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Inclusive and Collaborative Exergame for Adults With Intellectual and Developmental Disabilities: Development and
Chiara Piazzalunga1, Samuele Ravazzani1, Alberto Romano2
1Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Lombardy, Italy.
JMIR Serious Games
|July 31, 2026
Summary
This study developed an inclusive exergame, Elemental, co-designed with individuals with intellectual and developmental disabilities (IDDs). Personalized features and tailored support eliminated performance disparities in heterogeneous groups, promoting equitable and enjoyable collaboration.
Area of Science:
- Human-Computer Interaction
- Game Design
- Disability Studies
Background:
- Individuals with intellectual and developmental disabilities (IDDs) experience social inclusion challenges.
- Video games offer potential for inclusion, physical activity, and social engagement.
- Current multiplayer games lack equitable experiences for diverse user groups.
Purpose of the Study:
- Co-design and develop an inclusive, collaborative, real-time multiplayer exergame.
- Assess the usability and impact of accessibility features.
- Evaluate player satisfaction and enjoyment in heterogeneous groups.
Main Methods:
- Co-design of the exergame 'Elemental' using the CeHRes Roadmap with diverse stakeholders.
- Development of two minigames ('Igloo' and 'Volcano') with four input device options.
- Implementation of customizable facilitation options for sensory, cognitive, and motor needs.
- Two-phase study with young adults with IDDs, testing personalized accommodations and tailored support in homogeneous and heterogeneous groups.
- Data collection included performance metrics, behavioral observations, and usability/satisfaction questionnaires.
Main Results:
- In 'Igloo', performance correlated negatively with ID severity, and reaction time positively.
- In 'Volcano', tailored support (devices, facilitations) eliminated performance disparities in heterogeneous groups.
- Behavioral analysis showed frequent peer collaboration.
- High usability and satisfaction reported by participants (median 4/5).
Conclusions:
- 'Elemental' is an inherently accessible, co-designed multiplayer exergame.
- Personalized features and inclusive co-design can eliminate performance disparities.
- This approach shifts towards designing digital environments that embrace diversity for inclusive, collaborative, and enjoyable experiences.
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Intellectual Disability
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
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