Abstract
The design of “Serious games” that use game components (e.g., storyline, long-term goals, rewards) to create engaging learning experiences has increased in recent years. We examine of the core principles of serious game design and examine the current use of these principles in computer-based interventions for individuals with autism. Participants who undergo these computer-based interventions often show little evidence of the ability to generalize such learning to novel, everyday social communicative interactions. This lack of generalized learning may result, in part, from the limited use of fundamental elements of serious game design that are known to maximize learning. We suggest that future computer-based interventions should consider the full range of serious game design principles that promote generalization of learning.
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Anderson-Handley, C., Tureck, K., & Schneiderman, R. L. (2011). Autism and exergaming: Effects on repetitive behaviors and cognition. Psychology Research and Behavior Management, 4, 129–137.
Bandura, A. (1986). Social foundations for thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
Barab, S., Thomas, M., Dodge, T., Cartaeux, R., & Tuzun, H. (2005). Making learning fun: Quest Atlantis, a game without guns. Educational Technology Research and Development, 53(1), 86–107.
Baranowski, T., Buday, R., Thompson, D., & Baranowski, J. (2008). Playing for real: Video games and stories for health-related behavior change. American Journal of Preventative Medicine, 34(1), 74.e10–82.e10.
Battocchi, A., Ben-Sasson, A., Esposito, G., Gal, E., Pianesi, F., Tomasini, D., et al. (2010). Collaborative puzzle game: A tabletop interface for fostering collaborative skills in children with autism spectrum disorders. Journal of Assistive Technologies, 4(1), 4–13.
Bay-Hinitz, A. K., Peterson, R. F., & Quilitch, H. R. (1994). Cooperative games: A way to modify aggressive and cooperative behaviors in young children. Journal of Applied Behavior Analysis, 27, 435–446.
Beaumont, R., & Sofronoff, K. (2008). A multi-component social skills intervention for children with Asperger syndrome: The junior detective training program. Journal of Child Psychology and Psychiatry, 49(7), 743–753.
Bernardini, S., Porayska-Pomsta, K., & Smith, T. J. (2014). ECHOES: An intelligent serious game for fostering social communication in children with autism. Information Sciences, 264, 41–60.
Bölte, S., Feineis-Matthews, S., Leber, S., Dierks, T., Hubl, D., & Poustka, F. (2002). The development and evaluation of a computer-based program to test and to teach the recognition of facial affect. Journal of Circumpolar Health, 61, 61–68.
Bölte, S., Hubl, D., Feineis-Matthews, S., Prvulovic, D., Dierks, T., & Poustka, F. (2006). Facial affect recognition training in autism: Can we animate the fusiform gyrus? Behavioral Neuroscience, 120(1), 211–216.
Bosseler, A., & Massaro, D. W. (2003). Development and evaluation of a computer-animated tutor for vocabulary and language learning in children with autism. Journal of Autism and Developmental Disorders, 33, 653–672.
Catalano, C. E., Luccini, A. M., & Mortara, M. (2014). Best practices for effective design and evaluation of serious games. International Journal of Serious Games, 1(1), e1–e13.
De Freitas, S. (2006). Using games and simulations for supporting learning. Learning, Media, and Technology, 31(4), 343–358.
Dickey, M. D. (2005). Engaging by design: How engagement strategies in popular computer and video games can inform instructional design. Educational Technology Research and Development, 53(2), 67–83.
Dickey, M. D. (2006). Game design narrative for learning: Appropriating adventure game design narrative devices and techniques for the design of interactive learning environments. Educational Technology Research and Development, 54(3), 245–263.
Diehl, L. A., Souza, R. M., Alves, J. B., Alejandro, G., Estevez, R. Z., George, M., & Coelho, I. (2013). InsuOnline, a serious game to teach insulin therapy to primary care physicians: Design of the game and a randomized control trial for educational validation. JIMR Research Protocols, 2(1), e5.
Faja, S., Webb, S. J., Jones, E., Merkle, K., Kamara, D., Bavaro, J., et al. (2012). The effects of face expertise training on the behavioral performance and brain activity of adults with high functioning autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(2), 278–293.
Fisher, M., Holland, C., Merzenich, M., & Vinogradov, S. (2009). Using neuroplasticity-based auditory training to improve verbal memory in schizophrenia. American Journal of Psychiatry, 166, 805–811.
Gal, E., Bauminger, N., Goren-Bar, D., Pianesi, F., Stock, O., Zancanaro, M., & Weis, P. L. (2009). Enhancing social communication of children with high-functioning autism through a co-located interface. AI & SOCIETY, 24(1), 75–84.
Garaigordobil, M., Maganto, C., & Etxeberria, J. (1996). Effects of a cooperative game program on socio-affective relations and group cooperation capacity. European Journal of Psychological Assessment, 12(2), 141–152.
Garris, R., Ahlers, R., & Driskell, J. E. (2002). Games, motivation, and learning: A research and practice model. Simulation Gaming, 33(4), 441–467.
Gee, J. P. (2003). What video games have to teach us about learning and literacy. New York: Palgrave Macmillan.
Getchell, N., Miccinello, D., Blom, M., Morris, L., & Szaroleta, M. (2012). Comparing energy expenditure in adolescents with and without autism while playing Nintendo Wii games. Games for Health Journal, 1(1), 58–61.
Golan, O., & Baron-Cohen, S. (2006). Systemizing empathy: Teaching adults with Asperger syndrome or high-functioning autism to recognize complex emotions using interactive multimedia. Development and Psychopathology, 2, 591–617.
Greitemeyer, T., & Cox, C. (2013). There is no I in team: Effects of cooperative video games on cooperative behavior. European Journal of Social Psychology, 43(3), 224–228.
Grynszpan, O., Weiss, P. L., Perez-Diaz, F., & Gal, E. (2014). Innovative technology-based interventions for autism spectrum disorders: A meta-analysis. Autism, 18(4), 346–361.
Habgood, M. P. J., & Ainsworth, S. E. (2011). Motivating children to learn effectively: Exploring the value of intrinsic integration in educational games. Journal of Learning Sciences, 20(2), 169–206.
Heimann, M., Nelson, K. E., Tjus, T., & Gillberg, C. (1995). Increasing reading and communication skills in children with autism through an interactive multimedia computer program. Journal of Autism and Developmental Disorders, 25(5), 459–480.
Hilton, C. L., Cumpata, K., Klohr, C., Gaetke, S., Artner, A., Johnson, H., & Dobbs, S. (2014). Effects of exergaming on executive function and motor skills in children with autism spectrum disorder: A pilot study. American Journal of Occupational Therapy, 68(1), 57–65.
Hopkins, I. M., Gower, M. W., Perez, T. A., Smith, D. S., Amthor, F. R., Wimsatt, F. C., & Biasini, F. J. (2011). Avatar Assistant: Improving social skills in students with an ASD through a computer-based intervention. Journal of Autism and Developmental Disorders, 41, 1543–1555.
Kandalaft, M. R., Didehbani, N., Krawczyk, D. C., Allen, T. T., & Chapman, S. B. (2013). Virtual reality social cognition training for young adults with high functioning autism. Journal of Autism and Developmental Disorders, 43(1), 34–44.
Kapp, K. M. (2012). The gamification of learning and instruction: Game-based methods and strategies for training and education. San Francisco, CA: Pfeifer.
Kato, P. M., Cole, S. W., Bradlyn, A. S., & Pollock, B. H. (2008). A video game improves behavioral outcomes in adolescents and young adults with cancer: A randomized trial. Pediatrics, 112(2), e305–e317.
Ke, F., & Im, T. (2013). Virtual-reality-based social interaction training for children with high-functioning autism. Journal of Educational Research, 106(6), 441–461.
Klimmt, C., Roth, C., Vermeulen, I., Vorderer, P., & Roth, F. S. (2012). Forecasting the experience of future entertainment technology: Interactive storytelling and media enjoyment. Games and Culture, 7(3), 187–208.
Knapp, M., Romeo, R., & Beecham, J. (2009). Economic cost of autism in the UK. Autism, 13(3), 317–336.
Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall.
Kuo, M. H., Orsmond, G. I., Cohn, E. S., & Coster, W. J. (2013). Friendship characteristics and activity patterns of adolescents with an autism spectrum disorder. Autism, 17(4), 481–500.
Lang, R., Koegel, L. K., Ashbaugh, K., Register, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 4(4), 565–576.
Lange, B., Koenig, S., Chang, C., McConnell, E., Suma, E., Bolas, M., & Rizzo, A. (2012). Designing informed game-based rehabilitation tasks leveraging advances in virtual reality. Disability and Rehabilitation, 34(22), 1863–1870.
Lepper, M. R., & Chabay, R. W. (1985). Intrinsic motivation and instruction: Conflicting views on the role of motivational processes in computer-based education. Educational Psychologist, 20(4), 217–230.
Lu, A. S., Thompson, D., Baranowski, J., Buday, R., & Baranowski, T. (2012). Story immersion in a health video game for childhood obesity prevention. Games for Health Journal: Research, Development, and Clinical Applications, 1(1), 37–44.
Marchiori, E. J., Torrente, J., del Blanco, A., Moreno-Ger, P., Sancho, P., & Fernandez-Manjon, B. (2012). A narrative metaphor to facilitate educational game authoring. Computers & Education, 58, 590–599.
Mayer, R. E., Mautone, P., & Prothero, W. (2002). Pictorial aids for learning by doing in a multimedia geology simulation game. Journal of Educaitonal Psychology, 94, 171–185.
Medalia, A., & Choi, J. (2009). Cognitive remediation in schizophrenia. Neuropsychology Review, 19(3), 353–364.
Mishra, J., & Gazzaley, A. (2014). Harnessing the neuroplastic potential of the human brain & the future of cognitive rehabilitation. Frontiers in Human Neuroscience, 8(218), e1–e4. doi:10.3389/fnhum.2014.00218.
Moore, M., & Calvert, S. (2000). Vocabulary acquisition for children with autism: Teacher or computer instruction. Journal of Autism and Developmental Disorders, 30(4), 359–362.
O’Neil, H. F., Chung, K. W. K., Kerr, D., Vendlinski, T. P., Buschang, R. E., & Mayer, R. E. (2014). Adding self-explanation prompts to an educational computer game. Computers in Human Behavior, 30, 23–28.
Orsmond, G. I., & Kuo, M. H. (2011). The daily lives of adolescents with an autism spectrum disorder: Discretionary time use and activity patterns. Autism, 15(5), 579–599.
Pan, Y. C., & Frey, G. C. (2006). Physical activity patterns in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 31, 257–263.
Patall, E. A., Cooper, H., & Robinson, J. C. (2008). The effects of choice on intrinsic motivation and related outcomes: A meta-analysis of research findings. Psychological Bulletin, 134(2), 270–300.
Peng, W., Lin, J., & Crouse, J. (2011). Is playing exergames really exercising? A meta-analysis of energy expenditure in active video games. Cyberpsychology, Behavior, and Social Networking, 14(11), 681–688.
Ploog, B. O., Scharf, A., Nelson, D., & Brooks, P. J. (2013). Use of computer-assisted technologies (CAT) to enhance social, communicative, and language development in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43, 301–322.
Przybylski, A. K., Rigby, C. S., & Ryan, R. M. (2010). A motivational model of video game engagement. Review of General Psychology, 14(2), 154–166.
Ramdoss, S., Machalicek, W., Rispoli, M., Mulloy, A., Lang, R., & O’Reilly, M. (2012). Computer-based interventions to improve social and emotional skills in individuals with autism spectrum disorders: A systematic review. Developmental Neurorehabilitation, 15(2), 119–135.
Ravaja, N., Saari, T., Turpeinen, M., Laarni, J., Salminen, M., & Kivikangas, M. (2006). Spatial presence and emotions during video game playing: Does it matter with whom you play?. Presence: Teleoperators and Virtual Environments, 15(4), 381–392.
Reiber, L. P. (1996). Seriously considering play: Designing interactive learning environments based on the blending of microworlds, simulations, and games. Educational Technology Research and Development, 44(2), 43–58.
Rimmer, J. H., Chen, M., McCubbin, J., Drum, C., & Peterson, J. (2010). Exercise intervention research in persons with disabilities: What we know and where we need to go. American Journal of Physical Medicine and Rehabilitation, 89(3), 249–263.
Ryan, R., & Deci, E. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78.
Ryan, R. M., Rigby, C. S., & Przybylski, A. (2006). The motivational pull of video games: A self-determination theory approach. Motivation and Emotion, 39(4), 344–360.
Saperstein, A., & Kurtz, M. (2013). Current trends in the empirical study of cognitive remediation for schizophrenia. The Canadian Journal of Psychiatry, 58(6), 311–318.
Shernoff, D. J., Csikszentmihalyi, M., Schneider, B., & Shernoff, E. (2003). Student engagement in high school classrooms from the perspective of flow theory. School Psychology Quarterly, 18(2), 158–176.
Silver, M., & Oakes, P. (2001). Evaluation of a new computer intervention to teach people with autism or Asperger syndrome to recognize and predict emotions in others. Autism, 5(3), 299–316.
Smyth, J. (2007). Massively multiplayer online role-playing games [MMORPGS], reported health, and social behavior. Cyberpsychology & Behavior, 10, 717–721.
Strickland, D. C., Coles, C. D., & Southern, L. B. (2013). JobTIPS: A transition to employment program for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2472–2483.
Suh, S., Kim, S. W., & Kim, N. J. (2010). Effectiveness of MMORPG-based instruction in elementary English education in Korea. Journal of Computer Assisted learning, 26(5), 370–378.
Swettenham, J. (1996). Can children with autism be taught to understand false belief using computers? Journal of Child Psychology and Psychiatry, 37(2), 157–165.
Tanaka, J. W., Wolf, J. M., Klaiman, C., Koenig, K., Cockburn, J., Herlihy, L., et al. (2010). Using computerized games to teach face recognition skills to children with ASD: The Let’s Face It program. The Journal of Child Psychology and Psychiatry, 51(8), 944–952.
Thompson, D., Baranowski, T., & Buday, R. (2010). Conceptual model for the design of a serious video game promoting self-management among youth with Type 1 diabetes. Journal of Diabetes Science and Technology, 4(3), 744–749.
Vygotsky, L. (1933/1978). Mind in society: The development of higher psychological processes. Cambridge, MA: Harvard University Press.
Wainer, A. L., & Ingersol, B. R. (2011). The use of innovative computer technology for teaching social communication to individuals with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 96–107.
Wang, M., & Anagnostou, E. (2014). Virtual reality as treatment tool for children with autism. In V. B. Patel, V. R. Preedy, & C. R. Martin (Eds.), Comprehensive guide to autism (pp. 2125–2141). New York: Springer.
Whalen, C., Liden, L., Ingersol, B., Dallaire, E., & Liden, S. (2006). Behavioral improvements associated with computer-assisted instruction for children with developmental disabilities. Journal of Speech-Language Pathology and Applied Behavior Analysis, 1(1), 11–26.
Whalen, C., Moss, D., Ilan, A. B., Vaupel, M., Fielding, P., Macdonald, K., et al. (2010). Efficacy of TeachTown: Basics in computer-assisted intervention for the intensive comprehensive autism program in Los Angeles unified school district. Autism, 14(3), 179–197.
Whyatt, C., & Craig, C. (2013). Sensory-motor problems in autism. Frontiers in Integrative Neuroscience, 7, e1–e12. doi:10.3389/fnint.2013.00051.
Wilkinson, D. A., Best, C. A., Minshew, N. J., & Strauss, M. S. (2010). Memory awareness for faces in individuals with autism. Journal of Autism and Developmental Disorders, 40, 1371–1377.
Wouters, P., Paas, F., & Van Merrienboer, J. J. G. (2008). How to optimize learning from animated models: A review of guidelines based on cognitive load. Review of Educational Research, 78(3), 645–675.
Wouters, P., van Nimwegen, C., van Oostendorp, H., & van der Spek, E. D. (2013). A meta-analysis of the cognitive and motivational effects of serious games. Journal of Educational Psychology, 106(2), 249–265.
Wouters, P., & van Oostendorp, H. (2013). A meta-analytic review of the role of instructional support in game-based learning. Computers & Education, 60(1), 412–425.
Young, M., Slota, S., Cutter, A. B., Jalette, G., Mullin, G., Lai, B., et al. (2012). Our princess is in another castle: A review of trends in serious gaming for education. Review of Educational Research, 82, 61–89.
Zuckerman, K. E., Hill, A. P., Guion, K., Voltolina, L., & Fombonne, E. (2014). Overweight and obesity: Prevalence and Correlates in a large clinical sample of children with autism spectrum disorder. Journal of Autism and Developmental Disorders.
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This work was supported by Pennsylvania Department of Health SAP Grant 4100047862. This research was also supported by Penn State’s Center for Online Innovation in Learning.
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Whyte, E.M., Smyth, J.M. & Scherf, K.S. Designing Serious Game Interventions for Individuals with Autism. J Autism Dev Disord 45, 3820–3831 (2015). https://doi.org/10.1007/s10803-014-2333-1
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DOI: https://doi.org/10.1007/s10803-014-2333-1