Inclusivity is child's play: pilot study on usability, acceptability and user experience of a sensory-motor PC game for children with cerebral palsy (GiocAbile).

IF 3.2 3区医学 Q1 PEDIATRICS Italian Journal of Pediatrics Pub Date : 2024-12-20 DOI:10.1186/s13052-024-01830-7

Alessandra Consales, Emilia Biffi, Roberta Nossa, Simone Pittaccio, Fabio Lazzari, Matteo Malosio, Matteo Lavit Nicora, Giovanni Tauro, Davide Felice Redaelli, Atul Chaudhary, Eleonora Diella, Matteo Valoriani, Francesca Fedeli, Odoardo Picciolini, Maria Lorella Giannì, Matteo Porro

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Abstract

Background: The use of video games in rehabilitation settings is gaining increasing popularity. However, the lack of commercial video games suitable for children with disabilities and the disappointing user experience of serious games limit their applicability. The aim of this study was to assess the usability, acceptability and user experience of GiocAbile, an active video game for children with cerebral palsy (CP).

Methods: This multicenter pilot observational study was conducted from May to September 2022 at the participating institutions, and enrolled school-aged children affected by CP. Enrolled children played GiocAbile in single-player mode for one hour. The gaming experience was evaluated through self-assessment questionnaires. Non-parametric correlation analysis was conducted to examine the influence of motor and cognitive abilities (GMFCS, MACS, ICF) on declared usability and acceptability.

Results: Nineteen children (9.01 ± 1.95 years, 63.1% male) with mild to severe CP were enrolled. The 100% of respondents expressed satisfaction and fulfillment associated with gameplay, with no reports of frustration or disappointment. The 83% would recommend the game to a friend. The controllers were generally deemed easy to use and maneuver, with very few reports of discomfort associated with their use. No correlations were found between usability/acceptability levels and measures of impairment (i.e., GMFCS, MACS, and ICF scales), while cognitive impairment positively correlated with satisfaction during gameplay.

Conclusions: GiocAbile is an accessible, user-friendly and enjoyable tool for children with CP, regardless of level of impairment. Based on existing literature, we hypothesize that GiocAbile may improve motivation, participation, and rehabilitation outcomes in children with CP, although further studies are needed to confirm our hypothesis.

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包容性是儿童的游戏：针对脑瘫儿童的感觉-运动PC游戏的可用性、可接受性和用户体验的初步研究（GiocAbile）。

背景：在康复环境中使用电子游戏越来越受欢迎。然而，缺乏适合残疾儿童的商业电子游戏，以及严肃游戏令人失望的用户体验限制了它们的适用性。本研究的目的是评估GiocAbile的可用性、可接受性和用户体验，GiocAbile是一款针对脑瘫儿童（CP）的主动视频游戏。方法：该多中心试点观察研究于2022年5月至9月在参与机构进行，招募了患有CP的学龄儿童。被招募的儿童在单人模式下玩了一个小时的GiocAbile。通过自我评估问卷对游戏体验进行评估。采用非参数相关分析检验运动和认知能力（GMFCS， MACS， ICF）对声明可用性和可接受性的影响。结果：共纳入轻至重度CP患儿19例（9.01±1.95岁，男性占63.1%）。100%的受访者表示对游戏玩法感到满意和满足，没有人表示受挫或失望。83%的人会把游戏推荐给朋友。这些控制器通常被认为易于使用和操作，很少有与使用它们相关的不适报告。可用性/可接受性水平与损伤测量（即GMFCS， MACS和ICF量表）之间没有相关性，而认知损伤与游戏过程中的满意度呈正相关。结论：无论损伤程度如何，GiocAbile都是一种易于使用、用户友好且令人愉快的工具。基于现有的文献，我们假设GiocAbile可以改善CP儿童的动机、参与和康复结果，尽管需要进一步的研究来证实我们的假设。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Italian Journal of Pediatrics PEDIATRICS-

CiteScore

6.10

自引率

13.90%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues. The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field. Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.