Evaluation of Informative Content of Health Data Submitted Through a Mobile Serious Game

  • Konrad PetersEmail author
  • Stephanie Bührer
  • Marisa Silbernagl
  • Fares Kayali
  • Helmut Hlavacs
  • Anita Lawitschka
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 11863)


In the presented study, the informative content of health data of a handwritten health diary was compared with health data submitted through a serious game. Physicians are able to derive a better and more complete health status of patients with higher informative content in health reports. The serious game was implemented in the project Interacct, in which patients submit health data through a mobile app on a daily basis to receive in-game rewards. The main hypothesis is, that the informative content of health data, which was submitted through a serious game, is higher than the informative content of hand written health diaries. Statistical results confirm this hypothesis significantly. This is especially important for young and adolescent cancer patients, where the results were even more conclusive than in the control group of students. Considering positive side effects of the serious game (such as high engagement, compliance and pleasure reporting health data through a serious game), the proposition of the authors is to conduct further studies and experiments regarding this topic.


Serious games Serious games for health Health reports Informative content Cancer outpatient treatment m-health 


  1. 1.
    Aiello, E.J., et al.: In a randomized controlled trial, patients preferred electronic data collection of breast cancer risk-factor information in a mammography setting. J. Clin. Epidemiol. 59, 77–81 (2006)CrossRefGoogle Scholar
  2. 2.
    Baggott, C., Gibson, F., Coll, B., Kletter, R., Zeltzer, P., Miaskowski, C.: Initial evaluation of an electronic symptom diary for adolescents with cancer. J. Med. Internet Res. (2012). Scholar
  3. 3.
    Bhatia, S., Davies, S.M., Baker, S., Pulsipher, M.A., Hansen, J.A.: NCI, NHLBI first international consensus conference on late effects after pediatric hematopoietic cell transplantation: etiology and pathogenesis of late effects after HCT performed in childhood - methodologic challenges. Biol. Blood Marrow Transplant. 17, 1428–1435 (2011)CrossRefGoogle Scholar
  4. 4.
    Charlier, N., Zupancic, N., Fieuws, S., Denhaerynck, K., Zaman, B., Moons, P.: Serious games for improving knowledge and self-management in young people with chronic conditions: a systematic review and meta-analysis. J. Am. Med. Inform. Assoc. (2016). Scholar
  5. 5.
    Cohen, D.J., Keller, S.R., Hayes, G.R., Dorr, D.A., Ash, J.S., Sittig, D.F.: Developing a model for understanding patient collection of observations of daily living: a qualitative meta-synthesis of the Project HealthDesign Program. Pers. Ubiquitous Comput. 19, 91–102 (2015)CrossRefGoogle Scholar
  6. 6.
    Collins, J.J., Collins, J.J., et al.: The measurement of symptoms in children with cancer. J. Pain Symptom Manag. 19, 363–377 (2000)CrossRefGoogle Scholar
  7. 7.
    Dale, O., Hagen, K.B.: Despite technical problems personal digital assistants outperform pen and paper when collecting patient diary data. J. Clin. Epidemiol. 60, 8–17 (2007)CrossRefGoogle Scholar
  8. 8.
    Dupuis, L.L., Ethier, M.C., Tomlinson, D., Hesser, T., Sung, L.: A systematic review of symptom assessment scales in children with cancer. BioMed Central Cancer 12, 430 (2012)Google Scholar
  9. 9.
    Fishbein, J.N., et al.: Mobile application to promote adherence to oral chemotherapy and symptom management: a protocol for design and development. JMIR Res. Protoc. 6(4), e62 (2017)., Scholar
  10. 10.
    Fortier, M.A., Chung, W.W., Martinez, A., Gago-Masague, S., Sender, L.: Painbuddy: a novel use of m-health in the management of children’s cancer pain. Comput. Biol. Med. 76 (2016). Scholar
  11. 11.
    Hochstenbach, L.M., Zwakhalen, S.M., Courtens, A.M., van Kleef, M., de Witte, L.P.: Feasibility of a mobile and web-based intervention to support self-management in outpatients with cancer pain. Eur. J. Oncol. Nurs. 23, 97–105 (2016)., Scholar
  12. 12.
    Kayali, F., et al.: Design considerations for a serious game for children after hematopoietic stem cell transplantation. Entertain. Comput. 15, 57–73 (2016)CrossRefGoogle Scholar
  13. 13.
    Klaassen, R., Bul, K.C., Op Den Akker, R., Van Der Burg, G.J., Kato, P.M., Di Bitonto, P.: Design and evaluation of a pervasive coaching and gamification platform for young diabetes patients. Sensors (Switzerland) 18(2), 1–27 (2018). Scholar
  14. 14.
    Lalloo, C., Jibb, L.A., Rivera, J., Agarwal, A., Stinson, J.N.: “There’s a pain app for that”: review of patient-targeted smartphone applications for pain management. Clin. J. Pain 31, 557–563 (2015)CrossRefGoogle Scholar
  15. 15.
    Lane, S.J., Heddle, N.M., Arnold, E., Walker, I.: A review of randomized controlled trials comparing the effectiveness of hand held computers with paper methods for data collection. BMC Med. Inform. Decis. Mak. 6, 1–10 (2006)CrossRefGoogle Scholar
  16. 16.
    Lauritsen, K., et al.: Symptom recording in a randomised clinical trial: paper diaries vs. electronic or telephone data capture. Control Clin. Trials 25, 585–597 (2004)CrossRefGoogle Scholar
  17. 17.
    Marceau, L.D., Link, C., Jamison, R.N., Carolan, S.: Electronic diaries as a toll to improve pain management: is there any evidence? Pain Med. 8, 101–109 (2007)CrossRefGoogle Scholar
  18. 18.
    Morren, M., van Dulmen, S., Ouwerkerk, J., Bensing, J.: Compliance with momentary pain measurement using electronic diaris: a systematic review. Eur. J. Pain 13, 354–365 (2008)CrossRefGoogle Scholar
  19. 19.
    Palermo, T.M., Valenzuela, D., Stork, P.: A randomized trial of electronic versus paper pain diaries in children: impact on compliance, accuracy, and acceptability. Pain 107, 213–219 (2004)CrossRefGoogle Scholar
  20. 20.
    Pandey, A., Hasan, S., Dubey, D., Sarangi, S.: Smartphone apps as a source of cancer information: changing trends in health information-seeking behavior. J. Cancer Educ. 28, 138–142 (2013)CrossRefGoogle Scholar
  21. 21.
    Price, B.A., Kelly, R., Mehta, V., McCormick, C., Ahmed, H., Pearce, O.: Feel my pain: design and evaluation of painpad, a Tangible device for supporting inpatient self-logging of pain. In: Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems, CHI 2018, pp. 169:1–169:13. ACM, New York (2018).
  22. 22.
    Rodgers, C.C., Krance, R., Street, R.L.J., Hockenberry, M.J.: Feasibility of a symptom management intervention for adolescents recovering from a hematopoietic stem cell transplant. Cancer Nurs. (2013). Scholar
  23. 23.
    Scott, A.R., Alore, E.A., Naik, A.D., Berger, D.H., Suliburk, J.: Mixed-methods analysis of factors impacting use of a postoperative mHealthapp. JMIR mHealth uHealth 5(2), e11 (2017)CrossRefGoogle Scholar
  24. 24.
    Stinson, J.N., et al.: Development and testing of a multidimensional iphone pain assessment application for adolescents with cancer. J. Med. Internet Res. (2013). Scholar
  25. 25.
    Stone, A.A., Shiffman, S., Schwartz, J.E., Broderick, J.E., Hufford, M.R.: Patient compliance with paper and electronic diaries. Control Clin. Trials 24, 182–199 (2003)CrossRefGoogle Scholar
  26. 26.
    Tamari, R., Castro-Malaspina, H.: Allogeneic haematopoietic stem cell transplantation for primary myelofibrosis and myelofibrosis evolved from other myeloproliferative neoplasms. Curr. Opin. Hematol. 22, 184–190 (2015)CrossRefGoogle Scholar
  27. 27.
    Walker, I., Sigouin, C., Sek, J., Almonte, T., Carruthers, J., Chan, A., Heddle, N.: Comparing hand-held computers and paper diaries for haemophilia home therapy: a randomized trial. Heamophilia 10, 698–704 (2004)CrossRefGoogle Scholar
  28. 28.
    Wesley, K.M., Fizur, P.J.: A review of mobile applications to help adolescent and young adult cancer patients. Adolesc. Health Med. Ther. 6, 141–148 (2015)CrossRefGoogle Scholar
  29. 29.
    Wesley, K., Fizur, P.: A review of mobile applications to help adolescent and young adult cancer patients. Adolesc. Health Med. Ther. 6, 141 (2015). Scholar
  30. 30.
    Wilcox, A.B., Gallagher, K.D., Boden-Albala, B., Bakken, S.R.: Research data collection methods: from paper to tablet computers. Med. Care 50, 68–73 (2012)CrossRefGoogle Scholar
  31. 31.
    Wolfe, J., et al.: Symptoms and distress in children with advanced cancer: prospective patient-reported outcomes from the PrediQUEST study. J. Clin. Oncol.: Off. J. Am. Soc. Clin. Oncol. 33, 1928–1935 (2015)CrossRefGoogle Scholar

Copyright information

© IFIP International Federation for Information Processing 2019

Authors and Affiliations

  • Konrad Peters
    • 1
    Email author
  • Stephanie Bührer
    • 2
  • Marisa Silbernagl
    • 1
  • Fares Kayali
    • 3
  • Helmut Hlavacs
    • 1
  • Anita Lawitschka
    • 2
  1. 1.Research Group Entertainment ComputingUniversity of ViennaViennaAustria
  2. 2.St. Anna Children’s HospitalViennaAustria
  3. 3.Vienna University of TechnologyViennaAustria

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