Condell, Joan

Gardiner, Philip

McShane, Niall

Munoz Esquivel, Karla

English

Nowadays there is an increased aging population in UK, owed to longer life expectancies and lower childbirth, which increases the socio-economic challenges of providing healthcare services [1]. Casual mobile games have steadily increased in popularity and have the potential of engaging senior citizens due to the ubiquity of mobile devices, usability design and game feedback loops [2]. On this research, we are focused on using ViMove sensor [3] and networked mobile devices to empower elderly Ankylosing spondylitis patients to remotely monitor and track their own spinal inflammation. Our hypothesis is that through combining sensor data with a gamified approach to mobile application design can enhance patient motivation and engagement and aid them to become an active participant in their own rehabilitation process [4]. The proposed mobile application would employ dynamic interactions, personalised visualisation, progress tracking, access to relevant condition knowledge and foster elements of community [5]. Another advantage of using a gamification approach is that we can also attain a comprehensive data set. This data set can be remotely accessed by a physiotherapist to perform a more detailed analysis and provide personalised patient feedback. We can assess the impact on participation engagement using app/game analytics to measure retention [6] and gather qualitative feedback on usability design through built in questionnaires

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iSpondylitisUsing Gamification App Design & Remote Wearable Sensors toAttain Ankylosing Spondylitis Patient’s Participation EngagementMr Niall McShane, Dr Karla Muñoz Esquivel, Dr Joan Condell, Dr Philip Gardineremail : n.mcshane@ulster.ac.ukCONCEPT / OBJECTIVES FRAMEWORK / DESIGNMETHODOLOGYPROBLEMCLINICAL DEMONSTRATIONSOUTCOMESMax 0.625922024 9.740689278 1.545520306 10.01040363 1.731065631 1.184652209 Min -4.416422367 -26.5758667 -5.13936758 -31.92823982 -1.781682014 -5.956914902 ROM 5.042344391 36.31655598 6.684887886 41.93864346 3.512747645 7.141567111 Stc Cervical F (IG) Cervical L (IG) Occiput F (IG) Occiput L (IG) T3 F (IG) T3 L (IG) 11:43:40:84 -0.0348465 4.489578247 0.954510033 4.638955116 0.989024997 0.154398218 11:43:40:889 -0.068415008 4.518737793 0.979437232 4.625243664 1.007095814 0.147380099  iSpondylitis is an application design for remote monitoring of Ankylosing Spondylitis using IMU sensor technology. iSpondylitis uses gamification in its design to engage and retain patients to perform regular monitoring of their condition, treatment process and oer remote feedback regarding their spinal mobility.The project is part on the on-going clinical evaluation being undertaken in L’Derry, N.Ireland, Dublin, Ireland and Cordoba, Spain to examine the accuracy of sensors in measuring spinal movement. The overall purpose of the research is to replace conventional metrology (e.g. BASMI  test) with a new validated outcome measure based on IMU sensor technology and oer patients a mobile solution as part of their treatment process. 1 : USABILITY FEEDBACK The application is tested with user groups and qualitative  feedback is gathered via surveys and questionnaires2 : APP / DATA ANALYTICS Analytics are used to gain insight in user retention cycles and sticky factor.  We can directly  measure how users interact with the application  and use this information to make usability, feature and functional improvementsMonitoring :-- Patients regularly input information and condition status through questionnaires   and sliders. Patients are encouraged to document how they feel each time they   use the app or during condition ‘flare ups’ to create a detailed picture of their    progress over longer periods of time.-- The app assists in sensor setup and guides patients through movement routines   while recording the relevant data for feedback and analysis.Feedback :-- Patients are presented with simplified meaningful feedback. Trac lighting is    used to quickly inform the patient of their condition status. -- Links to relevant exercises and information based on their current status is     available to view in the app.Visualisation & Play :-- Sensor input is visualised using 3D kinematics, charts and graphs. Interactive    exercises and casual mini-games are built into the app to add a layer of fun to the   monitoring process.Profiles & Progression :-- Condition monitoring is presented as a journey with a sense of progression at the   core of the experience. Achievements, milestones and streaks are used to     encourage long term engagement with the app.Community:-- App users are part of a wider community to share information and build a support   network.Profile :-- Clinicians are setup with an ID to monitor groups of patients and provide individual   monitoring and management.Visualisation :-- Clinicians have access to detailed data visualisation and patient monitoring    history to support their analysis and improve patient care.Feedback :-- Clinicians can be alerted by the patient or through an automated process. They   can recommend exercises and link relevant information on an individual patient   basisOver the course of the project we will develop a set of gamification principles to use within the application design. The app development will support the clinical demonstrations for the IMU sensors to test the remote monitoring and practical application of patients using the hardware in a home or work environment.KEY OUTCOMES1. We can engage users within the app environment to perform regular monitoring   and measure their engagement in the process using data analytics. 2. We can gain positive patient feedback in regards to the gamification and     community focused design of the application compared to traditional monitoring   using intermittent BASMI tests.3. We can determine a correlation in improvement to patient condition and regular   use of the sensors and application.Spinal mobility is assessed in patients with AS/axial SpA using the BASMI to provide baseline measurement and monitor change over time. The BASMI test is usually undertaken on a yearly basis with varying degrees of accuracy. 1 : Can wearable sensors and mobile technology be used to replace the BASMI    test and construct an accurate picture of the patients condition through    regular monitoring?2 : Can we leverage technology to engage and motivate the patient to perform    condition monitoring remotely?Derry / Londonderry, N.Ireland  Examining the accuracy of sensors in measuring movement in axSpADublin, Ireland  Examining the performance of standardised functional tests while wearing    the  spinal sensors (e.g. sit to stand).Cordoba, Spain  Comparing sensor outputs to data obtained from optical motion capture     (UCOTrack).PHASE 1 STUDIESIMU Sensor Calibration & Data Output ExampleIMU Sensor vs Optical Motion Capture (UCOTrack)PATIENT VIEWCLINICIAN VIEWPATIENT MONITORINGClinicians can access pat ient  progress and detai led v iews of  an indiv idual  pat ient ’s  status.  Cl in icians can suggest  exercises and not i fy  the user  through mult imedia content  related to their  current  progress or  condit ion.DATA PROCESSINGRelevant  sensor data is  saved in  the cloud to al low for  fur ther  analysis  of  indiv idual  pat ients and wider  analysis  of  pat ient  groups.COMMUNIT YConnecting and sharing with the wider  community  is  used to encourage a community  based suppor t  network .  Prof i les are anonymised for  al l  community  act iv i t ies .GAMIFICATIONGamif icat ion techniques are ut i l ised in  the appl icat ion’s  design to engage in  their  condit ion monitor ing.  Game elements are to be deployed as a tool  to  encourage regular  sensor exercises and casual  fun whi le  performing monitor ing tasks.   NAVIGATIONNavigat ion from screen to screen is  performed via dynamic buttons in  the lower sect ion of  the interface.Prof i le  & social  screens are accessed via the header sect ion.  CONSISTENT DESIGNIcons,  colour  & meaningful  text  is  used to communicate the status and avai lable act ions the user  can perform.  Low f idel i ty  interfaces and simpl ic i ty  are pr ior i t ised in  the v isual  design.  MINI GAMES / PLAYCasual  mini-games are employed in  conjunct ion with the sensor exercises to add a layer  of  play and dynamic interact ions  to  the condit ion monitor ing.FEEDBACKThe use of  streaks,  mi lestones and progress tracking is  used to encourage users to return.  Clear,  s imple metr ics are presented to the user  using trac l ight ing to communicate their  status.  DYNAMIC PROFILEThe pat ients prof i le  is  an ongoing journey based on how they interact  with the community  and condit ion monitor ingVISUALISATIONMoving with the sensors is  tracked and clear ly  displayed to the user  in  v isual ly  st imulat ing ways,  using graphs,  char ts  and 3D kinematic  v isual isat ion.MONITORINGUsers answer cl in ical  quest ions and can input  information in  relat ion to diet ,  t reatment and general  wel lness.  This  encourages users to return and create a wider  picture of  their  condit ion and l i festyle .XXXX X46°LATERAL FLEXION  50°CERVICAL ROTATION    10cmLUMBAR SIDE FLEXION XN E X T N E X T D O N ER E S T A R TN E W  S E S S I O NCALENDAR C O MMUNIT Y STATISTIC S S E T TINGS

Using Gamification App Design and Remote Wearable Sensors to Attain Ankylosing Spondylitis Patients’ Participation Engagement

https://pure.ulster.ac.uk/ws/files/77461601/poster_final.pdf

Using Gamification App Design and Remote Wearable Sensors to Attain Ankylosing Spondylitis Patients’ Participation Engagement

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