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Developing Game-Based Design for eHealth in Practice: 4-Phase Game Design Process.

Frederiek de Vette1, Aurora Ruiz-Rodriguez2, Monique Tabak1,3

  • 1Biomedical Signals and Systems Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, Netherlands.

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Summary
This summary is machine-generated.

This study developed an engaging game-based eHealth app for older adults, using user research to inform design and motivational strategies for sustained engagement in health and wellness training.

Keywords:
creativedesigndevelopmenteHealthengagementevaluationsgamegame basedgame preferencesgamificationolder adultsprototypingself-managementtelemedicine

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Area of Science:

  • Gerontology
  • Human-Computer Interaction
  • Digital Health

Background:

  • Electronic health (eHealth) increasingly utilizes games for user engagement.
  • Designing effective eHealth games is challenging due to diverse users and objectives.
  • Openness in game design and motivational strategies can improve future eHealth apps.

Purpose of the Study:

  • To provide insights into developing game-based eHealth through a case study (PERSSILAA).
  • To detail the game design process and motivational strategies for older adults.
  • To counter frailty in older adults via training modules for healthy lifestyles.

Main Methods:

  • A four-phase game design process: end-user research, conceptualization, creative design, and refinement.
  • End-user research with 168 participants to identify preferences and recommendations.
  • Iterative prototyping and evaluation with 35 older adults.

Main Results:

  • User research indicated conventional games may not suit eHealth; recommended focusing on problem-solving, achievement, and aesthetics.
  • Engagement strategies were based on user performance indicators, forming the basis for game progression.
  • The game "Stranded!" was developed, receiving positive user feedback on appreciation (74/100), ease of use (73/100), and fun (75/100).

Conclusions:

  • A game-based eHealth app was developed with a transparent design process and user-researched engagement strategies.
  • User evaluations suggest the app content is perceived as engaging by older adults.
  • Further research on user experience, actual engagement, and clinical studies is recommended.