This game called Zoofit uses a virtual zoo as a platform to encourage players to adopt healthy lifestyles by tracking their physical activity, food intake, and visits to recreational areas. As players complete missions by walking, recording their weight, and checking into parks, they earn in-game rewards like expanding their zoo and acquiring new animals. The game aims to change behaviors through social networking, peer support, and self-monitoring. It can also generate valuable public health data with user consent to inform policymakers about issues like access to healthy foods and facilities.
This document proposes a mobile game called BetterDay that aims to improve physical and mental health while generating data. The game would reward players for healthy activities like walking, exercise, and learning health facts. Data on player engagement and health outcomes could help health organizations develop new programs. Real-world rewards from sponsors could further motivate players. Communities could customize the game to target local health issues and promote specific activities. The game aims to form healthy habits while learning what motivates behavior change.
This document discusses tangrams, a Chinese puzzle consisting of seven shapes that form a square. It instructs readers to cut out the seven shapes, label them, and use the shapes to recreate designs on a page. Readers are then asked to create their own tangram shapes and put the original shapes back together to form a square. The goal is to investigate how shapes can be combined and separated.
Este curso introductorio pretende enseñar el Test de Rorschach como una técnica para explorar la personalidad. Se recomienda disponer de las láminas originales y dedicar varias horas a cada lección del curso, el cual está dirigido a psicólogos, psiquiatras y estudiantes avanzados. El curso enseñará conceptos básicos del método de una manera accesible para quienes están comenzando, y luego introducirá nociones más complejas hasta poder completar informes básicos con software especializado.
How To Write A Play By Elizabeth Forbesguest39fff1
The document provides instructions for writing a play in 5 paragraphs. It explains that a play needs a plot, theme, setting, mood, characters, conflict, and solution. It advises the reader to start with composing a plot which includes a beginning, middle and end, then construct a theme which is the underlying message. After that, the writer should include a setting of place, time and date, and create a mood to convey how the audience should feel. Characters, including major and minor roles as well as protagonists and antagonists, are then assembled. Finally, the characters are incorporated into a conflict with a solution to resolve the problem. The document encourages revising and editing the play and getting started on writing
ICIS Module Spec - BI1S61 Diversity of Life 2Daniel Band
This module focuses on the diversity of invertebrate life, including the classification, evolution, and characteristics of major invertebrate taxa. The module aims to develop students' understanding of classification principles, evolutionary processes in invertebrates, and the relationship between form and function in different taxa. Students will learn through lectures, practical classes, fieldwork, and independent study. Assessment includes a laboratory practical, written assignment, and closed-book written exam.
Este documento trata sobre la comunicación en la educación. Discuta los tipos de comunicación educativa, incluidas la comunicación unidireccional y bidireccional. También analiza los requisitos para una comunicación efectiva en el aula, como la motivación y la persuasión. Además, examina las competencias comunicativas clave para los docentes, como las actitudes positivas y los sólidos conocimientos académicos.
The document is a calendar for the year 2007 listing each month from January to December. For each day it shows the day of the week and any notable holidays or events for that month such as New Year's Day, Martin Luther King Jr Day, President's Day, Valentine's Day, St. Patrick's Day, Easter, Earth Day, Mother's Day and Memorial Day.
This document proposes a mobile game called BetterDay that aims to improve physical and mental health while generating data. The game would reward players for healthy activities like walking, exercise, and learning health facts. Data on player engagement and health outcomes could help health organizations develop new programs. Real-world rewards from sponsors could further motivate players. Communities could customize the game to target local health issues and promote specific activities. The game aims to form healthy habits while learning what motivates behavior change.
This document discusses tangrams, a Chinese puzzle consisting of seven shapes that form a square. It instructs readers to cut out the seven shapes, label them, and use the shapes to recreate designs on a page. Readers are then asked to create their own tangram shapes and put the original shapes back together to form a square. The goal is to investigate how shapes can be combined and separated.
Este curso introductorio pretende enseñar el Test de Rorschach como una técnica para explorar la personalidad. Se recomienda disponer de las láminas originales y dedicar varias horas a cada lección del curso, el cual está dirigido a psicólogos, psiquiatras y estudiantes avanzados. El curso enseñará conceptos básicos del método de una manera accesible para quienes están comenzando, y luego introducirá nociones más complejas hasta poder completar informes básicos con software especializado.
How To Write A Play By Elizabeth Forbesguest39fff1
The document provides instructions for writing a play in 5 paragraphs. It explains that a play needs a plot, theme, setting, mood, characters, conflict, and solution. It advises the reader to start with composing a plot which includes a beginning, middle and end, then construct a theme which is the underlying message. After that, the writer should include a setting of place, time and date, and create a mood to convey how the audience should feel. Characters, including major and minor roles as well as protagonists and antagonists, are then assembled. Finally, the characters are incorporated into a conflict with a solution to resolve the problem. The document encourages revising and editing the play and getting started on writing
ICIS Module Spec - BI1S61 Diversity of Life 2Daniel Band
This module focuses on the diversity of invertebrate life, including the classification, evolution, and characteristics of major invertebrate taxa. The module aims to develop students' understanding of classification principles, evolutionary processes in invertebrates, and the relationship between form and function in different taxa. Students will learn through lectures, practical classes, fieldwork, and independent study. Assessment includes a laboratory practical, written assignment, and closed-book written exam.
Este documento trata sobre la comunicación en la educación. Discuta los tipos de comunicación educativa, incluidas la comunicación unidireccional y bidireccional. También analiza los requisitos para una comunicación efectiva en el aula, como la motivación y la persuasión. Además, examina las competencias comunicativas clave para los docentes, como las actitudes positivas y los sólidos conocimientos académicos.
The document is a calendar for the year 2007 listing each month from January to December. For each day it shows the day of the week and any notable holidays or events for that month such as New Year's Day, Martin Luther King Jr Day, President's Day, Valentine's Day, St. Patrick's Day, Easter, Earth Day, Mother's Day and Memorial Day.
Assessing the effect of a dumpsite on groundwater quality a case study of adu...Alexander Decker
1) The study assessed the impact of an open dumpsite on groundwater quality in Aduramigba Estate, Nigeria by testing physicochemical parameters, major ions, and trace metals in 20 wells near the dumpsite.
2) Results found that most physicochemical parameters like pH, temperature, and conductivity were within acceptable limits. However, manganese concentrations exceeded limits in surface and shallow wells downhill from the dumpsite, likely due to leachate impacts.
3) Chloride and sodium concentrations exceeded limits in some wells, possibly due to added disinfectants and weathering of underlying feldspar rocks. Most trace metals were below detection limits except for zinc, iron, and manganese which were
This academic article discusses content management system (CMS) development using agile programming methodologies like extreme programming (XP). It finds that XP shares characteristics with open source CMS development such as iterative development, simplicity in design, collective ownership of code, and treating users as co-developers. The article concludes that agile methodologies are well-suited for open source CMS development.
Ais quality and effectiveness of the decision making processAlexander Decker
This research examines the relationship between managers' perceptions of accounting information system (AIS) quality, the effectiveness of decision making, and the level of enterprise resource planning system (ERPS) use. The study analyzed responses from 63 managers across various industries and departments in Indonesia. The results suggest that managers' perceptions of AIS quality positively affect decision making effectiveness. Additionally, more extensive ERPS use may strengthen this relationship. There were no significant differences found between department managers' perceptions of AIS quality and decision making effectiveness based on ERPS use.
Applicability of industrial ecology strategies for the corporate environmenta...Alexander Decker
This document discusses a study on the applicability of industrial ecology strategies for corporate environmental management in Tanzania. The study identified three levels of corporate environmental management - strategic, tactical, and control. It found that employees participate to a relatively adequate extent in environmental management decision making at all three levels. Specifically, employees were found to participate most at the tactical level, which is responsible for implementing top management decisions. The study recommended clearly defining employee responsibilities according to their level to improve corporate environmental performance.
Alleviating rural poverty in ghana through marketing of tourism sites and pro...Alexander Decker
This document discusses how marketing tourism sites and protected areas in Ghana can help alleviate rural poverty. It begins by outlining how poverty, environmental degradation, and unsustainable natural resource management are linked in Ghana. National parks and protected areas have the potential to promote tourism and generate economic benefits, but often fail to benefit local communities and can even exacerbate rural poverty. The document examines challenges like loss of access to resources, human-wildlife conflicts, and how protection has sometimes led to marginalization of the poor in Ghana. It argues that community participation, sustainable livelihoods, and ensuring protected areas generate local socioeconomic benefits are important for reducing poverty. Marketing Ghana's tourism sites could help address these issues if done through wildlife protection, museum
Inocencio melendez julio.¿es el rol del docente determinante en la educació...INOCENCIO MELÉNDEZ JULIO
El rol del docente es determinante al comienzo de un programa de educación a distancia para orientar y motivar al estudiante, pero a medida que el estudiante avanza, el docente transfiere progresivamente la responsabilidad al estudiante. Aunque el estudiante es el eje central del proceso formativo, la interacción entre el estudiante y el docente tutor o consejero es necesaria para que el estudiante complete con éxito su formación de manera autónoma y reflexiva.
Agro ecological assessment of soil quality of a river watershed in the niger ...Alexander Decker
This document summarizes a study that analyzed soil samples from 9 sites around the River Ediene watershed in Nigeria to determine soil quality. Chemical tests found the soil to have low levels of important nutrients like nitrogen, phosphorus, potassium, and calcium compared to standards. Organic matter content was only 0.9%, far below the ideal level of 5%. The soil was also acidic with a pH of 6.17. Overall, the study concluded the soil quality was poor and would need to be improved for effective agriculture due to deficiencies in important nutrients and organic matter.
El Sistema Universitario UNIMINUTO será reconocido en Colombia por su énfasis en las vivencias espirituales, su contribución al desarrollo del país a través de la educación, y la alta calidad de sus programas académicos. Además, tendrá un gran impacto debido a su cobertura en múltiples sedes que facilitan el acceso a sus programas.
Adolescents and utilization of family planning services in rural community of...Alexander Decker
This study examined family planning services utilization among adolescents in a rural Nigerian community. 400 adolescents ages 10-19 completed questionnaires. Over two-thirds reported family planning services being available, with main sources being health centers, chemists, and pharmacies. Reasons for service selection included low cost, privacy, and proximity. While most adolescents were sexually active and knowledgeable about contraception, condom use was low and many were unconcerned about pregnancy or STDs. The study concluded family planning services were available but underutilized, with worrisome attitudes towards unprotected sex among adolescents in the community.
Analysis of the electricity consumption in the south east geopolitical regi...Alexander Decker
This document analyzes electricity consumption patterns in Nigeria's South-East geopolitical region. It examines how socio-economic and physical factors influence consumption across the region's five states. The study reveals varying consumption rates between states. A key finding is that consumption in the region is significantly related to socio-economic and physical characteristics. The study formulates a model to predict consumption based on twelve determinants. It recommends adopting this model to guide sustainable planning in the region.
Este documento resume la novela "La sensación de fluidez" de Juan Carlos Cubeiro. Narra cómo un ejecutivo llamado Leopoldo entrena a su sucesor Jesús durante una semana para enseñarle sobre el liderazgo efectivo. Leopoldo cree que el liderazgo requiere tanto racionalidad como sensibilidad. Durante la semana, Leopoldo usa cada uno de los cinco sentidos como metáfora para enseñar cinco características clave del liderazgo a Jesús. El resumen describe cada una de las lecciones diari
Analysis of regional economic development in the regencyAlexander Decker
This document summarizes a study on regional economic development in South Sulawesi Province, Indonesia. The study analyzed the economic characteristics and potential leading sectors of each regency/municipality using Klassen typology analysis, location quotient analysis, and Krugman regional index. The results showed that only 3 of the 23 regencies/municipalities were classified as high growth and high income. Each region also had different potential leading economic sectors. Finally, the analysis found evidence of inter-regional specialization and economic interdependence, though specialization was still weak in some areas.
This document analyzes tense, aspect, and negation in the Mọ̀bà dialect of the Yorùbá language. It finds that Mọ̀bà has one future tense marker, éè, similar to Standard Yorùbá, but with some phonological variations. Mọ̀bà also uses a high tone syllable, é, to mark both present and past tense, and has the same progressive, habitual, and perfective aspect markers as Standard Yorùbá. Finally, the study identifies four negation markers in Mọ̀bà and suggests one of these markers, ọ̀kọ́, may be the
Analysis of building performance evaluation and valueAlexander Decker
This document discusses building performance evaluation and value management as tools that can be used in building facilities management. It defines building performance evaluation as a process that systematically evaluates the performance and effectiveness of buildings. Value management is defined as a structured process that seeks to achieve value for money by providing necessary functions at the lowest cost. The document suggests that building performance evaluation data should be integrated into value management studies to realize maximum effectiveness of facilities management decisions. It also provides an overview of how performance evaluation and value management can improve facilities management functions and help organizations make better informed facilities decisions.
An enhanced pairwise search approach for generatingAlexander Decker
This document summarizes a research paper that proposes an enhanced pairwise search approach for generating test data. The approach aims to generate an optimal number of test cases and reduce execution time. It works by first generating pairs of parameters and values, then combining pairs to construct test cases that maximize covered pairs. An evaluation of the approach on 5 systems found it generated the smallest test suites in 3 of 5 cases compared to other methods. The authors conclude the approach is efficient in reducing test suites and execution time to meet industry needs.
ReviewPro is a company based in Barcelona that analyzes user reviews and their impact on hotels. The webinar discusses research showing a 1% increase in review scores leads to a 1% increase in hotel revenue. It introduces the Quality Penetration Index (QPI) which measures a hotel's guest review performance relative to competitors. QPI and other new analytical tools allow revenue managers to better understand how guest satisfaction impacts revenues and implement strategies to make hotels more competitive. Overall, online reputation management is positioned as the future of revenue maximization by improving the guest experience and differentiating hotels in the market.
The document describes a proposed mobile game app called "Diabetes Free" that aims to educate youth ages 14-21 about diabetes prevention and lifestyle management. The game would include mini-games to test diabetes knowledge, quests to track health metrics over time, and a forum for asking experts questions. By making healthy choices in the game, players could earn tokens to redeem for real-life health-related prizes. The goal is to motivate sustained behavior change among youth to reduce diabetes risk and prevalence in their community.
Assessing the effect of a dumpsite on groundwater quality a case study of adu...Alexander Decker
1) The study assessed the impact of an open dumpsite on groundwater quality in Aduramigba Estate, Nigeria by testing physicochemical parameters, major ions, and trace metals in 20 wells near the dumpsite.
2) Results found that most physicochemical parameters like pH, temperature, and conductivity were within acceptable limits. However, manganese concentrations exceeded limits in surface and shallow wells downhill from the dumpsite, likely due to leachate impacts.
3) Chloride and sodium concentrations exceeded limits in some wells, possibly due to added disinfectants and weathering of underlying feldspar rocks. Most trace metals were below detection limits except for zinc, iron, and manganese which were
This academic article discusses content management system (CMS) development using agile programming methodologies like extreme programming (XP). It finds that XP shares characteristics with open source CMS development such as iterative development, simplicity in design, collective ownership of code, and treating users as co-developers. The article concludes that agile methodologies are well-suited for open source CMS development.
Ais quality and effectiveness of the decision making processAlexander Decker
This research examines the relationship between managers' perceptions of accounting information system (AIS) quality, the effectiveness of decision making, and the level of enterprise resource planning system (ERPS) use. The study analyzed responses from 63 managers across various industries and departments in Indonesia. The results suggest that managers' perceptions of AIS quality positively affect decision making effectiveness. Additionally, more extensive ERPS use may strengthen this relationship. There were no significant differences found between department managers' perceptions of AIS quality and decision making effectiveness based on ERPS use.
Applicability of industrial ecology strategies for the corporate environmenta...Alexander Decker
This document discusses a study on the applicability of industrial ecology strategies for corporate environmental management in Tanzania. The study identified three levels of corporate environmental management - strategic, tactical, and control. It found that employees participate to a relatively adequate extent in environmental management decision making at all three levels. Specifically, employees were found to participate most at the tactical level, which is responsible for implementing top management decisions. The study recommended clearly defining employee responsibilities according to their level to improve corporate environmental performance.
Alleviating rural poverty in ghana through marketing of tourism sites and pro...Alexander Decker
This document discusses how marketing tourism sites and protected areas in Ghana can help alleviate rural poverty. It begins by outlining how poverty, environmental degradation, and unsustainable natural resource management are linked in Ghana. National parks and protected areas have the potential to promote tourism and generate economic benefits, but often fail to benefit local communities and can even exacerbate rural poverty. The document examines challenges like loss of access to resources, human-wildlife conflicts, and how protection has sometimes led to marginalization of the poor in Ghana. It argues that community participation, sustainable livelihoods, and ensuring protected areas generate local socioeconomic benefits are important for reducing poverty. Marketing Ghana's tourism sites could help address these issues if done through wildlife protection, museum
Inocencio melendez julio.¿es el rol del docente determinante en la educació...INOCENCIO MELÉNDEZ JULIO
El rol del docente es determinante al comienzo de un programa de educación a distancia para orientar y motivar al estudiante, pero a medida que el estudiante avanza, el docente transfiere progresivamente la responsabilidad al estudiante. Aunque el estudiante es el eje central del proceso formativo, la interacción entre el estudiante y el docente tutor o consejero es necesaria para que el estudiante complete con éxito su formación de manera autónoma y reflexiva.
Agro ecological assessment of soil quality of a river watershed in the niger ...Alexander Decker
This document summarizes a study that analyzed soil samples from 9 sites around the River Ediene watershed in Nigeria to determine soil quality. Chemical tests found the soil to have low levels of important nutrients like nitrogen, phosphorus, potassium, and calcium compared to standards. Organic matter content was only 0.9%, far below the ideal level of 5%. The soil was also acidic with a pH of 6.17. Overall, the study concluded the soil quality was poor and would need to be improved for effective agriculture due to deficiencies in important nutrients and organic matter.
El Sistema Universitario UNIMINUTO será reconocido en Colombia por su énfasis en las vivencias espirituales, su contribución al desarrollo del país a través de la educación, y la alta calidad de sus programas académicos. Además, tendrá un gran impacto debido a su cobertura en múltiples sedes que facilitan el acceso a sus programas.
Adolescents and utilization of family planning services in rural community of...Alexander Decker
This study examined family planning services utilization among adolescents in a rural Nigerian community. 400 adolescents ages 10-19 completed questionnaires. Over two-thirds reported family planning services being available, with main sources being health centers, chemists, and pharmacies. Reasons for service selection included low cost, privacy, and proximity. While most adolescents were sexually active and knowledgeable about contraception, condom use was low and many were unconcerned about pregnancy or STDs. The study concluded family planning services were available but underutilized, with worrisome attitudes towards unprotected sex among adolescents in the community.
Analysis of the electricity consumption in the south east geopolitical regi...Alexander Decker
This document analyzes electricity consumption patterns in Nigeria's South-East geopolitical region. It examines how socio-economic and physical factors influence consumption across the region's five states. The study reveals varying consumption rates between states. A key finding is that consumption in the region is significantly related to socio-economic and physical characteristics. The study formulates a model to predict consumption based on twelve determinants. It recommends adopting this model to guide sustainable planning in the region.
Este documento resume la novela "La sensación de fluidez" de Juan Carlos Cubeiro. Narra cómo un ejecutivo llamado Leopoldo entrena a su sucesor Jesús durante una semana para enseñarle sobre el liderazgo efectivo. Leopoldo cree que el liderazgo requiere tanto racionalidad como sensibilidad. Durante la semana, Leopoldo usa cada uno de los cinco sentidos como metáfora para enseñar cinco características clave del liderazgo a Jesús. El resumen describe cada una de las lecciones diari
Analysis of regional economic development in the regencyAlexander Decker
This document summarizes a study on regional economic development in South Sulawesi Province, Indonesia. The study analyzed the economic characteristics and potential leading sectors of each regency/municipality using Klassen typology analysis, location quotient analysis, and Krugman regional index. The results showed that only 3 of the 23 regencies/municipalities were classified as high growth and high income. Each region also had different potential leading economic sectors. Finally, the analysis found evidence of inter-regional specialization and economic interdependence, though specialization was still weak in some areas.
This document analyzes tense, aspect, and negation in the Mọ̀bà dialect of the Yorùbá language. It finds that Mọ̀bà has one future tense marker, éè, similar to Standard Yorùbá, but with some phonological variations. Mọ̀bà also uses a high tone syllable, é, to mark both present and past tense, and has the same progressive, habitual, and perfective aspect markers as Standard Yorùbá. Finally, the study identifies four negation markers in Mọ̀bà and suggests one of these markers, ọ̀kọ́, may be the
Analysis of building performance evaluation and valueAlexander Decker
This document discusses building performance evaluation and value management as tools that can be used in building facilities management. It defines building performance evaluation as a process that systematically evaluates the performance and effectiveness of buildings. Value management is defined as a structured process that seeks to achieve value for money by providing necessary functions at the lowest cost. The document suggests that building performance evaluation data should be integrated into value management studies to realize maximum effectiveness of facilities management decisions. It also provides an overview of how performance evaluation and value management can improve facilities management functions and help organizations make better informed facilities decisions.
An enhanced pairwise search approach for generatingAlexander Decker
This document summarizes a research paper that proposes an enhanced pairwise search approach for generating test data. The approach aims to generate an optimal number of test cases and reduce execution time. It works by first generating pairs of parameters and values, then combining pairs to construct test cases that maximize covered pairs. An evaluation of the approach on 5 systems found it generated the smallest test suites in 3 of 5 cases compared to other methods. The authors conclude the approach is efficient in reducing test suites and execution time to meet industry needs.
ReviewPro is a company based in Barcelona that analyzes user reviews and their impact on hotels. The webinar discusses research showing a 1% increase in review scores leads to a 1% increase in hotel revenue. It introduces the Quality Penetration Index (QPI) which measures a hotel's guest review performance relative to competitors. QPI and other new analytical tools allow revenue managers to better understand how guest satisfaction impacts revenues and implement strategies to make hotels more competitive. Overall, online reputation management is positioned as the future of revenue maximization by improving the guest experience and differentiating hotels in the market.
The document describes a proposed mobile game app called "Diabetes Free" that aims to educate youth ages 14-21 about diabetes prevention and lifestyle management. The game would include mini-games to test diabetes knowledge, quests to track health metrics over time, and a forum for asking experts questions. By making healthy choices in the game, players could earn tokens to redeem for real-life health-related prizes. The goal is to motivate sustained behavior change among youth to reduce diabetes risk and prevalence in their community.
This document discusses the importance of physical activity and the dangers of sedentary behavior, especially for children. It notes that sedentarianism is a risk factor for many health issues and is one of the worst risk factors. It provides evidence that physical activity can lower risks of early death, cardiovascular disease, diabetes, and some cancers. The document discusses strategies for getting children more active, including making it fun, scheduling activity, serving as a role model, and creating a supportive environment. It promotes the Physical Activity Evangelist's 7 rules and provides various resources for physical activity.
Protecting kids from a most deadly disease!Ernie Medina
Lecture given by Ernie Medina, Jr., DrPH, on Aug. 17, 2011, for a grad class at Loma Linda Univ. School of Public Health. Professor: Serena Tonstadt, MD. Topic: getting kids to be more physically active.
Stellar Health is a proposed online and mobile game that aims to educate players about personal and community health strategies. The game would take place in a futuristic virtual world and involve players navigating between activity stations to complete health-related tasks and mini-games. These activities would provide information from established health databases and allow players to track personal and community health goals over time. If successful, the game could help reduce disease rates and healthcare costs by encouraging preventative behaviors. The designers hope Stellar Health will engage a wide audience through its entertaining format and collection of health data.
Fizzees are a wearable technology that uses a dual sensor to track children's physical activity levels. This activity is then used to nurture and grow a virtual pet called a Fizzee. The health and maturation of the Fizzee depends on the child meeting the Chief Medical Officer's recommendations for exercise. A supporting website allows children to share tips, view their personal health data, and play games where their Fizzee's performance depends on its health. The goal is to motivate children to be more physically active through caring for their digital pet.
This document provides an overview of serious games for health in Europe. It discusses how serious games have been shown to be effective for education and health by engaging and motivating users. Serious games are being used in a variety of healthcare fields such as supporting therapy, rehabilitation, self-management of chronic conditions, physical activity promotion, and medical staff training. Examples discussed include games for rehabilitation at home, managing cystic fibrosis, promoting active aging, preventing obesity in teenagers, and training for emergency situations. The market for serious games is growing and projected to be worth $10 billion by 2015.
- Fizzees are a wearable technology that combines sensors, a processor, battery and screen to track children's physical activity levels and display a virtual pet.
- The virtual pet's health and development depends on the activity levels of the child based on readings from a heart rate monitor and accelerometer.
- Early research with children found they enjoyed caring for their virtual pet and increased their exercise to help their pet grow, indicating Fizzees may be an effective way to motivate children to be more physically active.
Game-based learning and data collection can be used to track behavioral risk factors for obesity in children. By using smartphone GPS technology, behaviors can be tracked by location.
AN OVERVIEW OF PHYSICAL ACTIVITY AND HEALTH LITERACY IN ADULT POPULATION WITH...IAEME Publication
This document discusses a study on physical activity and health literacy among adults in Kanyakumari District, India. The study aims to measure satisfaction and health awareness among adults due to the impact of physical activity and health literacy. It involved collecting primary data through questionnaires from 200 respondents. The results showed that most adults maintain lifestyle changes and understand the causes of health conditions. In terms of physical activity, most preferred morning walks or outdoor games. Regarding health literacy, many gained knowledge from media or read about disease prevention. The study found physical activity helped adults access correct health information and choose foods without preservatives.
Video games and mobile apps for health andthegraymatters
This document discusses how video games and mobile apps can be used for health and healthcare. It provides examples of games that have been used to change health behaviors and attitudes. Benefits of video games discussed include increased creativity in children and improved treatment adherence for cancer patients. The concept of "gamification" is introduced as applying game mechanics to drive participation. Popular health-focused mobile apps and the Microsoft Kinect system are also described. Throughout, the document emphasizes the potential of interactive games and technologies to lower healthcare costs and improve health outcomes.
Health Score is a mobile app that provides daily health tips and quizzes sourced from healthfinder.gov to generate a score out of 100 rating a user's health. The app tracks scores over time, allows users to form groups to share scores, and provides resources on nutrition, physical activity, doctor visits, and mental health to help improve scores. Features include daily audio health tips, celebrity news, question hints, graphical score displays, and goal-setting prompts based on quiz results.
This is a game that is in pre-production development for Humana Inc. Trainer gives Players the responsibility of caring for creatures who all have dietary and fitness needs. Unlike any other title currently on the market, the Player actually trains with the creatures. When one of the creature exercises, so does the Player! Both benefit from this shared activity.
This mini workshop looks at the latest research on gaming for health, examples of how health and wellness leaders are engaging people with games, strategies for healthcare brands who want to try gaming, and a first-look at a gaming experiment from our innovation lab
The document describes Fizzees, a wearable technology that connects children's real-world physical activity to a virtual pet. A dual sensor measures children's heart rate and movement and converts it into the appearance and development of their digital Fizzee pet. The Fizzee's health is based on UK guidelines for children's activity. A website allows children to learn more, play games with their Fizzee, and see their own health data, motivating more physical activity.
The proposal is for an exercise and wellness program called "ExerWellness: Bend Oregon" that will use data mining algorithms and sensor technology to encourage physical activity and social support among residents. It aims to improve health outcomes in a sustainable way through gamification, social nudging, and real-time feedback on participants' activity levels, weight, and other health metrics. The program founders have experience developing similar community wellness initiatives and believe this comprehensive approach can help change behaviors and reduce healthcare costs over the long term by preventing chronic conditions.
Health Score is a mobile app that provides a daily health score based on answers to questions from healthfinder.gov. It aims to guide users to maintain their health and prevent disease. The app will track users' scores over time, allow them to create social circles and compare scores with others. It will also provide daily health tips, recipes, doctors' recommendations and tools to find fitness groups or improve mental health through puzzles.
Discoveries and Game Design Principles from Our Grantees' Research, Lieberman...Debra Lieberman
The document summarizes research from 21 grantees studying health games. It describes the types of games studied (including exergames and self-care games), platforms used, and goals of the research (including assessing outcomes, testing theories, and identifying design principles). Key findings include that competitive play improved cognitive functioning more than cooperative play; games providing autonomy and competence support increased enjoyment and motivation; and a robot providing social support was more motivating for exercise. Future plans are to publish and disseminate the research findings to inform health game design.
Similar to RWJF - Gamefication Zoofit - Clearstream Health (20)
Discoveries and Game Design Principles from Our Grantees' Research, Lieberman...
RWJF - Gamefication Zoofit - Clearstream Health
1. Application for the Robert Wood Johnson
Foundation: Games to Generate Data Challenge
Zoofit
2. Abstract
Social networking and casual gaming have broadened acceptance and the
market for smartphone games. Engaging, socially fun experiences can
improve people’s behaviours dramatically. Poor diet and physical inactivity
are major factors contributing to poor health and pre-mature deaths. The
core design of this game is a virtual zoo, and the purpose of the game is to
maximize the size of zoo and variety of animals. This is achieved through
adopting healthy lifestyles by encouraging regular walking, recording of
biometric data and visiting parks and recreational areas. This game provides
a novel method of capturing accurate public health data prospectively in real
time; this has not been achieved before. Using a multi-pronged approached combining a smartphone game - to
achieve personal lifestyle change; and social networking - to maintain behavioural change in a social circle; this game
is unique and potentially more effective in driving behaviour change and compliance. Data generated from this game
can be used to inform public health policy to focus resources on target areas leading to lasting improvement in the
population health.
Problem
In the United States (US), it was estimated that nearly 1/5 of all deaths [1] is attributable to poor diet and lack of
physical activity. Whilst we all know better diet and more regular exercise is beneficial, very few of us actually have
sufficient exercise and consume the recommended daily amount of fruit and vegetables. In the US 1 in 4 people has
no exercise at all in the past month [2] while 3 in 4 adults in the US do not consume at least five portions of fruits and
vegetables a day [3]. Moreover when it comes to treatment, adherence is an issue. In some disease conditions, more
than 40% of patients incur significant risks by forgetting, or ignoring healthcare advice [4].
Game overview
The aim of the game is for the players to maintain and
expand a virtual zoo by engaging in healthy habits such as
exercising regularly, eating healthily and encouraging
engagement with recreational areas. Players and teams
compete with each other to build the biggest/most successful
zoo with the happiest animals.
Players start with a small zoo with a small repertoire of
animals. As players achieve certain missions (e.g. recording
distance travelled everyday for a week) they will receive
bonus upgrades in terms of enlarging the zoo, increasing number of habitat type, and types of animals. With larger
parks and happier animals; they will be able to draw in the most visitors; thus generating the most money which can
be reinvested into the zoo to buying new enclosures or other bonuses. Upkeep costs (care of animals, and building
upkeep) are deducted from ticket sales to result in a profit/loss.
In addition, players are encouraged to enter their body weight consistently which will triggers exotic food bonuses to
keep animals happy and healthy. This not only creates continuous engagement with the game but also ensures
players engage in real physical exercise and a healthy eating habit. Teams of players (i.e. families or workplace
based) can personalize their zoos with “community only” items as they compete against other teams to clinch top
place in the public leaderboard.
3. The key ideas that underlie our proposed solution
Increasing exercise and improving diet require a fundamental change in personal choice and environmental factors.
The game helps to promote this via the use of social networking and peer support.
1) Power of social networking
Social norms can dramatically encourage or discourage the adoption of healthy behaviours [5]. Points, social media
status updates about reaching new levels/bonuses gained from the game, or public leaderboards can normalize
behaviours such as walking for longer, exercising more, and eating healthily. Team based activities (such as
competitions in workplace or family) can foster engagement from people that would not otherwise be reached by the
game.
2) The Hawthorn Effect
Inputting and tracking biometric data (weight/distance walked/calories consumed etc.) can lead to improved outcomes.
This is due to the Hawthorne Effect in psychology whereby the mere act of monitoring something regularly can lead to
positive change [6], examples include:
People who wear a pedometer tend to walk a mile a day more, on average than those who don’t.
Dieters who weigh themselves every day lose more weight than those who weigh themselves less frequently.
3) Community and business engagement
Data collected by this game such as supply and demand of
recreational facilities and healthy food will be valuable to
local councils, government and public health doctors. In
addition, this game can be expanded further through
collaboration with local business where discounted healthy
food products could be offered as rewards to players. This
not only ensure engagement with the game but ensure
changes in the wider society, moreover, businesses are
encouraged to sell and promote healthy food leading to
sustained improvements in lifestyles.
4. Design and features in Zoofit
1) Smartphone acts as pedometer - the recording of distance walked will be rewarded by enlargement of the zoo in-
game.
2) Body Mass Index (BMI) - players are asked to input their weight at regular intervals - and consistently inputting such
data will unlock special bonus treasure chests which can contain hidden power-ups and treats for animals. In addition
measuring the body weight will unlock the vet which will look after your animals to make sure that they are healthy
(unhealthy animals are unhappy animals and put off visitors).
3) GPS location check in - players are asked in the game to check in
regularly at recreational facilities such as parks, swimming pools and gyms -
players will then receive building speed upgrades so that enclosures and
pens are built faster, which will then be able to host more animals.
4) Healthy recipes – a collection of low cost healthy recipes, new recipes
are downloaded automatically weekly but users are encouraged to unlock
new recipes by completing missions in the game.
5) Health Factoids - at certain points in the game, the in-game
advisor will pop up with health facts to educate the gamer and
hopefully raise awareness of the wider health issue (as well as
throwing in some interesting animals facts in too!)
5. 6) Public ranking of players/teams according to various criterias (happiest animals, greatest wealth, size of zoo
etc.) to reinforce social collaboration and competitive spirit.
7) Consistent behavioural feedback (rewards and achievements) to reinforce compliance and engagement of
using the app and reward healthy behaviour.
Generating Health Data
Data generated in this game is relevant to the following aspects of theses national database:
1) County health rankings, by the Robert Wood Johnson Foundation and the University of Wisconsin Population
Health Institute – limited access to healthy food, access to recreational facilities, physical inactivity and obesity.
2) Centre for Disease Control (CDC) Behavioral Risk Factor Surveillance System (BRFSS) is the largest telephone
based annual health questionnaire, data generated in this questionnaire is used in many national health statistics –
exercise (During the past month, did you participate in any physical activities?), fruit and vegetable consumption (% of
adult consumed fruit and vegetables more than 5 times a day), exercise (% of Adults with 30+ minutes of moderate
physical activity five or more days per week, or vigorous physical activity for 20+ minutes three or more days per
week), weight (BMI measurement).
Generating public health data with players' informed consent, this game is able to generate and collect accurate data
highly relevant to the above two database. In addition, using existing smartphone technology, data that could not be
otherwise generated or captured is now a possibility. The data captured in this game is sufficiently accurate for
publication in medical and public health journals. Data can also be used in clinical trial to verify the clinical
effectiveness of the game.
6. (a) Access to recreational facilities - using GPS technology as above. Timing and frequency of visit to recreational
facilities can be accurately recorded. Analysis of this data again allows local council and town planner to analyse
the relative demand and supply of recreational facilities. Certain recreational locations such as open park, forest
trail or harbour traditionally cannot be easily monitored is now possible with this game.
(b) Physical inactivity - smartphone can be used as pedometer to measure the number of steps, for outdoor
activities such as running or cycling GPS technology can be used to trace distance travelled and duration of
exercise. This quantification of exercise has not been possible with traditional forms of public health research such
as questionnaires.
(c) Obesity - players can record and monitor their weight and feedback given to them. BMI of the whole player
population can be monitored over time. If BMI reduces with time compared to a control population who did not use
the game then this game will be one of the most effective cost effective public health intervention invented. This
also makes use of the Hawthorne effect where players are more likely to improve their behaviour or performance
when they are aware that they are being monitored.
Why does this game and data collected achieve the
objective of improving public health?
1) Helps public to improve health by encouraging positive behaviour change.
2) It provides a platform to distribute public health messages (health factoids) to the general population.
3) Provides fine grained public health data collection facility to governmental health organisations so that public
health in a more local community fashion.
4) Creating competition and social networking – competitions are organized at local, national and international
levels, this encourages healthy peer-to-peer competition to create a social movement towards better diet and
healthier lifestyles.
7. Technical details, challenges and solutions
Backend Technology
This game necessitates three separate datastores in the backend infrastructure, these are: (a) the game database
that stores the game data (zoo size, number of animals, teams, etc.) for each player; (b) a geographical database to
store locations of recreational facilities to be used for player check in; and (c) the health database that stores the
health related data (pedometer readings, weight readings, etc.) that do not have a direct effect on the state of the
game.
In addition to the databases, a game logic server is required to provide an interface between the databases and the
game app on the players’ smartphones.
Since this app is intended to be distributed to a large number of players, this infrastructure will be required to scale up
very quickly. For this reason we would initially deploy these servers using a cloud platform such as Amazon Web
Services [7]. The health database will have a relatively low utilisation since the game is designed not to need the data
once it has been recorded. Therefore, if necessary due to data privacy concerns around personal health data, it could
be relocated outside the cloud infrastructure with very little disruption.
Smartphone Technology
The game itself requires three key pieces of technology from the smartphone, these are: (a) the ability to act as a
pedometer - this is achieved by using the smartphone accelerometer to count the steps [8], (b) the ability to detect the
player’s current location - by using the smartphone GPS; and (c) the ability to connect to the internet - either
through wifi or using mobile data. Any modern smartphone is likely to capable of this.
In order to support the widest range of players as quickly as possible, this game has been designed so that it can be
built using Cordova [9]. This enables us to target multiple smartphone platforms simultaneously. In particular we will
be able to support both iPhone and Android phones from the start.
8. The Team
Clearstream Health LLC is a team of frontline clinicians, academics, graphic designers and computer programmers
working with members of public at all stage of development to ensure this game is produced to a high standard
relevant to the needs of target audience. In addition, our collective experience and skills in international research,
presentation and publications ensures any data generated and published will be valid with sufficient rigor to influence
public health practice globally.
Dr Philip Xiu, Dr Ivan Wong, Mr Alex Fargus, Dr Alain Vuylsteke, Mr Richard Heatley.
References
1. McGinnis, J.M & Foege, W.H. (1993). Actual causes of death in the United States. JAMA., 270(18), 2207-2212
2. http://apps.nccd.cdc.gov/brfss/list.asp?cat=EX&yr=2011&qkey=8041&state=All. BRFSS, CDC, 2011.
3. http://apps.nccd.cdc.gov/brfss/list.asp?cat=FV&yr=2009&qkey=4415&state=All. BRFSS, CDC, 2009.
4. Martin, LR et al (2005). The challenge of patient adherence. Ther Clin Risk Manag 1(3) 189-199
5. Lin RJ and Zhu X. (2012). Leveraging social media for preventative care - A gamification system and insights. Stud Health Technol Inform
180:838-42
6. Parsons, HM (1974). What happened at Hawthorne?: New evidence suggests the Hawthorne effect resulted from operant reinforcement
contingencies. Science 183(4128): 922-932
7. Amazon Web Services - http://aws.amazon.com/
8. Mladenov, Martin, and Michael Mock. "A step counter service for Java-enabled devices using a built-in accelerometer." Proceedings of the 1st
international workshop on context-aware middleware and services: affiliated with the 4th international conference on communication system
software and middleware (COMSWARE 2009). ACM, 2009.
9. Apache Cordova - http://cordova.apache.org/