This presentation was delivered in webinar format in Seoul in April 2015 and is designed to explore the serious issue of childhood obesity and how wearable lifestyle technology and gamification strategies might address the issue and help prevent serious health problems in later life

1. Childhood Obesity and Serious Games
Integrating Gamification and Lifestyle Technologies
for better Personal Health Management
David Wortley GAETSS

2. Childhood Obesity is a Complex Issue
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3. Obesity is a Global Challenge
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4. Lifestyle Related Global Challenges
● Obesity, diabetes, cancer, cardiovascular
● Ageing Society
● Education
● Environment
● Equitable Society
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These challenges require a holistic solution

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Top Ten causes of Death 1900 vs 2010

6. The Burden of Disease and the Changing Task
of Medicine
David S. Jones, M.D., Ph.D., Scott H. Podolsky, M.D., and Jeremy A. Greene, M.D., Ph.D.
N Engl J Med 2012; 366:2333-2338June 21, 2012DOI: 10.1056/NEJMp1113569
In many respects, our medical systems are best suited to diseases
of the past, not those of the present or future.
We must continue to adapt health systems and health policy as the
burden of disease evolves. Disease is a complex domain of human
experience, involving explanation, expectation, and meaning.
Doctors must acknowledge this complexity and formulate theories,
practices, and systems that fully address the breadth and subtlety
of disease.
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9. Global Challenge – Health
Obesity, Diabetes, Cancer & Cardiovascular Problems
● Sedentary lifestyle
● Convenience foods
● Comfort eating
● Inadequate exercise
● Couch potato syndrome
● Spectator society

10. How do we Solve the Problem?
● Develop clinical solutions that prevent or
manage these conditions or
● Influence the food industry and citizens
through public policy interventions or
● Develop better personal health management
solutions and practices
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11. Clinical Solutions
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12. Public Policy Interventions
Taxes & Legislation
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13. Public Policy Interventions
Awareness and Education
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14. Better Personal Health Management
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15. Which is the Best Solution?
Who will Provide the Solution?
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Medical Professionals or Politicans or Citizens?

16. The Transition from Cure to Prevention
It’s quite clear that the best chance we have for
increasing our life spans and overall improving
our health is to adjust our personal behaviours
and to do so at an early age.
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17. How can we change Personal Behaviours?
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18. An Approach for Better Personal Health
Gamification Enabling Technologies

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What is Gamification?
Gamification is a process designed to influence actions, behaviours,
characteristics and states through the use of games strategies and
mechanics

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What is Gamification?
Every Human Activity can be Viewed as a Game !!

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Games are part of Everyday Vocabulary

22. Teaching Game
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23. Property Game
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24. Insurance Game
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25. Used Car Game
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26. Game = Influence & Persuasion
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Big Players have Most Influence

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Gamification is a Life Skill
Gamification and the ability/motivation to Gamify is embedded in
the genetic make up of every living creature.

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The Gamification Lens
Strategist
Tactician
Motivator
Coach
Skill
Ability
Motivation
Self-Esteem
Loyalty
Passion
Engagement
Support
Interest
Awareness
Knowledge
Unaware
Independent
Self-sufficient
Growing Influence
and Ability to
Achieve Goals

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Gamification Elements
Scenarios/Narratives
Challenges
Rules
Chance/Uncertainty
Risks
Rewards/Incentives
Penalties
Competition
Exploration
Success/Achievement
Failure
Discovery
Leaderboards
Learning
Development
Skill/Ability
Action/Reaction
Measurement
Feedback
Reflection
Gamification introduces some or all of these elements into
everyday situations

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The Gamification Cycle
Challenge
Response
Measurement
Feedback

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The "A List" Influencers
Every Individual responds to different influencers in making
decisions or choices

33. Enabling Technologies and Disruptive
Change in Society
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34. Enabling Technologies
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What enabling technologies will affect the lives of
Nurses, Doctors, Hospitals and Care Workers
and how will that impact Childhood Obesity ?

35. How Do Enabling Technologies Cause Disruptive Change?
The Thomas Cook Story
In 1842 a Cabinet Maker from Market
Harborough in the UK set out on a journey
that shaped the world we live in today.
He made an innovative connection between
his passion for the Temperance Movement
and the disruptive enabling technology of
the railway network.
On that day travel and tourism was changed
forever.
Disruptive Technologies, Win-Win Relationships,
Commercially Sustainable Social Enterprise

36. Why did Thomas Cook Succeed?
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A Proposition that was Attractive, Accessible and Affordable

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Enabling Technologies and Society
The Disruptive shift from Hierarchical Society to Networked Society
is a challenge and an opportunity to shape the influence of
technology on society

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Impact on Knowledge Professionals
Knowledge Professionals influence on Behaviours and Actions is
being eroded by enabling technologies especially with Digital
Natives

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Enabling Technologies and Society
Knowledge Professionals no longer have hierarchical authority as a
means of influencing behaviour
They have to influence by facilitation and mentoring

40. Impact on Knowledge Professionals
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What happens when everyone can access knowledge?

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The Prosumer Revolution
Today's users are increasingly Producers as well as Consumers
competing in the Attention Economy

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Attention Economy

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The Attention Economy
The Next Generation have very different expectations

44. Who will Most Influence Future Health?
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45. Making a FreshStart
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46. The Perfect Storm of Opportunity
Urgent Societal Issues
● Health – Obesity, Diabetes etc
● Ageing Society – Dementia and
care costs
● Education – Rejection of
traditional practices
● Environment – Unsustainable
demand for Resources
● Commerce – E-Commerce threat
to traditional Physical retailers on
the High Street
Enabling Technologies
● Lifestyle sensor technologies
● Mobile Applications
● Cloud Computing
● Internet of Things
● Big Data Analytics
● Data Visualisation
● Social Media
Creating synergistic collaborative partnerships across multiple disciplines and
sectors is key to commercialisation of the opportunities

47. The GAETSS Mission
Tackling global challenges by building strategic, profitable, sustainable
and innovative win-win partnerships based on social enterprise and
united in a common purpose enabled by technology

48. The Fresh Start Background
We live in a society where unprecedented advances in technology provide
instant access to and control of many aspects of our lives.
This situation has created a “Perfect Storm” of Urgent Societal Problems and
commercially viable Technology Solutions

49. Changing Lifestyles
and Consumer Empowerment
One of the consequences
of this convenient and
easy access to our daily
wants and needs is a
decline in the physical and
mental challenges
necessary for our lifelong
development and health
maintenance

50. Global Lifestyle Related Challenges
Modern Lifestyle
consequences include many
negative effects which place
increasing demands on
available resources and
threaten the sustainability
of public services for future
generations

51. Global Challenge – Health
Obesity, Diabetes, Cancer & Cardiovascular Problems
Very High Profile in UK Press and Media

52. Who is to Blame?
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In a Spectator Society we come to expect other people to
resolve global challenges

53. Who is to Blame?
The truth is that we are all collectively responsible through our lifestyle choices…
and we are all collectively able to turn things around…
Television

54. What can be Done ?
The consequences of a failure to address these challenges are unthinkable…..

55. Personal Health Management
Over the last 20 months I have explored and experienced first hand the potential of
Gamification and Enabling Technologies to transform personal health and have a
passion to be part of a revolution in health and well-being. I lost 21Kg in 3 months
and significantly improved physically and mentally

56. Gamification and Enabling Technologies
Leveraging Consumer Technology Usage and Demands to
Address Global Challenges
Our insatiable demand for technologies that give use choice,
interactivity and control is key to developing a strategy
for addressing global challenges in a holistic way

57. Gamification and Enabling Technologies
Deliver Results
2013
2013 Feb 2015

58. Who can Most Influence YOUR Future Health?
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59. Childhood Obesity Issues
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60. How can we influence Generation Z?
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61. Global Challenge – Education
Expectations of Generation Z Digital Natives
● Early exposure to
interactive technology
● Engagement in video
games
● Easy access to
information
● Rejection of traditional
teaching methods

62. Shifting the Locus of Control
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63. Games and the Locus of Control
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Games put you in Control and transfer the responsibility
for outcomes to you

64. The Pegaso EU Project
The Pegaso EU Project uses wearable devices and games to encourage
active lifestyles and healthy eating – see http://www.pegasof4f.eu/

65. Measurement and Feedback
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Snapshot data Real Time data

66. Gamification of Childhood Obesity
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67. Gamification of Childhood Obesity
● Body composition snapshot data to measure progress
● Real time data lifestyle tracking to measure activity,
sleep and nutrition
● Data analytics and visualisation to control outcomes
● Personal responsibility for personal performance
● Education benefits for STEM subjects
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68. Types of Game Mechanics
● Quest and exploration games
● Scoreboards
● Teams and clans
● Points and Badges
● Leaderboards
● Virtual (and physical) coaches/mentors
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69. Conclusions
Childhood obesity is a complex and serious
global challenge that arises from today's
technology enabled lifestyles. The same
technologies which contribute to these
challenges can also be applied to solving
these challenges but it requires fresh
thinking and a fresh start.
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