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Tom Langhorst 
FontysUniversity of AppliedScience 
School of ICT 
Eindhoven, 
The Netherlands
Biofeedback cyclinggame 
For children with Cerebral Palsy (CP), 
as part of their rehabilitation after
Involving children 
Interviewing children about what they would like to see and do in the game is risky… 
Researchers should always critically question whether the test children’s enthusiasm is really caused by a positive user experience or by something else. 
(VandenAbeele, ZamanDe Grooff, 2011)
Laddering 
By interviewing patients at the hospital (girls and boys between 8-12 years old) we were able to recognize three clusters of values. 
Me 
Around me (the world) 
Challenges
Me 
Identification
My badges 
Badges in real world cycling 
Pimp my bike 
Badges are notpart of the game AI 
In some desingsbadges can replace levels as effective 
progress markers 
(Zichermann& Cunningham, 2011)
Badges 
Extending the gameplay in-and outside the digital environment 
Social negotiation
Bartle’s player types 
player 
world 
Explorer 
Socializer 
Achiever 
Killer 
action 
interaction 
Richard Barlte, 2010 GDC
Around me 
The children’s ideas about the exercise surroundings: 
Holidays, 
Fun, 
Away from everyday life, and notrealistic.
Explorer 
The patient cycles though 
different worlds: 
Forrest 
Beach 
Ice 
Candy
Achiever 
Level 
game mechanic hill or wind 
biofeedback heartrate 
algorithmpatient min-max effort
Achiever 
Pickups 
Game mechanictime 
Biofeedbackeffort 
Algorithmeffort depending value and visibility time
Achiever 
Tilt 
game mechanic avatar tilting 
biofeedbackpower % left/right 
% Power Left 
% Power Right 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50% 
50%
Killer 
Ghost 
Based on the average score per level of the last exercise a ghost is calculated
Ghost motivation 
Data shows how the patient’s RPM and effort increases during a more difficult level due to the ghost chase
Conclusion 
We only just begun… 
Doctors and Designers 
Incubator: a new business model for innovation in health games?
Questions & remarks

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Games for Health - Tom langhorst - Development of a biofeedback cycling game for children with cerebral palsy

  • 1. Tom Langhorst FontysUniversity of AppliedScience School of ICT Eindhoven, The Netherlands
  • 2. Biofeedback cyclinggame For children with Cerebral Palsy (CP), as part of their rehabilitation after
  • 3. Involving children Interviewing children about what they would like to see and do in the game is risky… Researchers should always critically question whether the test children’s enthusiasm is really caused by a positive user experience or by something else. (VandenAbeele, ZamanDe Grooff, 2011)
  • 4. Laddering By interviewing patients at the hospital (girls and boys between 8-12 years old) we were able to recognize three clusters of values. Me Around me (the world) Challenges
  • 6. My badges Badges in real world cycling Pimp my bike Badges are notpart of the game AI In some desingsbadges can replace levels as effective progress markers (Zichermann& Cunningham, 2011)
  • 7. Badges Extending the gameplay in-and outside the digital environment Social negotiation
  • 8. Bartle’s player types player world Explorer Socializer Achiever Killer action interaction Richard Barlte, 2010 GDC
  • 9. Around me The children’s ideas about the exercise surroundings: Holidays, Fun, Away from everyday life, and notrealistic.
  • 10. Explorer The patient cycles though different worlds: Forrest Beach Ice Candy
  • 11. Achiever Level game mechanic hill or wind biofeedback heartrate algorithmpatient min-max effort
  • 12. Achiever Pickups Game mechanictime Biofeedbackeffort Algorithmeffort depending value and visibility time
  • 13. Achiever Tilt game mechanic avatar tilting biofeedbackpower % left/right % Power Left % Power Right 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50% 50%
  • 14.
  • 15. Killer Ghost Based on the average score per level of the last exercise a ghost is calculated
  • 16. Ghost motivation Data shows how the patient’s RPM and effort increases during a more difficult level due to the ghost chase
  • 17. Conclusion We only just begun… Doctors and Designers Incubator: a new business model for innovation in health games?