Interpreting Data of Serious Games for Health using Decision Support Systems

Konrad Peters, Fares Kayali, Marisa Silbernagl, Anita Lawitschka, Helmut Hlavacs


In order to empower the influence and usage of Serious Games for Health (SGFH) in science as well as application, a decision-support-system (DSS) based approach for interpreting game data should be developed. This DSS would allow users (patients, physicians) to interpret medical data, gathered by various serious games, as well as the game-scores of these games. The usage of DSSs implies the requirement for a standardized data model, for both medical data as well as game-proprietary data, such as meta-data or game-scores. This publication presents a framework proposal, which covers the requirements to interpret data of various health- and game-sources and create recommendations to users. Authors identified challenges and experiments to be done: to provide a ubiquitous data model for SGFH, a set of existing games will be analysed and evaluated. Further, a SDK for game developers will be created. This would enable the developers to gain access to the DSS based approach with reasonable effort. Finally, a DSS, consisting of two sub-DSS, should be implemented on top of the previous results.


Serious Games for Health, Standardization, Data Modeling, Decision Support Systems

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Boulos, Maged N.Kamel, Brewer, Ann C., Karimkhani, Chante, Buller, David B., and Dellavalle, Robert P., “Mobile medical and health apps: state of the art, concerns, regulatory control and certification.,” Online J. Public Health Inform., vol. 5, no. 3, p. 229, 2014.

Miller, Aaron S., Cafazzo, Joseph a, and Seto, Emily, “A game plan: Gamification design principles in mHealth applications for chronic disease management.,” Health Informatics J., pp. 1–10, 2014.

Stead, William, Searle, John, Fessler, Henry, Smith, Jack, and Shortliffe, Edward, “Biomedical Informatics: Changing What Physicians Need to Know and How They Learn,” Acad. Med., vol. 86, no. 4, pp. 429–434, 2011.

Seitinger, A. et al., “An arden-syntax-based clinical decision support framework for medical guidelines - Lyme borreliosis as an example,” Stud. Health Technol. Inform., vol. 1981251321, no., pp. 125–132, 2014.

Gong, Diankun et al., “Enhanced functional connectivity and increased gray matter volume of insula related to action video game playing,” Sci. Rep., vol. 5, p. 9763, Apr. 2015.

Durga, Shree, El-nasr, Magy Seif, Shiyko, Mariya, Sceppa, Carmen, Naab, Pamela, and Andres, Lisa, “Leveraging Play in Health-Based Games to Promote Sustained Behavior Change in Healthy Eating and Exercise,” in DiGRA 2011, 2011, pp. 1–17.

Primack, Brian A. et al., “Role of Video Games in Improving Health-Related Outcomes:A Systematic Review: A Systematic Review,” Am. J. Prev. Med., vol. 42, no. 6, pp. 630–638, 2012.

Peleg, Mor, Broens, Tom, González-Ferrer, Arturo, and Shalom, Erez, “Architecture for a Ubiquitous Context-aware Clinical Guidance System for Patients and Care Providers,” Jt. Int. Work. KR4HC/ProHealth 2013, vol. 13, pp. 161–167, 2013.

Peters, Konrad et al., “INTERACCT: Remote data entry system with game-elements for young leukaemia patients,” in 2015 17th International Conference on E-Health Networking, Application and Services, HealthCom 2015, 2016, pp. 369–374.

Zhao, Wenbing, Espy, Deborah D., Reinthal, M.Ann, and Feng, Hai, “A feasibility study of using a single Kinect sensor for rehabilitation exercises monitoring: A rule based approach,” in 2014 IEEE Symposium on Computational Intelligence in Healthcare and e-health (CICARE), 2014, pp. 1–8.

González, José Carlos, Pulido, José Carlos, Fernández, Fernando, and Suárez-Mejías, Cristina, “Planning, execution and monitoring of physical rehabilitation therapies with a robotic architecture.,” in Studies in health technology and informatics, 2015, vol. 210, pp. 339–43.

Norouzi-Gheidari, Nahid, Levin, Mindy F., Fung, Joyce, and Archambault, Philippe, “Interactive virtual reality game-based rehabilitation for stroke patients,” in 2013 International Conference on Virtual Rehabilitation (ICVR), 2013, no. August, pp. 220–221.

Tao, G., Archambault, P. S., and Levin, M. F., “Evaluation of Kinect skeletal tracking in a virtual reality rehabilitation system for upper limb hemiparesis,” in 2013 International Conference on Virtual Rehabilitation, ICVR 2013, 2013, pp. 164–165.

Cassola, Fernando, Morgado, Leonel, de Carvalho, Fausto, Paredes, Hugo, and Fonseca, Benjamim, “Online-Gym: A 3D Virtual Gymnasium Using Kinect Interaction,” Procedia Technol., vol. 13, no. 0, pp. 130–138, 2014.

Hermanny, Katja, Ziegler, Jürgen, and Dogangün, Aysegül, “Supporting Users ind Setting Effective Goals,” in Persuasive 2016, Lncs 9638, Springer, 2016, pp. 15–26.

Fassbender, Eric and Jones, Christian Martyn, Virtual, Augmented Reality and Serious Games for Healthcare 1, 1st ed., vol. 68. Springer-Verlag Berlin Heidelberg, 2014.

Van Delden, Robby et al., “Personalization of gait rehabilitation games on a pressure sensitive interactive LED floor,” in CEUR Workshop Proceedings, 2016, vol. 1582, pp. 60–73.

Van Delden, Robby, Aarts, Pauline, and Van Dijk, Betsy, “Design of tangible games for children undergoing occupational and physical therapy,” in Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), vol. 7522 LNCS, Springer, 2012, pp. 221–234.

Baker, K.Scott et al., “NCI, NHLBI first international consensus conference on late effects after pediatric hematopoietic cell transplantation: state of the science, future directions.,” Biol. Blood Marrow Transplant., vol. 17, no. 10, pp. 1424–7, 2011.

Tamari, Roni and Castro-Malaspina, Hugo, “Allogeneic haematopoietic stem cell transplantation for primary myelofibrosis and myelofibrosis evolved from other myeloproliferative neoplasms.,” Curr. Opin. Hematol., vol. 22, no. 2, pp. 184–90, 2015.

Pranab Sharma Acharya, Shiksha Kedia, “Infectious Complications of Hematopoietic Stem Cell Transplantation,” J. Stem Cell Res. Ther., vol. s3, no. 1, p. 2, 2013.

Aarhus, Rikke, Ballegaard, Stinne a, and Hansen, Thomas R., “The eDiary: Bridging home and hospital through healthcare technology,” in Ecscw 2009, no. September, Springer, 2009, pp. 63–83.

Grönvall, Erik and Verdezoto, Nervo, “Beyond Self-Monitoring : Understanding Non-functional Aspects of Home-based Healthcare Technology,” in Proceedings of the 2013 ACM international joint conference on Pervasive and ubiquitous computing, 2013, pp. 587–596.

Toscos, Tammy, Connelly, Kay, and Rogers, Yvonne, “Best Intentions: Health Monitoring Technology and Children,” in Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 2012, pp. 1431–1440.

Grönvall, Erik and Sokoler, Tomas, “Concordance : A Critical Participatory Alternative in Healthcare IT,” Aarhus Ser. Hum. Centered Comput., vol. 1, no. 1, pp. 21–24, 2015.

Kato, P. M., Cole, S. W., Bradlyn, A. S., and Pollock, B. H., “A video game improves behavioral outcomes in adolescents and young adults with cancer: A randomized trial,” Pediatrics, vol. 122, no. 2, pp. e305–e317, Aug. 2008.

Cole, Steven W., Yoo, Daniel J., and Knutson, Brian, “Interactivity and reward-related neural activation during a serious videogame,” PLoS One, vol. 7, no. 3, p. e33909, 2012.

Peters, Konrad, Unterbrunner, Alexander, Martinek, Daniel, Hofmann, Alexander, and Hlavacs, Helmut, “Feasibility of Physiotherapy Exercise Capturing using a Low-Cost Motion Capture System,” in International Conference on Computer Games, Multimedia & Allied Technology (CGAT). Proceedings, 2016, p. 47.

Kayali, Fares et al., “Design considerations for a serious game for children after hematopoietic stem cell transplantation,” Entertain. Comput., vol. 15, pp. 57–73, 2016.

Hlavacs, Helmut et al., “Usability and Fun of the INTERACCT Client,” in eHealth 360°: International Summit on eHealth, Budapest, Hungary, June 14-16, 2016, Revised Selected Papers, Giokas, Kostas, Bokor, Laszlo, and Hopfgartner, Frank, Eds. Cham: Springer International Publishing, 2017, pp. 156–163.

Peters, Konrad et al., “Serious Game Scores as Health Condition Indicator for Cancer Patients,” Stud. Health Technol. Inform., vol. 210, pp. 892–896, 2015.

Samwald, Matthias, Fehre, Karsten, de Bruin, Jeroen, and Adlassnig, Klaus-Peter, “The Arden Syntax Standard for Clinical Decision Support,” J. Biomed. Informatics, vol. 45, no. 4, pp. 711–718, 2012.



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