Successfully reported this slideshow.

GameUp aal forum 2014 side event

1

Share

Upcoming SlideShare
Urban Ageing
Urban Ageing
Loading in …3
×
1 of 44
1 of 44

More Related Content

Related Books

Free with a 14 day trial from Scribd

See all

GameUp aal forum 2014 side event

  1. 1. GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS GameUp project is cofunded by the AAL Joint Programme (AAL-2011-4-090) GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS PARTNERSCOFUNDING
  2. 2. Page 2 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September User Forum and workshop for exergames in AAL AAL Forum 2014 Palace of the Parliament Bucharest, Romania
  3. 3. Page 3 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Agenda • Overview GAMEUP Project – Antonio Remartinez (Ibernex) • Mobility and fall prevention Apps – Viviane Hasselmann (K. Valens) • User-centric design – Ellen Brox (Norut) • Rehabilitation Games – Luis Luque (Norut/USE) • Panel discussion
  4. 4. Page 4 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Overview GAMEUP Project: Exergames for enhanced mobility Antonio Remartinez
  5. 5. Page 5 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September GameUp Main Objective The main objective is to sustain mobility of senior citizens, prolonging the time they can live autonomously in their home environment and consequently enhance quality of life Done by: Developing an ecosystem of personalized social and motivational exercise games to reduce physical and motivational barriers of elderly people’s mobility General Overview User Interface Coaching Portal TV with SetTopBox PC with keyboard Indoor motion sensor Outdoor motion sensor/ pedometer personalized exergames with motivational and social elements User is the controller
  6. 6. Page 6 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Example Games • Strength games • Balance games • Walking games • Flexibility games • Games with several levels • Levels in each game depending on abilities • Personal safety while playing is considered important General Overview
  7. 7. Page 7 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Exercises • Chosen exercises are recognized as important for mobility of elderly, focusing on leg strength and balance. • Research shows that Long-lasting and high-intensive multicomponent exercise programs have a positive effect on Activities of Daily Living. • A coach portal will enable instructors to follow progress General Overview
  8. 8. Page 8 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Technologies • Will use Kinect sensor for detecting movement • Will use Fitbit pedometer for outdoor walking • Must be very easy to use with as little buttons and remotes as possible • Price is important • Will use TV and Small PC connected to internet General Overview
  9. 9. Page 9 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Mobility and Fall Prevention Apps: the role of rehabilitation clinics Viviane Hasselmann, MAS PT
  10. 10. Page 10 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Context Percentage of the population over 65 in Europe in 2010 Based on data from the CIA World Factbook.
  11. 11. Page 11 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum Bucarest September 2014 Age structure of patients in Valens Clinics (2013) -14 20-24 30-34 40-44 50-54 60-64 70-74 80-84 90+ 150 100 50 n Patients 50 100 150 FemaleMale
  12. 12. Page 12 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September WHO Recommendations • Adults aged over 65 should practice aerobic physical activity for at least 150 minutes of moderate intensity or 75 minutes of high intensity per week (WHO, 2010). • elderly people should perform strengthening exercises minimum twice a week and balance exercises minimum thrice a week (NIH, 2013). • Sitting and lying should be reduced at maximum (WHO, 2010).
  13. 13. Page 13 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Rehabilitation programs for elderlies • Rehabilitation programs are highly effective for geriatric patients (Daniels et al., 2008; Seematter-Bagnoud et al.,2013). • Specific inpatient rehabilitative programs increase physical abilities of elderlies and thus reduce institutional placement and mortality (Bachmann et al., 2010). → Unsufficient available data to properly define all the features of the most successful and efficient rehabilitation program.
  14. 14. Page 14 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum Bucarest September 2014 Therapies offered in Valens Clinics 1. Chest physiotherapy 2. Exercises 3. Hydrotherapy 4. Gait training and ADL
  15. 15. Page 15 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum Bucarest September 2014 Therapies -2 5. Outdoor activities 6. Armeo® robotic rehabilitation 7. Wii® game console
  16. 16. Page 16 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Self-training to improve mobility • Self-training programs improve significantly physical capacities, likewise therapist-assisted sessions (Olney, Nymark et al., 2006).  serves as a proven efficient and cost-effective mean for inpatient rehabilitation settings.However, the compliance of elderly people to execute self-exercise programs varies considerably. These programs are often prematurely stopped. (Phillips, Schneider et al., 2004; Burdea, 2002; Robertson et al., 2010; Rego et al., 2010).
  17. 17. Page 17 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Exergames as an alternative to increase patient’s motivation • Valens Clinics had already positive experiences with the use of exergames promoting mobility. • Feasibility study demonstrated that stroke patients were highly motivated to use Nintendo Wii® game console for training balance exercises (Schurr and Oesch, 2012).
  18. 18. Page 18 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Roles of rehabilitation clinics
  19. 19. Page 19 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September 1. Ensure users’ involvement in the game design • Group discussions • Semi-structured interviews
  20. 20. Page 20 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum Bucarest September 2014 2. Know users’ physical / medical requirements • Clinical observations • Focus group discussion with physiotherapits and occupational therapists • Development of adapted exercises
  21. 21. Page 21 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September 3. Test prototypes: usability study Clinics Valens (CH) O+Berri (E) Tromsøysund Menighet (N)
  22. 22. Page 22 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September 4. Pilot clinical trial: for evidence- based recommendations
  23. 23. Page 23 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September 5. Ensure exploitation and dissemination • Health professionals (MD, PT, OT, sport therapists). • Rehabilitation centers, clinics and hospitals. • Interface between industry and community-dwelling older population.
  24. 24. Page 24 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Rehabilitation clinics‘ perspective • provide insight into the effectiveness of exergames promoting mobility within a inpatient rehabilitation. • contribute to our understanding of the motivational potential of exergames in elderly people. → Game technology can be of high importance to tackle the low adherence of patients to self-training, so increasing the effectiveness of rehabilitation programs.
  25. 25. Page 25 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Thank you for your attention
  26. 26. Page 26 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September User-centric design experience in Tromsø (Norway) Ellen Brox
  27. 27. Page 27 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September User involvement • Users involved from the start • A steady group • Regular exercise gatherings • Testing, discussing – Games – Colours – Graphics – Menus – Step counter – Etc. User-centric design
  28. 28. Page 28 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Recruiting • Recruiting seniors is challenging • Our group meets bi-weekly • They always eat together • Started with commercial Kinect games User-centric design
  29. 29. Page 29 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Basic user requirements • From the literature • From experience (playing commercial games) – Wii and Kinect – Playing Kinect over time • Colours and contrast • Speed • Amount of information • Want new things after a while User-centric design
  30. 30. Page 30 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Elderly vs young It is amazing how difficult it is for a young person to understand the limitations of age • Speed • Movements • Information • Small details • Colours and fonts • Sound • Etc. User-centric design
  31. 31. Page 31 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Apple picking game Some early changes: • Lighter background • Better contrast sky/tree • Contrast apples / tree • Apple signs visible • Buckets lifted • Head on stick man • Moving cloud removed • More blue, less green User-centric design
  32. 32. Page 32 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September More games • Based on the apple picking we now have FarmUp User-centric design
  33. 33. Page 33 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Small tests Several small tests with interviews, questionnairs, discussions: • Several iterations of the game – moving baskets, sounds, changing colours etc. • Reactions on the avatars, colours of stars, sounds, texts,… • Menu buttons: colours, size, placement, etc User-centric design
  34. 34. Page 34 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Exit stategy • The group has become important to some • We keep telling where in the three year period the project is • All the participants also belong to other groups in the congregation User-centric design
  35. 35. Page 35 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Rehabilitation Games: State of the Art and Business Case Luis Luque
  36. 36. Page 36 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Game boom Rehabilitation Games
  37. 37. Page 37 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Ecosystem of Games for Rehab: Gadgets Rehabilitation Games
  38. 38. Page 38 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Augmented Reality http://www.burkazoid.com/
  39. 39. Page 39 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Evidence
  40. 40. Page 40 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Barriers for comercialization I – There is no very sucessful model for reimbursement of home- rehabilitation – Small clinics have problem to cover the expenses, or have trained professionals http://www.creditcards.com/credit- card-news/who-pays-expenses- company-goes-bankrupt-1282.php
  41. 41. Page 41 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Barriers for comercialization II – User friendliness is not common, and users are still suffering “technophobia”. – Managers are concerned of maitenance and training costs
  42. 42. Page 42 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Barriers for comercialization III – Many new startups in USA: very complex legislation and ever changing health system – Market fragmentation in Europe – Emerging oportunities in BRICS
  43. 43. Page 43 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September How to overcome barriers Business planning needs to be taken into consideration at very early stage, and involve VCs, investors, stakeholders, etc.
  44. 44. Page 44 GAME-BASED MOBILITY TRAINING AND MOTIVATION OF SENIOR CITIZENS Project Number: AAL-2011-4-090 AAL Forum 2014 9th September Panel Discussion Antonio Remartinez

Editor's Notes

  • The European population is getting older. The current life expectancy average is 84.7 years for women, and 80.3 years for men (BSA 2013). Due to these demographic changes the need for adapted medical services for this specific age group has become critical.

    European society experiences a significant increase of the numbers of persons over 65 years of age. Aging is accompanied by a decrease of mental functions, including reduced motivation for physical activities as well as a decline in motor skills resulting in mobility problems and an increased risk of falling.
  • In order to improve cardiorespiratory and muscular functions, and to reduce the risk of non-communicable diseases, depression and cognitive decline, the WHO recommends that adults aged over 65 practice aerobic physical activity for at least 150 minutes of moderate intensity or 75 minutes of high intensity per week [6].
    Moreover, elderly people should perform strengthening exercises minimum twice a week and balance exercises minimum thrice a week.

    NIH=National Institutes of Health (in the US)
  • Breathing exercises (chest physiotherapy)
    Exercises such as balance training (with medicine ball)
    Hydrotherapy in group or in individual sessions
    Gait training and ADL education


  • 5. Sport therapy and outdoor activities
    Application more and more frequent of exergames forthe rehabilitation of inpatients, such as:
    6. Armeo® robotic rehabilitation for functional arm and hand therapy
    7. Wii® game console therapy for balance, strengtening and coordination training
  • An alternative to increase patient’s motivation for self-exercising is using serious games promoting mobility.
  • - Clinical observations (balance problems depending on body positions)
    - Focus group discussion with physiotherapits and occupational therapists in Valens Clinics
    - Development of adapted exercises (strenthening and balance exercises)
  • User’s feedback
    Physiotherapist’s (or health porfessional) feedback
    Group discussion
    Semi-structured questionnaires
    Observation
  • Randomized controlled trial on «Are serious games promoting mobility an attractive alternative to conventional self-training for elderly people? »
    with 2 parallel-groups:
    Intervention group self-training with serious games and Fitbit pedometer
    control group self-training with a conventional exercises program with handouts
  • From the rehab center’s point of view
  • ×