribute to our understanding of the motivational potential

of exergames in elderly people.

→ Game technology can be of high importance to tackle the

low adherence of patients to self-training, so increasing the

effectiveness of rehabilitation programs.



Thank you for your attention



User-centric design experience in Tromsø (Norway)

Ellen Brox



User involvement

• Users involved from the start• A steady group• Regular exercise gatherings• Testing, discussing

– Games– Colours– Graphics– Menus– Step counter

– Etc.

User-centric design



Recruiting

• Recruiting seniors is challenging• Our group meets bi-weekly• They always eat together• Started with commercial Kinect games

User-centric design



Basic user requirements

• From the literature • From experience (playing commercial games)

– Wii and Kinect– Playing Kinect over time

• Colours and contrast• Speed• Amount of information• Want new things after a while

User-centric design



Elderly vs young

It is amazing how difficult it is for a young person to understand the limitations of age

• Speed• Movements• Information• Small details• Colours and fonts• Sound• Etc.

User-centric design



Apple picking game

Some early changes:• Lighter background• Better contrast sky/tree• Contrast apples / tree• Apple signs visible

• Buckets lifted• Head on stick man• Moving cloud removed• More blue, less green

User-centric design



More games

• Based on the apple picking we now have FarmUp

User-centric design



Small tests

Several small tests with interviews, questionnairs, discussions:

• Several iterations of the game – moving baskets, sounds, changing colours etc.

• Reactions on the avatars, colours of stars, sounds, texts,…

• Menu buttons: colours, size, placement, etc

User-centric design



Exit stategy

• The group has become important to some• We keep telling where in the three year period the project is• All the participants also belong to other groups in the

congregation

User-centric design



Rehabilitation Games: State of the Art and Business

Case

Luis Luque



Game boom

Rehabilitation Games



Ecosystem of Games for Rehab: Gadgets

Rehabilitation Games



Augmented Reality

http://www.burkazoid.com/



Evidence



Barriers for comercialization I

– There is no very sucessful model for reimbursement of home- rehabilitation

– Small clinics have problem to cover the expenses, or have trained professionals

http://www.creditcards.com/credit-card-news/who-pays-expenses-company-goes-bankrupt-1282.php



Barriers for comercialization II

– User friendliness is not common, and users are still suffering “technophobia”.

– Managers are concerned of maitenance and training costs



Barriers for comercialization III

– Many new startups in USA: very complex legislation and ever changing health system

– Market fragmentation in Europe

– Emerging oportunities in BRICS



How to overcome barriers

Business planning needs to be taken into consideration at very early stage, and involve VCs, investors, stakeholders, etc.



Panel Discussion

Antonio Remartinez

GameUp aal forum 2014 side event

Presentations & Public Speaking

Transcript of GameUp aal forum 2014 side event