The Art of the SERIOUS GAME - 2021-22

Based at the OpenArtSurgery - NFP

We want WMC to become the first General practice in England, to use Serious Games (Wikipedia) & Art, for health promotion and fund-raising, to enable the provision of more services & equipment for patients, forming virtuous cycles.

See our Games page.

Research into “Serious games” is growing.

“A serious game is an “educational application, whose initial intention is to combine, coherently and at the same time, serious aspects, in a non-exhaustive and non-exclusive way, teaching, learning, communication, or even information with the fun aspects of video games” [ALV 07].” from Connected Healthcare for the Citizen, 2018

We are building some basic ones now to demonstrate the ideas.
This first project will particularly focus on Hypertension & related lifestyle interventions during gameplay.

We need to raise some funds to develop the ideas and study their effectiveness.

 

Game 1a - “Pairs with a twist” - draft

Video of our 1st health promotion game (in development).

We need your feedback and support.

Yes super simple, as only a proof of concept while we’re raising funds

A game of pairs with a twist - there are two choices to avoid pairing.

High blood pressure - Hypertension

Having high blood pressure increases your risk of heart attack and stroke, so knowing your blood pressure could save your life.” British Heart Foundation

Some global perspective: Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension (Bin Zhou, Pablo Perel, George A. Mensah & Majid Ezzati 2021 NatureReviews: Cardiology)

 

The essential statistics on high blood pressure in the UK and why it’s a problem (BloodPressureUK.org):

When your heart beats, it pumps blood round your body to give it the energy and oxygen it needs. As the blood moves, it pushes against the sides of the blood vessels. The strength of this pushing is your blood pressure. If your blood pressure is too high, it puts extra strain on your arteries and your heart, which can lead to strokes, heart attacks and other health problems.

  • High blood pressure is responsible for more than half of all strokes and heart attacks [1].

  • High blood pressure is also a risk factor for heart disease, kidney disease and vascular dementia[2].

  • In the UK, high blood pressure is the third biggest risk factor for all disease after smoking and poor diet[3].

  • Around one in three adults in the UK has high blood pressure. In England, 31% of men and 26% of women have high blood pressure[4].

  • Half of people with high blood pressure are not diagnosed or receiving treatment[5]. In England alone, there are more than five million people that are undiagnosed[6].

  • High blood pressure rarely has any symptoms which is why it is called the ‘silent killer’. The only way to know you have the condition is to get your blood pressure measured.

  • High blood pressure costs the NHS over £2.1 billion every year[7].

  • Every blood pressure reading consists of two numbers, shown as one number on top of the other. The first (top) number is your systolic blood pressure. It is the highest level your blood pressure reaches when your heart beats. The second (or bottom) number is your diastolic blood pressure. It is the lowest level your blood pressure reaches as your heart relaxes between beats.

  • An ideal blood pressure reading is between 90/60mmHg (millimetres of mercury) and 120/80mmHg.

  • You have high blood pressure if your readings are consistently above 140/90mmHg.

  • Every 10mmHg reduction in systolic blood pressure reduces the risk of major cardiovascular events by 20%[8].

  • High blood pressure is one of the most preventable and treatable health conditions. However, between 50-80% of people with high blood pressure do not take all of their prescribed medication[9].

  • Someone with high blood pressure that is well controlled reduces their risk of stroke and heart disease to almost that of a person who does not have high blood pressure.

  • Each 2mmHg rise in systolic blood pressure is associated with a 7% increased risk of death from coronary heart disease and a 10% increased risk of death from stroke[10].

  • High blood pressure was responsible for approximately 75,000 deaths in the UK in 2015.

  • Reducing the average systolic blood pressure of the nation by just 5mmHg over 10 years would save £850million of NHS and Social Care spend[12].

  • High blood pressure accounts for 12% of all GP appointments in England[13]

Some serious games literature

 

An Overview of Serious Games (Fedwa Laamarti, Mohamad Eid and Abdulmotaleb El Saddik)

Serious games for smoking prevention and cessation: A systematic review of game elements and game effects (M E Derksen, S van Strijp, A E Kunst, J G Daams, M W M Jaspers, M P Fransen)

Our finding that a number of studies suggested that games may have positive effects on smoking-related outcomes is in line with other reviews on serious health games... Our review shows that some serious games have the potential to stop smoking and positively influence behavioral determinants of smoking cessation…

…Our review exposes various limitations in the included studies and raises serious questions…”

How to share progress & learning

Started with a dash of screenshots, then a little screen capture sketches below.

GTOAS sketches

Our first attempt at capturing video of the sketching process

 

GTOAS sketches

Testing MM mobile controls

 

Draft gameplay

The Player:

  • enters game

  • consider some pre-game data - knowledge test & lifestyle/health state data

  • is shown information regarding Hypertension & lifestyle, perhaps via a dialogue system (which will be useful in gameplay)

  • is offered to have this information to sent via email

  • is offered to sign up to infrequent mailing list for supporters/testers pf the project

  • is dropped into world

  • enters WMC - OAS

  • tries to beat the gameplay (needs to be fun/challenging) - includes Health promotion & behaviour change support

  • game should be easy to adjust in response to evaluation of what is effective

  • Some part of the game encourages/needs another player - with the explicit aim of spreading the game

  • if successful may collect gift/artwork

  • has the option to enter guest curator’s gallery (see example below)

  • exits via the giftshop

  • gallery and giftshop images hyperlink to shop/internal purchase/external website

  • must be easy to swap/upload new images/links to rehang the gallery/change the giftshop inventory

  • has the opportunity to donate to the project

  • has the opportunity to purchase a ticket for SKiNET

  • consider some post-game data - knowledge test & lifestyle/health state data

  • could health/lifestyle achievements unlock game components/rewards?

  • update with each gameplay

  • consider opt-in for anonymised linked data to help study effects of game

  • ability to export data to evaluate benefits/effectiveness

We want to test with a group of supporters, study it’s success and evolve. Aiming for the opening to coincide with the Artist Open Houses Brighton - for WMC - combining an IRL & Virtual installation.

There will be gameplay, health promotion and opportunity to support the projects.

We would also like to create a section of the gallery to promote wellbeing via a range of guest curators & collaborations (see below).

———

We are working with Primalvisions, Brighton.

  • WMC map

    WMC plan to map the OAS walls

  • Chunking it down - next steps…

Gaming issues

 

While this intervention will be aiming at adults we also need to mitigate possible negative effects:

Children treated for computer gaming addiction under NHS Long Term Plan

Possible collaborations

For example in the guest section of the OAS, we would like to try the ideas from the School of Life and Alain de Botton

We would also like to work with the British Heart Foundation, the Royal College of General Practitioners, Public Health (The Office for Health Improvement and Disparities) & Health Eduction England.

 
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The Eyes - 2022

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GameDev, Coding Adventures & Computational thinking - 2021-22