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Here's a presentation I gave at the GameTech conference in Sydney, June 2011

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  1. 1. Videogames a “serious” health technology Stuart SmithMonday, 11 July 2011
  2. 2. Background Games for fall prevention Games for stroke rehabilitation Building an Australian SeriousGameTech 2011 Games for Health industryMonday, 11 July 2011
  3. 3. 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 tendonsGameTech 2011Monday, 11 July 2011
  4. 4. However..... games can be seriously consideredGameTech 2011Monday, 11 July 2011
  5. 5. Exergames for neuroplasticityGameTech 2011Monday, 11 July 2011
  6. 6. spinal cord rehabilitationGameTech 2011Monday, 11 July 2011
  7. 7. Ethnography Cognitive Social Falls Technology Platform Technology Research for Independent Living Develop technology for in-home monitoring of factors associated with falls, cognitive function and social connectivity in older adultsGameTech 2011Monday, 11 July 2011
  8. 8. Use of technology for monitoring health and promoting independent living in older adults. Regional, rural and remote areas Australian TRILGameTech 2011Monday, 11 July 2011
  9. 9. Can existing technology facilitate independent living in older adults?GameTech 2011Monday, 11 July 2011
  10. 10. Television most familiar of all. Everyday objects are digitalGameTech 2011Monday, 11 July 2011
  11. 11. Can we use the television to facilitate independent living?GameTech 2011Monday, 11 July 2011
  12. 12. 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 2011Monday, 11 July 2011
  13. 13. 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: 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, 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 person year. CI 5 0.48–0.69, 68% of between-study variability ex-Monday, 11 July 2011
  14. 14. 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 gamesGameTech 2011Monday, 11 July 2011
  15. 15. like Dance Dance RevolutionGameTech 2011Monday, 11 July 2011
  16. 16. Dance Dance Revolution to reduce fall risk and increase physical activityGameTech 2011Monday, 11 July 2011
  17. 17. 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 technologyGameTech 2011Monday, 11 July 2011
  18. 18. Where to from here? Instructorduring quiet stance is the feet (normalizedd is shown to be aers.33 Subjects were ossible, for 1 minutee data from the forceuter with a sampling ute the COP in thens, respectively. detect outliers andted for baseline andsttest using 1-way GameTech 2011 as found, pairwise ed using the July 2011 Monday, 11 Tukey
  19. 19. Video Games for Independent Living: An NBN Technology Older adults/ people with DDR health issuesCognitive Physical ViGIL:ANT Social strategy, memory logic games Videogame designers/ developers/publishers casual, online gamesGameTech 2011Monday, 11 July 2011
  20. 20. A recent example Upper limb function following stroke is a major barrier to independenceGameTech 2011Monday, 11 July 2011
  21. 21. How do we build a Games for Health industry? WTF? blah blah blah Game Health developers researchersGameTech 2011Monday, 11 July 2011
  22. 22. 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 2011Monday, 11 July 2011
  23. 23. Thank you for hanging on till the bitter end.GameTech 2011Monday, 11 July 2011