S'TIM is a serious game developed through collaboration between medical specialists, rehabilitation therapists, and multimedia developers to rehabilitate patients with dysexecutive syndrome resulting from frontal lobe damage. The game runs on a touchscreen table and focuses on exercises for attention, inhibition, strategy, planning, and other executive functions. Initial results found the game improved patients' self-confidence, metacognition, and ability to transfer skills to daily life. Therapists also saw new collaborative dynamics develop between themselves and their patients.

1. Clinique Provence Bourbonne Laboratoire IMSIC Toulon&
GAMES FOR HEALTH EUROPE CONFERENCE 2018
When Therapists and Researchers Collaborate to Innovate and Offer a Future to Patients:
S’TIM, the Persuasive Serious-Game to Rehabilitate
Patients with Dysexecutive Syndrome.
Julie Golliot, Alexandre Abellard, Dr Michèle Timsit, Cathy Herrera, Elodie Fontugne, Michel Durampart

2. Attention
Inhibition
Strategy
Planning
Updating
Shifting
Head Injury
With frontal damage
Cerebrovascular
Accident
Dysexecutive Syndrome
Context

3. Context
Impact
Emotional
Cognitive
Behavioural
Consequences
Lackofautonomy
Anosognosia
How to reinvent the care offer?

4. Transferring patients at the heart of their rehabilitation
A multidisciplinary Research
Medical Specialists
Rehabilitation doctors
Occupational Therapists
Neuropsychologists
Multimedia Specialists
Video-game Developer
Ingeneer in Cognitics
Laboratoire IMSIC Toulon
Specialists in Information and
Communication Science
Method
An Action Research
Observation, reflection on practice,
Creation of new knowledges
Make practices accessible,
Highlight professional expertise

5. The clinic : a company
Demarcation will
Insertion of a
socio-technic device
Innovation
Creativity
Continuous improvement
Made to measure tool
Competitiveness
Financial viability
Hierarchy
Rules
Transformed mediation
New issues
Method

6. Device in line with the needs
Decrease of rejection risks
Actors implicated since the beginning of the process
Device appropriation (Stenger et Coutant, 2015)
Use design
Interactivity, recursiveness, continuity. (Vaujany 2006)
Observations Focus Group
Brainstorming
Usability testing
A/B testing
Accessibility testing
UX design methods to share professional expertise
and define a common scope statement project
Stakeholders
interviews
Persona
Method

7.  Robotised touch table
 48 inches
 Easy-to-use by people of all age
ATTENTION
EXECUTIVE
FUNCTIONS
WORKING
MEMORY
Self-confidence
Metacognition
Involved functions
S’TIM,
A persuasive & therapeutic Serious-Game
Result

8. Christophe
Architect
Strategy
Result
Immersion
Realistic universe
Elaborate scenario
Social learning
Challenges
Use of executive functions
Elaboration of own strategies
Debriefing with therapists
Transfer un daily life
Qualitative & quantitative data
Statistics

9. Attention
Metacognition
Self-respect, self-confidence
Socio-affective & Socio-cognitive impact
Lasting knowledges
Transfer in non-numeric environment
Intrinsic motivation
Persuasive dimension
Challenges & Feedbacks
Narration & scripting
Operant learning
Avatar
Immersion 3D
Affective mediation
Progressive cognitive
mobilisation
Reward system
Learning theory
Auto-determination theory
(Ryan & Govi 2001)
Theory of mind
Daily-life autonomy
At the heart of our own rehabilitation
Impact

10. Immediate positive reinforcement
Debriefings about used strategies
Contextualisation of knowledge
Impact for therapists
New dynamics
between
therapist & patients
New dynamics
between therapists
Social cohesion
Mutual assistance
Group dynamic reinforced
Impact

11. Clinique Provence Bourbonne Laboratoire IMSIC Toulon&
GAMES FOR HEALTH EUROPE CONFERENCE 2018
Thank you for your attention
Join the adventure!
julie.golliot@ensc.fr