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Universal Design in Exergames

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Universal Design in Video Games

Part of the book series: Human–Computer Interaction Series ((HCIS))

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Abstract

Exergames offers an exciting avenue for game developers both in terms of heightening the player experience and promoting health-related outcomes. Common to all exergames is the use of movements during gameplay. Previous research has shown that by incorporating movements into gameplay can facilitate the additional enjoyment, immersion, and game challenge of exergames. Balancing the inclusion of movements with the already complex terrain of the game design introduces new challenges that exergame designers need to be aware of, especially in striving for a universally attainable game experience. Consequently, design constraints and attainable game design heuristics need to be understood in light of the exergames’ movement-based nature. This chapter introduces the concept of exergames, what they are, how they vary from one another, and the complicated dynamics that can arise in combining enjoyment with utilitarian purposes behind movements. Thereafter exergames are discussed in relation to the Universal Design perspective and the AGE framework presented in Chap. 2. The purpose of the chapter is to provide you with insights about the unique nature of exergames compared to non-movement-based games and what it can imply in striving toward attainable exergame experiences.

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Notes

  1. 1.

    Situational interest is a multidimensional concept from motivational psychology that comprises five aspects: novelty, challenge, demand for attention, intention to explore, and immediate enjoyment.

References

  1. Baranowski, T. (2017). Exergaming: Hope for future physical activity? or blight on mankind? Journal of sport and health science, 6(1), 44–46.

    Article  Google Scholar 

  2. Barry, G., Galna, B., & Rochester, L. (2014). The role of exergaming in Parkinson’s disease rehabilitation: A systematic review of the evidence. Journal of neuroengineering and rehabilitation, 11, 1–10.

    Article  Google Scholar 

  3. Berglund, A., Jedel, I., Orädd, H., Fallström, J., & Berglund, E. (2023). Liopep: a gamified casual exergame application to help office workers not be active couch potatoes. In IEEE 11th International Conference on Serious Games and Applications for Health, SeGAH. IEEE.

    Google Scholar 

  4. Bianchi-Berthouze, N., Kim, W. W., & Patel, D. (2007). Does body movement engage you more in digital game play? and why?. In Affective Computing and Intelligent Interaction: Second International Conference, ACII 2007 Lisbon, Portugal, September 12-14, 2007 Proceedings 2 (pp. 102-113). Springer Berlin Heidelberg.

    Google Scholar 

  5. Bond, S., Laddu, D. R., Ozemek, C., Lavie, C. J., & Arena, R. (2021). Exergaming and virtual reality for health: Implications for cardiac rehabilitation. Current Problems in Cardiology, 46(3), 100472.

    Article  Google Scholar 

  6. Born, F. (2022). Investigating the constructs that shape and enhance the experience of virtual reality exergames. https://doi.org/10.17185/duepublico/76109

  7. de Bruin, E. D., Reve, E. V., & Murer, K. (2013). A randomized controlled pilot study assessing the feasibility of combined motor-cognitive training and its effect on gait characteristics in the elderly. Clinical Rehabilitation, 27(3), 215–225.

    Article  Google Scholar 

  8. Chen, Y., Zhang, Y., Guo, Z., Bao, D., & Zhou, J. (2021). Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: A systematic review and meta-analysis. Journal of Neuroengineering and Rehabilitation, 18(1), 1–17.

    Article  Google Scholar 

  9. Dean, C. M., Richards, C. L., & Malouin, F. (2000). Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial. Archives of Physical Medicine and Rehabilitation, 81(4), 409–417.

    Article  Google Scholar 

  10. Donoso Brown, E. V., et al. (2014). Understanding upper extremity home programs and the use of gaming technology for persons after stroke. Disability and Health Journal, 7(4), 507–513.

    Article  Google Scholar 

  11. Eliasson, A. C., Krumlinde-sundholm, L., Shaw, K., & Wang, C. (2005). Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: An adapted model. Developmental Medicine and Child Neurology, 47(4), 266–275.

    Article  Google Scholar 

  12. Eng, J. J., & Tang, P. F. (2007). Gait training strategies to optimize walking ability in people with stroke: A synthesis of the evidence. Expert Review of Neurotherapeutics, 7(10), 1417–1436.

    Article  Google Scholar 

  13. Fritz, S. L., Peters, D. M., Merlo, A. M., & Donley, J. (2013). Active video-gaming effects on balance and mobility in individuals with chronic stroke: A randomized controlled trial. Topics in Stroke Rehabilitation., 20(3), 218–225.

    Article  Google Scholar 

  14. Gao, Z., Chen, S., Pasco, D., & Pope, Z. (2015). A meta-analysis of active video games on health outcomes among children and adolescents. Obesity Reviews, 16(9), 783–794.

    Article  Google Scholar 

  15. Geijtenbeek, T., Steenbrink, F., Otten, B., Even-Zohar, O.: D-flow: Immersive virtual reality and real-time feedback for rehabilitation. In Proceedings of the 10th International Conference on Virtual Reality Continuum and Its Applications in Industry, Hong Kong (pp. 201–208). ACM

    Google Scholar 

  16. Göbel, S., Hardy, S., Wendel, V., Mehm, F., & Steinmetz, R. (2010, October). Serious games for health: personalized exergames. In Proceedings of the 18th ACM international conference on Multimedia (pp. 1663–1666).

    Google Scholar 

  17. Hamari, J., Koivisto, J., & Sarsa, H. (2014, January). Does gamification work?—A literature review of empirical studies on gamification. In 2014 47th Hawaii International Conference on System Sciences (pp. 3025–3034). IEEE.

    Google Scholar 

  18. Hara, M., & Ovaska, S. (2014, October). Heuristics for motion-based control in games. In Proceedings of the 8th Nordic Conference on Human-Computer Interaction: Fun, Fast, Foundational (pp. 697–706).

    Google Scholar 

  19. Harley, L., Robertson, S., Gandy, M., Harbert, S., & Britton, D. (2011). The design of an interactive stroke rehabilitation gaming system. Human-Computer Interaction Users and Application Part IV, 6764, 167–173.

    Google Scholar 

  20. Harmonix Music Systems & RedOctane. (2005). Guitar Hero (Video game). RedOctane.

    Google Scholar 

  21. Huang, K., Zhao, Y., He, R., Zhong, T., Yang, H., Chen, Y., Ma, L., Jai, Y., & Chen, L. (2022). Exergame-based exercise training for depressive symptoms in adults: A systematic review and meta-analysis. Psychology of Sport and Exercise 102266.

    Google Scholar 

  22. Isbister, K., & Mueller, F. F. (2015). Guidelines for the design of movement-based games and their relevance to HCI. Human–Computer Interaction, 30(3–4), 366–399.

    Article  Google Scholar 

  23. Ismail, N. A., Hashim, H. A., & Ahmad Yusof, H. (2022). Physical activity and exergames among older adults: A scoping review. Games for Health Journal, 11(1), 1–17.

    Article  Google Scholar 

  24. Klimmt, C., Hartmann, T., & Frey, A. (2007). Effectance and control as determinants of video game enjoyment. Cyberpsychology & Behavior, 10(6), 845–848.

    Article  Google Scholar 

  25. Kooiman, B., & Sheehan, D. D. (2015). Exergaming theories: A literature review. International Journal of Game-Based Learning (IJGBL), 5(4), 1–14.

    Article  Google Scholar 

  26. Laver, K. E., et al. (2017). Virtual reality for stroke rehabilitation. Cochrane Database of Systematic Reviews (11).

    Google Scholar 

  27. Lee, S., Kim, W., Park, T., & Peng, W. (2017). The psychological effects of playing exergames: A systematic review. Cyberpsychology, Behavior, and Social Networking, 20(9), 513–532.

    Article  Google Scholar 

  28. Martin, B., & Hanington, B .M. (2012). Universal methods of design: 100 ways to research complex problems, develop innovative ideas, and design effective solutions (207 p). Digital (Ed.), Rockport Publishers

    Google Scholar 

  29. McGloin, R., & Embacher, K. (2018). “Just like riding a bike”: A model matching approach to predicting the enjoyment of a cycling exergame experience. Media Psychology, 21(3), 486–505.

    Article  Google Scholar 

  30. Microsoft Corporation. (2010). Microsoft Kinect for Xbox 360 [Hardware]. Microsoft.

    Google Scholar 

  31. Niantic, Inc. (2016). Pokémon Go (Mobile game). Niantic, Inc.

    Google Scholar 

  32. Nintendo. (2008). Wii Fit [Video game]. Nintendo.

    Google Scholar 

  33. Nintendo (2006). Nintendo Wii [Video game console]. Nintendo.

    Google Scholar 

  34. Pasco, D., Roure, C., Kermarrec, G., Pope, Z., & Gao, Z. (2017). The effects of a bike active video game on players’ physical activity and motivation. Journal of Sport and Health Science, 6(1), 25–32.

    Article  Google Scholar 

  35. Pesce, C. (2012). Shifting the focus from quantitative to qualitative exercise characteristics in exercise and cognition research. Journal of Sport and Exercise Psychology, 34(6), 766–786.

    Article  Google Scholar 

  36. Roure, C., Pasco, D., Benoît, N., & Deldicque, L. (2020). Impact of a design-based bike exergame on young adults’ physical activity metrics and situational interest. Research Quarterly for Exercise and Sport, 91(2), 309–315.

    Article  Google Scholar 

  37. Saposnik, G., et al. (2010). Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: A pilot randomized clinical trial and proof of principle. Stroke, 41(7), 1477–1484.

    Article  Google Scholar 

  38. Sato, T., Shimizu, K., Shiko, Y., Kawasaki, Y., Orita, S., Inage, K., Shiga, Y., Suzuki, M., Sato, M., Enomoto, K., Takaoka, H., Mizuki, N., Kim, G., Hozumi, T., Tsuchiya, R., Otagiri, T., Mukaihata, T., Furuya, T., Maki, S., … Eguchi, Y. (2021). Effects of nintendo ring fit adventure exergame on pain and psychological factors in patients with chronic low back pain. Games Health Journal, 10(3), 158–164.

    Article  Google Scholar 

  39. Signal, N. E. J. (2014). Strength for task training: a novel intervention to improve locomotor ability following stroke [Internet] [Thesis]. Auckland University of Technology; 2014

    Google Scholar 

  40. Silpasuwanchai, C., & Ren, X. (2015). Designing concurrent full-body gestures for intense gameplay. International Journal of Human-Computer Studies, 80, 1–13.

    Article  Google Scholar 

  41. Sinclair, J., Hingston, P., & Masek, M. (2007, December). Considerations for the design of exergames. In Proceedings of the 5th International Conference on Computer Graphics and Interactive Techniques in Australia and Southeast Asia (pp. 289–295).

    Google Scholar 

  42. Skalski, P., Tamborini, R., Shelton, A., Buncher, M., & Lindmark, P. (2011). Mapping the road to fun: Natural video game controllers, presence, and game enjoyment. New Media & Society, 13(2), 224–242.

    Article  Google Scholar 

  43. Stanmore, E., Stubbs, B., Vancampfort, D., de Bruin, E. D., & Firth, J. (2017). The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials. Neuroscience & Biobehavioral Reviews, 78, 34–43.

    Article  Google Scholar 

  44. Subramanian, S., Skjæret-Maroni, N., & Dahl, Y. (2020). Systematic review of design guidelines for full-body interactive games. Interacting with Computers, 32(4), 367–406.

    Article  Google Scholar 

  45. Sun, H. (2013). Impact of exergames on physical activity and motivation in elementary school students: A follow-up study. Journal of Sport and Health Science, 2(3), 138–145.

    Article  Google Scholar 

  46. Sween, J., Wallington, S. F., Sheppard, V., Taylor, T., Llanos, A. A., & Adams-Campbell, L. L. (2014). The role of exergaming in improving physical activity: A review. Journal of Physical Activity and Health, 11(4), 864–870.

    Article  Google Scholar 

  47. Ubisoft. (2009). Just Dance [Video game]. Ubisoft.

    Google Scholar 

  48. Vernadakis, N., Papastergiou, M., Zetou, E., & Antoniou, P. (2015). The impact of an exergame-based intervention on children’s fundamental motor skills. Computers & Education, 83, 90–102.

    Article  Google Scholar 

  49. Wiemeyer, J., Deutsch, J., Malone, L. A., Rowland, J. L., Swartz, M. C., Xiong, J., & Zhang, F. F. (2014). Recommendations for the optimal design of exergame interventions for persons with disabilities: challenges, best practices, and future research. Games for Health Journal.

    Google Scholar 

  50. Wüest, S., Van De Langenberg, R., & de Bruin, E. D. (2014). Design considerations for a theory-driven exergame-based rehabilitation program to improve walking of persons with stroke. European Review of Aging and Physical Activity, 11(2), 119–129.

    Article  Google Scholar 

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Authors and Affiliations

  1. Faculty of Social Sciences, Nord University, Levanger, Norway

    Adam Palmquist & Ole Goethe

  2. Faculty of Applied IT, University of Gothenburg, Gothenburg, Sweden

    Adam Palmquist

  3. Faculty of Education and Arts, Nord University, Levanger, Norway

    Izabella Jedel

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  1. Adam Palmquist
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  2. Izabella Jedel
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  3. Ole Goethe
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Correspondence to Adam Palmquist .

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Palmquist, A., Jedel, I., Goethe, O. (2024). Universal Design in Exergames. In: Universal Design in Video Games. Human–Computer Interaction Series. Springer, Cham. https://doi.org/10.1007/978-3-031-30595-5_9

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  • DOI: https://doi.org/10.1007/978-3-031-30595-5_9

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