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The use of game modes to promote engagement and social involvement in multi-user serious games: a within-person randomized trial with stroke survivors

2021Journal article Open access
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dc.contributor.authorPereira, Fábio
dc.contributor.authorBermúdez i Badia, Sergi
dc.contributor.authorJorge, Carolina
dc.contributor.authorCameirão, Mónica S.
dc.date.accessioned2022-07-21T14:56:29Z
dc.date.available2022-07-21T14:56:29Z
dc.date.issued2021
dc.description.abstractSerious games are promising for stroke rehabilitation, with studies showing a positive impact on reducing motor and cognitive defcits. However, most of the evidence is in the context of single-user rehabilitation, and little is known concerning the impact in multi-user settings. This study evaluates the impact that diferent game modes can have on engagement and social involvement during a two-user game. Specifcally, we want to under stand the benefts of game modalities based on competition, co-activation, and collaboration and analyze the infu ence of diferent motor and cognitive defcits and personality traits. Methods: We developed a two-player setup—using tangible objects and a large screen interactive table—for upper limb rehabilitation purposes. We implemented a game that, while keeping the same basic mechanics, can be played in the three diferent modes (Competitive, Co-active, and Collaborative). We ran a within-person randomized study with 21 stroke survivors that were paired and played the game in its three versions. We used the Game Experi ence Questionnaire—Core Module to assess engagement and the Social Presence Module to assess Social Involve ment. For personality, motor, and cognitive function, users answered the International Personality Item Pool (short version), Fugl-Meyer Assessment—Upper Extremity, Modifed Ashworth Scale, and Montreal Cognitive Assessment, respectively. Results: The Collaborative mode promoted signifcantly more Behavioral Involvement. The Competitive mode pro moted more Flow and Challenge than the Co-active mode with participants with better cognitive performance, with low extraversion, or with higher motor skills. Participants with higher cognitive defcits reported more Competence with the Co-active mode. Conclusions: Our results indicate that, for multi-user motor rehabilitation settings, the collaborative mode is the more appropriate gaming approach to promote social involvement, showing a high potential for increasing adher ence and efectiveness of therapy. Additionally, we show that a player’s motor and cognitive ability and personality should be considered when designing personalized tasks for multiplayer settings.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPereira, F., Bermúdez i Badia, S., Jorge, C., & Cameirão, M. S. (2021). The use of game modes to promote engagement and social involvement in multi-user serious games: a within-person randomized trial with stroke survivors. Journal of NeuroEngineering and Rehabilitation, 18(1), 1-15.pt_PT
dc.identifier.doi10.1186/s12984-021-00853-zpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/4447
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relationUID/CEC/04516/2020pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectGame modept_PT
dc.subjectSerious gamespt_PT
dc.subjectEngagementpt_PT
dc.subjectSocial involvementpt_PT
dc.subjectRehabilitationpt_PT
dc.subjectStrokept_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleThe use of game modes to promote engagement and social involvement in multi-user serious games: a within-person randomized trial with stroke survivorspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleJournal of NeuroEngineering and Rehabilitationpt_PT
oaire.citation.volume18pt_PT
person.familyNameSilva Pereira
person.familyNameBermúdez i Badia
person.familyNameJorge
person.familyNameCameirão
person.givenNameFábio Dinis
person.givenNameSergi
person.givenNameCarolina
person.givenNameMónica
person.identifier239789
person.identifier.ciencia-idDA13-8E08-C979
person.identifier.ciencia-idCA17-5E88-2B37
person.identifier.ciencia-id0A12-4F21-0CC2
person.identifier.orcid0000-0001-8206-7644
person.identifier.orcid0000-0003-4452-0414
person.identifier.orcid0000-0002-7693-7292
person.identifier.orcid0000-0002-5352-0128
person.identifier.ridC-8681-2018
person.identifier.ridC-8675-2018
person.identifier.scopus-author-id6506360007
person.identifier.scopus-author-id21740694600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication24a49721-09a6-498d-b7d9-b7dfbcde55a9
relation.isAuthorOfPublicationef8f1e3b-3c09-4817-80d0-d96aa88051a2
relation.isAuthorOfPublication84dd2d48-f1ea-45f2-9c9d-e50b5abef130
relation.isAuthorOfPublication644f9f6a-81be-4b72-9ded-6eb1b8e251f4
relation.isAuthorOfPublication.latestForDiscovery644f9f6a-81be-4b72-9ded-6eb1b8e251f4

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