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An evidence based
multidisciplinary developed
serious game for children
undergoing surgery
Jo Vrancken
Liesbeth De Gryse
Frederik Smolders
Frederik De Clerck
Robin Gielis
Michiel Stoffels
Annemie Spooren
GFH17
Phase one
Feasibility study
Kick-off with a feasibility study
• Project approval by Flemish government
• Funding assigned in 2014-2015
“Can a serious game be an added value during the at home preparation of
parent and child for an elective surgical procedure?”
Feasibility study
Feasibility study - approach
• Literature review about preparation of children
• Literature review about gaming
• Conferences and best practices (GFH was great!!)
• Stakeholders opinions
• Development of game design for prototype
Can a serious game at home be helpful?
We think yes because:
• Parents are involved (family centered)
• Information is correct and evidence based
• Information is delivered on the right moment
• Delivering information when procedure is scheduled and in lead-up to procedure
• Young children receiving information 5-7 days prior to surgery: less anxious
• Information is age appropriate
• iPad is easy to use
• Game should be fun
Game design - prototype
• Children 4 - 6 years old
• Elective surgical procedure
• General anesthesia
Scenario
Dialogues
Ideas about graphics, sounds, look and feel
Together with stakeholders
Phase 2
Game development
Funding has arrived!!
• Funding (one year) from Hasselt University for…
• Playable game version
• Evidence based and relevant information, sounds,…
• PXL and industry partners
• Jessa Hospital
• Game designer
• Game developer
• Sound actors
Sound recordings and stakeholders
discussions
Phase 3
Prototype testing
At home testings…
• 7 children and their families
• At home environment
• Focus on general impression
• Focus on ‘user performance’ (Markopoulos H. et al, 2008)
• ‘Free play’ (Barendregt W. et al., 2003)
• Observation
• Thinking aloud (Boren MT, Ramey J. 2000)
Phase 4
Beta version testing
Approach…
• 13 boys, 9 girls
• Elementary school and primary school (Sint-Truiden)
• iPad and headphones
• Short introduction
• Start playing
• ‘General impression – FUN’
• ‘Graphical impression – look and feel’ (characters, scenery, sounds,…)
• ‘User performance - controls’
Methods
• Observation
• Fun Toolkit (Read et al, 2002 and Markopoulos et al, 2008)
• Funometer
• Again-again table
• Fun sorter
• Small ‘interview’
• Questions about characters, gameplay,…
• Questions about “knowledge”
Results…
• Overall score of fun: 9,43/10
• Gained information: high overall scores!!
Play again?
Phase 5
Validation study
Study starting soon…
• RCT @Jessa Hospital
• Children 4-6 years for elective ORL surgery
• Intervention group: children playing HospiAvontuur and no
premedication
• Controle group: only premedication as preparation at the hospital
• Comparing anxiety levels before anesthesia induction
• Secondary outcomes: Emergence delirium, postoperative pain and negative
postoperative behavior
Small demo
... afterwards, please find us!!!
Hospi adventure: an evidence based multidisciplinary developed serious game for children undergoing surgery

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Hospi adventure: an evidence based multidisciplinary developed serious game for children undergoing surgery

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  • 2. An evidence based multidisciplinary developed serious game for children undergoing surgery Jo Vrancken Liesbeth De Gryse Frederik Smolders Frederik De Clerck Robin Gielis Michiel Stoffels Annemie Spooren GFH17
  • 4. Kick-off with a feasibility study • Project approval by Flemish government • Funding assigned in 2014-2015 “Can a serious game be an added value during the at home preparation of parent and child for an elective surgical procedure?”
  • 6. Feasibility study - approach • Literature review about preparation of children • Literature review about gaming • Conferences and best practices (GFH was great!!) • Stakeholders opinions • Development of game design for prototype
  • 7. Can a serious game at home be helpful? We think yes because: • Parents are involved (family centered) • Information is correct and evidence based • Information is delivered on the right moment • Delivering information when procedure is scheduled and in lead-up to procedure • Young children receiving information 5-7 days prior to surgery: less anxious • Information is age appropriate • iPad is easy to use • Game should be fun
  • 8. Game design - prototype • Children 4 - 6 years old • Elective surgical procedure • General anesthesia Scenario Dialogues Ideas about graphics, sounds, look and feel Together with stakeholders
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  • 11. Funding has arrived!! • Funding (one year) from Hasselt University for… • Playable game version • Evidence based and relevant information, sounds,… • PXL and industry partners • Jessa Hospital • Game designer • Game developer • Sound actors
  • 12. Sound recordings and stakeholders discussions
  • 14. At home testings… • 7 children and their families • At home environment • Focus on general impression • Focus on ‘user performance’ (Markopoulos H. et al, 2008) • ‘Free play’ (Barendregt W. et al., 2003) • Observation • Thinking aloud (Boren MT, Ramey J. 2000)
  • 16. Approach… • 13 boys, 9 girls • Elementary school and primary school (Sint-Truiden) • iPad and headphones • Short introduction • Start playing • ‘General impression – FUN’ • ‘Graphical impression – look and feel’ (characters, scenery, sounds,…) • ‘User performance - controls’
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  • 18. Methods • Observation • Fun Toolkit (Read et al, 2002 and Markopoulos et al, 2008) • Funometer • Again-again table • Fun sorter • Small ‘interview’ • Questions about characters, gameplay,… • Questions about “knowledge”
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  • 20. Results… • Overall score of fun: 9,43/10 • Gained information: high overall scores!!
  • 23. Study starting soon… • RCT @Jessa Hospital • Children 4-6 years for elective ORL surgery • Intervention group: children playing HospiAvontuur and no premedication • Controle group: only premedication as preparation at the hospital • Comparing anxiety levels before anesthesia induction • Secondary outcomes: Emergence delirium, postoperative pain and negative postoperative behavior
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  • 25. Small demo ... afterwards, please find us!!!

Editor's Notes

  1. Jaanista, 2007
  2. 2015 – 2017: finding funding!!
  3. TTO = Transfer Tech Office – IOF= Industrieel Onderzoeksfonds
  4. User performance: being able to walk around, tapping objects,…
  5. Do you need to be sober? Who takes you to the OR What does mama need to wear in the OR What do you need to wear in the OR?
  6. Transformation: reducing preoperative anxiety in order to have positive effects on secondary outcomes