Hospi Avontuur - Jo Vranken

1. GAMES FOR HEALTH EUROPE CONFERENCE 2018

2. GFH18 Conference
Jo Vrancken
Liesbeth De Gryse
Supported by Erik Nuyts (statistics) and
Frederik Smolders (game design)

3. Press release august 2018
Belgium (2015-2016):
1 out of 10 children has a hospital admission
4,2% of all children 1-6 years old need surgery
for ear-tubes; tonsillectomy; polyps

4. What’s up
• What is HospiAvontuur about?
• Development
• Goals
• Still ongoing research project
• A first look at the results
• Short demonstration
• Find us @the conference if you want to
know more or…

5. Foto: http://www.rekels.nl
What is the game about?
• Serious game for children 4-7 years old
• Upcoming admission @the hospital for elective surgery
• Playing HospiAvontuur @home together with at least 1 parent
• All the necessary information about the admission

6. Foto: http://www.rekels.nl
Development
• GFH17 conference
• Semi-structured interviews with stakeholders
• Prototype
• Testing with small group of children (n=6)
• Alfa version
• Testing with larger group of children @primary school (n=20)
• Finetuning and making Beta version

7. Foto: http://www.rekels.nl
Goals
• Providing all the necessary information for children and parents
• … in a FUN way!!
• Reducing preoperative anxiety and postoperative emergence delirium
• … in a non-pharmacological way

8. Ongoing RCT @Jessa Hospital Hasselt
Foto: Vlietland Ziekenhuis

9. Inclusion: 4-7 year old children for elective NKO surgery
Randomization during consultation with surgeon after informed consent
Duration: november 2017 – september 2019

10. Measurements

11. First results
Preoperative measurements
VAK4-12
ICC
mYPAS-SF

12. Anxiety level by VAK4-12
(Vragenlijst Angst Kinderen)
• = instrument to assess whether children are rather anxious or not
• Completion by parent and child
• Rather anxious children should be represented equally in both groups
• No significant difference in “anxiousness” between groups

13. Anxiety scores on ICC
(Induction Compliance Checklist)
No significant difference in anxiety
between groups on T2 (by
anesthesiologist)

14. Anxiety scores on mYPAS-SF
(modified Yale Preoperative Anxiety Scale – Short Form)
mYPAS-SF on T1 (holding area)
n=41
mYPAS-SF on T1 (anesthesia induction)
n=41
No significant difference in anxiety between
groups on T1 or T2 (by researcher)

15. Change in anxiety scores on mYPAS-SF on T2
versus T1
No significant difference in change in anxiety between the groups on
T2 versus T1

16. First results
Postoperative measurements
PAEDS
FPS-R
OPS

17. ED scores on PAEDS (4 moments)
(Paediatric Emergence Delirium Scale)
No significant difference in ED-scores between the groups on all
moments

18. Pain scores on FPS-R and OPS
(Faces Pain Scale Revised) (Objective Pain Scale)
• Recovery room: insufficient data
• @home: no significant
difference in pain on day 2 and
day 7

19. Very
preliminary
conclusions
At this moment we have all reasons to believe
that children who are prepared by
HospiAvontuur:
• Don’t experience more anxiety
preoperative on T1
• Don’t experience more anxiety during
anesthesia induction (T2)
• Are well informed about what is going to
happen
• Don’t experience more emergence delirium
postoperative

20. User experiences… still
ongoing
• Parents
• Very informative
• Easy to use
• Very useful and fun!
• It helps in reducing anxiety!
• Children
• Game is fun
• Lots of things actually did happen in
the OR!
• Some aspects were difficult:
shooting ECG electrodes
• …

21. Q & A
Foto: Vlietland Ziekenhuis
Jo.vrancken@pxl.be
Liesbeth.degryse@pxl.be