EXPLORING THE WORLD OF ADAPTED VIDEO GAMING IN THERAPEUTIC - - PowerPoint PPT Presentation

EXPLORING THE WORLD OF ADAPTED VIDEO GAMING IN THERAPEUTIC RECREATION

By Laura Oldford, B. Rec, MA, CTRS Recreation Therapist

TABLE OF CONTENTS

• Who am I
• Adapted Video Gaming
• The benefits of adapted gaming
• Acknowledging the ‘negative’ research

– People with disabilities and participation – The impact of a lack of participation

• Integrating into TR practice

– Breaching the participation gap

• Evaluation & Research

– Quality of Life and negative views

WHO AM I?

• Laura Oldford, B. Rec, MA, CTRS
• Stan Cassidy Centre for Rehabilitation
• Adult & Pediatrics
• Research: Quality of Life, individual

experience, clinical best practices, patient perspectives

• Leisure: not video games!

VIDEO GAMING

• Definition
• Who plays?

Contraindications/Limitations

• Society & screen time

Contraindications/Limitations

• Journal of the Canadian Pediatric Society
• Active Healthy Kids Canada’s Position on Active

Video Games for Children and Youth In light of the available evidence, AHKC does not recommend AVGs as a strategy to help children be more physically active. However, AVGs may exchange some sedentary time for light- to moderate-intensity physical activity, and there may be specific situations in which AVGs provide benefit (eg, motor skill development in special populations and rehabilitation).

But… there is a gap

• Role of adapted with individuals with physical

disabilities

– limited access to other recreation participation

• pportunities
• Research exists on:

– Subjective well-being – Quality of life – Social impacts – Other barriers

The Benefits

“I believe that there is nothing more powerful for people with disabilities than the freedom that only video games can provide. It’s an art form that allows us all to run, jump, and be whatever we want to be.”

• Mark Barlet, AbleGamers

Benefits

QUALITY OF LIFE

• Hanging out with

friends/family

• Levels the playing

field

• Success
• Socialization
• Having fun!

THERAPEUTIC MODALITY

• Postural control
• Turn taking
• Losing with grace,
• Fine motor

coordination

• Hand eye coordination
• Breath support
• Socialization

SOCIAL BENEFITS OF GAMING?

• Gaming has been stereotyped to happen in

social isolation (Granic et al., 2014, p. 72).

• New opportunities

– Individual – Multi player Competitive – Multi player Cooperative – Online

• Chat/voice overs
• How can patients get involved?

Adapted Video Gaming

Practical Applications

• How to bring into your TR practice

– 3 pieces to success – Activity Analysis – Continuum of abilities and interests – Interdisciplinary approach/perspective – Evaluation

Practical Applications

3 Pieces of Success

Interests abilities game requirements

Wii Activity Analysis Game Title: Date: Completed by: PHYSICAL ASPECTS:

• 1. What type of gross motor movement is required?

฀ One hand (main controller) ฀ Two hands (controller & nunchuck) ฀ No movement ฀ Body Movement ฀ Large Range ฀ Minimum Range

• 2. Does the movement need to be quick or slow?

฀ Quick (timed reaction) ฀ Slow (times reaction) ฀ Quick (no timing) ฀ Slow (no timing)

• 3. Does the movement need to be precise or gross?

฀ Precise (fine motor) ฀ Gross

• 4. What buttons need to be pressed?

฀ A ฀ B ฀ Z ฀ C ฀ Up Arrow ฀ Down Arrow ฀ Left Arrow ฀ Right arrow ฀ 1 ฀ 2 ฀ None

• 5. Are the buttons mandatory to be successful in the game?

฀ Yes ฀ No

• 6. Do buttons need to be pressed simultaneously in the game?

฀ Yes ฀ No If yes, which buttons? __________________ COGNITIVE ASPECTS:

• 1. How many steps are required in the activity?

Few 1 3 5 Many

• 2. How complex are the steps to understand?

Simple 1 3 5 Complex

• 3. What degree of strategy is required in the activity?

Simple 1 3 5 Complex

• 4. What degree of short term memory is required in the activity?

Little 1 3 5 Much

• 5. Can success in questions 1-4 be achieved through verbal cueing?

฀ Yes ฀ No

SOCIAL ASPECTS:

• 1. What is the primary interaction pattern required in the activity?

฀ Extraindividual (One player game- no interaction with others required) ฀ Interindividual (Two-player game- competitive) ฀ Multilateral (Multi-player- competitive) ฀ Intragroup (Multi-player- cooperative)

• 2. How much physical proximity is required by the activity?

Distant 1 3 5 Close

• 3. What degree of verbal communication is required by the activity?

Little 1 3 5 Much

• 4. What degree of noise is generated by the activity?

Silent 1 3 5 Loud

• 5. What age group is appropriate for this game?

฀ Children (11 & under) ฀ Adolescents (12-18) ฀ Young adults (18-30) ฀ Adults (30-55) ฀ Older Adults (55-70) ฀ Seniors (70+)

• 6. When the game is finished, does the system inform the user if they have

won or lost? ฀ Yes ฀ No

• 7. If yes, is this done in a constructive way?

฀ Yes ฀ No Is there anything else you would like to add about this game that would be important to note? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

Practical Applications

Physical disability Physical & Cognitive Disabilities Cognitive Disabilities

Evaluation & Research

• Best practice

– From various journals, mostly qualitative or case studies – Many recommend for future:

• Evaluating quality of life
• Exploring specifics for persons with disabilities

– Best as individualized treatment plans to target interests, abilities, and specific goals

Evaluation & Research

• Game Changers- adapted video game program

– TR, OT, Rehab Engineering – QOL Focus for patients with very limited physical abilities – How can we measure?

• Mixed methods, QOL standardized measure with an

interview guide

• Mixed within clinical program
• Evaluated after 5 participates

Conclusions

• New and innovative opportunity
• Limited research on persons with disabilities

and video games

• Potential for

– Social Impact – Quality of life impact

• Be cognizant to deliver therapeutic programs

and opportunities that meet

– Interests & abilities

Questions??