1. Videogame
s
a “serious” health
technology Stuart Smith

2. Background
Games for fall prevention
Games for stroke rehabilitation
Building an Australian
Serious Games for Health
GameTech 2011 industry

3. But before all of that......
GameTech 2011

4. But before all of that......
Video games have often received
bad press with respect to health
GameTech 2011

5. But before all of that......
Video games have often received
bad press with respect to health
increased aggression and violence
GameTech 2011

6. But before all of that......
Video games have often received
bad press with respect to health
increased aggression and violence
addiction to gameplay
GameTech 2011

7. But before all of that......
Video games have often received
bad press with respect to health
increased aggression and violence
addiction to gameplay
increased sedentary behaviour
GameTech 2011

8. But before all of that......
Video games have often received
bad press with respect to health
increased aggression and violence
addiction to gameplay
increased sedentary behaviour
epileptic seizures
GameTech 2011

9. But before all of that......
Video games have often received
bad press with respect to health
increased aggression and violence
addiction to gameplay
increased sedentary behaviour
epileptic seizures
Wii knee, haemothorax and ruptured tendons
GameTech 2011

10. However..... games can be seriously considered
GameTech 2011

11. Exergames for neuroplasticity
GameTech 2011

12. Exergames for neuroplasticity
GameTech 2011

13. spinal cord rehabilitation
GameTech 2011

14. spinal cord rehabilitation
GameTech 2011

15. spinal cord rehabilitation
GameTech 2011

16. Technology Research for Independent Living
GameTech 2011

17. Technology Research for Independent Living
GameTech 2011

18. Ethnography
Cognitive
Social
Falls
Technology Research for Independent Living
Technology Platform
Develop technology for in-home monitoring of factors associated
with falls, cognitive function and social connectivity in older adults
GameTech 2011

19. Use of technology for monitoring health and
promoting independent living in older adults.
Australian
TRIL
GameTech 2011

20. Use of technology for monitoring health and
promoting independent living in older adults.
Regional, rural and remote areas
Australian
TRIL
GameTech 2011

21. Use of technology for monitoring health and
promoting independent living in older adults.
Regional, rural and remote areas
Australian
TRIL
GameTech 2011

22. Use of technology for monitoring health and
promoting independent living in older adults.
Regional, rural and remote areas
Australian
TRIL
GameTech 2011

23. Can existing technology
facilitate independent living in
older adults?
GameTech 2011

24. Can existing technology
facilitate independent living in
older adults?
GameTech 2011

25. Everyday objects are digital
GameTech 2011

26. Television most familiar of all.
Everyday objects are digital
GameTech 2011

27. GameTech 2011

28. Can we use the television to facilitate
independent living?
GameTech 2011

29. Can we use the television to facilitate
independent living?
GameTech 2011

30. Can we use the television to facilitate
independent living?
GameTech 2011

31. Can we use the television to facilitate
independent living?
GameTech 2011

32. Here’s a significant health issue
Falls are a major factor
for reduced independence
in older adults
1/3 community dwelling
older adults fall each year
GameTech 2011

33. Here’s a significant health issue
Falls are a major factor
for reduced independence
in older adults
1/3 community dwelling
older adults fall each year
Total health cost to NSW
!"#$%&'()#&'#$*&)$+,-.$,/$
0*11-$%&2345$67,&8$91)#4$:#,;1#$
$
$
alone in 2006/2007 $553M
(&$<#=$>,3."$?*1#-$@AABCADE
$18,454 per hospital admission
!"#$%&'("(&")*+",$-.(/
GameTech 2011

34. exercise programs that differ greatly in their aims a
Health and School of Public Health, University of Sydney, Sydney, Australia;
We know fall risk can be
w
Falls and Balance Research Group, Prince of Wales Medical Research tent. Meta-analysis should therefore involvein the
Interventions for preventing falls in older people living explor
Institute, University of New South Wales, Sydney, Australia; §Clinical Age community (Review)
whether these factors ‘‘explain’’ (are associated w
reduced by exercise
Research Unit, Kings College Hospital, London, United Kingdom; and
k
Department of Geriatric Medicine, Prince of Wales Hospital, Sydney, Gillespie
the effect of exercise Gates S, Cumming 7,8
mates ofLD, Robertson MC, Gillespie WJ, Lamb SE,programs.RG, Rowe BH
Australia. A Cochrane review of fall prevention strategi
Address correspondence to Dr. Catherine Sherrington, The George Institute ducted separate meta-analyses on different forms
for International Health, PO Box M201, Missenden Road, Sydney NSW cise and concluded that some exercise programs can
2050, Australia. E-mail: csherrington@george.org.au of Falls: A Systematic Review
Effective Exercise for the Prevention falls in community dwellers (e.g., home exercise pro
and Meta-Analysis
DOI: 10.1111/j.1532-5415.2008.02014.x balance and strength training, a Tai Chi group progr
Catherine Sherrington, PhD,Ã wz Julie C. Whitney, MSc,§ Stephen R. Lord, DSc,w
Robert D. Herbert, PhD,Ã Robert G. Cumming, PhD, z and Jacqueline C. T. Close, MDw k
JAGS 56:2234–2243, 2008
r 2008, Copyright the Authors
Journal compilation r 2008, The American Geriatrics Society 0002-8614
OBJECTIVES: To determine the effects of exercise on falls Key words: falls; exercise; meta-analysis
prevention in older people and establish whether particular
trial characteristics or components of exercise programs are
associated with larger reductions in falls.
DESIGN: Systematic review with meta-analysis. Random-
ized controlled trials that compared fall rates in older peo- This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library
ple who undertook exercise programs with fall rates in 2009, Issue 4
those who did not exercise were included.
SETTING: Older people. T he development and implementation of effective and
cost-efficient strategies to prevent falls in older people
is an urgent global health challenge. In developed countries,
http://www.thecochranelibrary.com
PARTICIPANTS: General community and residential care.
life expectancy for people aged 65 years old is approxi-
MEASUREMENTS: Fall rates. mately 17 years for men and 21 years for women. At least
RESULTS: The pooled estimate of the effect of exercise one-third of people aged 65 and older fall at least once
was that it reduced the rate of falling by 17% (44 trials with annually,1 and falls account for more than half of the injury-
9,603 participants, rate ratio (RR) 5 0.83, 95% confidence related hospitalizations for older people.2 Fall rates in the
interval (CI) 5 0.75–0.91, Po.001, I2 5 62%). The great-
GameTech 2011 of exercise on fall rates (RR 5 0.58, 95%
est relative effects
general older population are reported Interventions1.2The Cochrane Collaboration. Publishedthe community & Sons, Ltd.
3
to be for preventing falls in older people living in by John Wiley (Review)
Copyright © 2009
falls per

35. exercise programs that differ greatly in their aims a
Health and School of Public Health, University of Sydney, Sydney, Australia;
We know fall risk can be
w
Falls and Balance Research Group, Prince of Wales Medical Research tent. Meta-analysis should therefore involvein the
Interventions for preventing falls in older people living explor
Institute, University of New South Wales, Sydney, Australia; §Clinical Age community (Review)
whether these factors ‘‘explain’’ (are associated w
reduced by exercise
Research Unit, Kings College Hospital, London, United Kingdom; and
k
Department of Geriatric Medicine, Prince of Wales Hospital, Sydney, Gillespie
the effect of exercise Gates S, Cumming 7,8
mates ofLD, Robertson MC, Gillespie WJ, Lamb SE,programs.RG, Rowe BH
Australia. A Cochrane review of fall prevention strategi
Address correspondence to Dr. Catherine Sherrington, The George Institute ducted separate meta-analyses on different forms
for International Health, PO Box M201, Missenden Road, Sydney NSW cise and concluded that some exercise programs can
2050, Australia. E-mail: csherrington@george.org.au of Falls: A Systematic Review
Effective Exercise for the Prevention falls in community dwellers (e.g., home exercise pro
and Meta-Analysis
DOI: 10.1111/j.1532-5415.2008.02014.x balance and strength training, a Tai Chi group progr
Catherine Sherrington, PhD,Ã wz Julie C. Whitney, MSc,§ Stephen R. Lord, DSc,w
Robert D. Herbert, PhD,Ã Robert G. Cumming, PhD, z and Jacqueline C. T. Close, MDw k
JAGS 56:2234–2243, 2008
r 2008, Copyright the Authors
Journal compilation r 2008, The American Geriatrics Society 0002-8614
OBJECTIVES: To determine the effects of exercise on falls Key words: falls; exercise; meta-analysis
prevention in older people and establish whether particular
trial characteristics or components of exercise programs are
associated with larger reductions in falls.
High dosage of exercise is required (eg > 50 hrs or twice/week for 25 weeks).
DESIGN: Systematic review with meta-analysis. Random-
ized controlled trials that compared fall rates in older peo- This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library
ple who undertook exercise programs with fall rates in 2009, Issue 4
those who did not exercise were included.
SETTING: Older people. T he development and implementation of effective and
cost-efficient strategies to prevent falls in older people
is an urgent global health challenge. In developed countries,
http://www.thecochranelibrary.com
PARTICIPANTS: General community and residential care.
life expectancy for people aged 65 years old is approxi-
MEASUREMENTS: Fall rates. mately 17 years for men and 21 years for women. At least
RESULTS: The pooled estimate of the effect of exercise one-third of people aged 65 and older fall at least once
was that it reduced the rate of falling by 17% (44 trials with annually,1 and falls account for more than half of the injury-
9,603 participants, rate ratio (RR) 5 0.83, 95% confidence related hospitalizations for older people.2 Fall rates in the
interval (CI) 5 0.75–0.91, Po.001, I2 5 62%). The great-
GameTech 2011 of exercise on fall rates (RR 5 0.58, 95%
est relative effects
general older population are reported Interventions1.2The Cochrane Collaboration. Publishedthe community & Sons, Ltd.
3
to be for preventing falls in older people living in by John Wiley (Review)
Copyright © 2009
falls per

36. exercise programs that differ greatly in their aims a
Health and School of Public Health, University of Sydney, Sydney, Australia;
We know fall risk can be
w
Falls and Balance Research Group, Prince of Wales Medical Research tent. Meta-analysis should therefore involvein the
Interventions for preventing falls in older people living explor
Institute, University of New South Wales, Sydney, Australia; §Clinical Age community (Review)
whether these factors ‘‘explain’’ (are associated w
reduced by exercise
Research Unit, Kings College Hospital, London, United Kingdom; and
k
Department of Geriatric Medicine, Prince of Wales Hospital, Sydney, Gillespie
the effect of exercise Gates S, Cumming 7,8
mates ofLD, Robertson MC, Gillespie WJ, Lamb SE,programs.RG, Rowe BH
Australia. A Cochrane review of fall prevention strategi
Address correspondence to Dr. Catherine Sherrington, The George Institute ducted separate meta-analyses on different forms
for International Health, PO Box M201, Missenden Road, Sydney NSW cise and concluded that some exercise programs can
2050, Australia. E-mail: csherrington@george.org.au of Falls: A Systematic Review
Effective Exercise for the Prevention falls in community dwellers (e.g., home exercise pro
and Meta-Analysis
DOI: 10.1111/j.1532-5415.2008.02014.x balance and strength training, a Tai Chi group progr
Catherine Sherrington, PhD,Ã wz Julie C. Whitney, MSc,§ Stephen R. Lord, DSc,w
Robert D. Herbert, PhD,Ã Robert G. Cumming, PhD, z and Jacqueline C. T. Close, MDw k
JAGS 56:2234–2243, 2008
r 2008, Copyright the Authors
Journal compilation r 2008, The American Geriatrics Society 0002-8614
OBJECTIVES: To determine the effects of exercise on falls Key words: falls; exercise; meta-analysis
prevention in older people and establish whether particular
trial characteristics or components of exercise programs are
associated with larger reductions in falls.
High dosage of exercise is required (eg > 50 hrs or twice/week for 25 weeks).
DESIGN: Systematic review with meta-analysis. Random-
ized controlled trials that compared fall rates in older peo- This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library
ple who undertook exercise programs with fall rates in 2009, Issue 4
those who did not exercise were included.
SETTING: Older people. T he development and implementation of effective and
cost-efficient strategies to prevent falls in older people
is an urgent global health challenge. In developed countries,
http://www.thecochranelibrary.com
PARTICIPANTS: General community and residential care.
Video games might offer a way to ensure
life expectancy for people aged 65 years old is approxi-
MEASUREMENTS: Fall rates. mately 17 years for men and 21 years for women. At least
RESULTS: The pooled estimate of the effect of exercise one-third of people aged 65 and older fall at least once
compliance with exercise
was that it reduced the rate of falling by 17% (44 trials with annually,1 and falls account for more than half of the injury-
9,603 participants, rate ratio (RR) 5 0.83, 95% confidence related hospitalizations for older people.2 Fall rates in the
interval (CI) 5 0.75–0.91, Po.001, I2 5 62%). The great-
GameTech 2011 of exercise on fall rates (RR 5 0.58, 95%
est relative effects
general older population are reported Interventions1.2The Cochrane Collaboration. Publishedthe community & Sons, Ltd.
3
to be for preventing falls in older people living in by John Wiley (Review)
Copyright © 2009
falls per

37. Will older adults play video games?
GameTech 2011

38. Will older adults play video games?
Brand (2009) “Interactive Australia 2009”
National survey of 1614 households
GameTech 2011

39. Will older adults play video games?
Brand (2009) “Interactive Australia 2009”
National survey of 1614 households
1034 individuals aged 36-50, 58% play video games
GameTech 2011

40. Will older adults play video games?
Brand (2009) “Interactive Australia 2009”
National survey of 1614 households
1034 individuals aged 36-50, 58% play video games
912 aged 51-65 52% play video games
GameTech 2011

41. Will older adults play video games?
Brand (2009) “Interactive Australia 2009”
National survey of 1614 households
1034 individuals aged 36-50, 58% play video games
912 aged 51-65 52% play video games
221 aged 65+, 51% play video games
GameTech 2011

42. like Dance Dance Revolution
GameTech 2011

43. GameTech 2011

44. Dance Dance Revolution to
reduce fall risk and increase
physical activity
GameTech 2011

45. Use DDR to measure
fall risk over time
Fall risk
Date
GameTech 2011

46. Use DDR to measure
fall risk over time
Fall risk
Date
GameTech 2011

47. Use DDR to measure
fall risk over time
Fall risk
Date
GameTech 2011

48. Use DDR to measure Mrs Smith, it looks like you have
fall risk over time been a bit unsteady on your feet
lately. Is there anything we can
do for you?
Fall risk
Provide health
information feedback to
older person and their
Date
support network
GameTech 2011

49. Use DDR to measure Mrs Smith, it looks like you have
fall risk over time been a bit unsteady on your feet
lately. Is there anything we can
do for you?
Fall risk
Provide health
information feedback to
older person and their
Date
support network
Videogames as a
telehealth technology
GameTech 2011

50. Where to from here?
GameTech 2011

51. Where to from here?
Instructor
during quiet stance is
the feet (normalized
d is shown to be a
ers.33 Subjects were
ossible, for 1 minute
e data from the force
uter with a sampling
ute the COP in the
ns, respectively.
detect outliers and
ted for baseline and
sttest using 1-way
GameTech 2011
as found, pairwise

52. Video Games for Independent
Living: An NBN Technology
Older adults/ people with
health issues
Cognitive
Physical
ViGIL:ANT
Social
Videogame designers/
developers/publishers
GameTech 2011

53. Video Games for Independent
Living: An NBN Technology
Physical
Older adults/ people with
DDR
health issues
Cognitive
Physical
ViGIL:ANT
Social
Videogame designers/
developers/publishers
GameTech 2011

54. Video Games for Independent
Living: An NBN Technology
Physical
Older adults/ people with
DDR
health issues
Cognitive
Cognitive
Physical
ViGIL:ANT
Social
strategy, memory logic
games
Videogame designers/
developers/publishers
GameTech 2011

55. Video Games for Independent
Living: An NBN Technology
Physical
Older adults/ people with
DDR
health issues
Cognitive
Cognitive
Physical
ViGIL:ANT
Social
strategy, memory logic
games
Videogame designers/ Social
developers/publishers casual, online games
GameTech 2011

56. A recent example
Upper limb function following
stroke is a major barrier to
independence
GameTech 2011

57. A recent example
Upper limb function following
stroke is a major barrier to
independence
GameTech 2011

58. A recent example
Upper limb function following
stroke is a major barrier to
independence
GameTech 2011

59. How do we build a Games for Health industry?
GameTech 2011

60. How do we build a Games for Health industry?
Game
Health
developers
researchers
GameTech 2011

61. How do we build a Games for Health industry?
WTF? blah blah
blah
Game
Health
developers
researchers
GameTech 2011

62. How do we build a Games for Health industry?
Game
Health
developers
researchers
GameTech 2011

63. Market size
GameTech 2011

64. Market size
The number of people in NSW alone aged 65
and older is estimated to be just over 931,000
Every year more than 60,000
Australians have a stroke,
The cost of strokes to the Australian economy
is in excess of $2 billion per annum
GameTech 2011

65. Market size
The number of people in NSW alone aged 65
and older is estimated to be just over 931,000
Every year more than 60,000
Australians have a stroke,
The cost of strokes to the Australian economy
is in excess of $2 billion per annum
Distribution?
GameTech 2011

66. Market size
The number of people in NSW alone aged 65
and older is estimated to be just over 931,000
Every year more than 60,000
Australians have a stroke,
The cost of strokes to the Australian economy
is in excess of $2 billion per annum
Distribution?
Certification?
GameTech 2011

67. Market size
The number of people in NSW alone aged 65
and older is estimated to be just over 931,000
Every year more than 60,000
Australians have a stroke,
The cost of strokes to the Australian economy
is in excess of $2 billion per annum
Distribution? Revenue model?
Certification?
GameTech 2011

68. Thank you
for hanging
on till the
s.smith@neura.edu.au bitter end.
GameTech 2011