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Childhood Obesity and Serious Games
Integrating Gamification and Lifestyle Technologies for better Personal Health Management
David Wortley GAETSS
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Childhood Obesity is a Complex Issue
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Obesity is a Global Challenge
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Lifestyle Related Global Challenges● Obesity, diabetes, cancer, cardiovascular● Ageing Society● Education● Environment● Equitable Society
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These challenges require a holistic solution
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Top Ten causes of Death 1900 vs 2010
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The Burden of Disease and the Changing Task of Medicine
David S. Jones, M.D., Ph.D., Scott H. Podolsky, M.D., and Jeremy A. Greene, M.D., Ph.D.N Engl J Med 2012; 366:2333-2338June 21, 2012DOI: 10.1056/NEJMp1113569
In many respects, our medical systems are best suited to diseases of the past, not those of the present or future.
We must continue to adapt health systems and health policy as the burden of disease evolves. Disease is a complex domain of human
experience, involving explanation, expectation, and meaning. Doctors must acknowledge this complexity and formulate theories, practices, and systems that fully address the breadth and subtlety
of disease.6
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Global Challenge – HealthObesity, Diabetes, Cancer & Cardiovascular Problems
● Sedentary lifestyle● Convenience foods● Comfort eating● Inadequate exercise● Couch potato syndrome● Spectator society
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How do we Solve the Problem?
● Develop clinical solutions that prevent or manage these conditions or
● Influence the food industry and citizens through public policy interventions or
● Develop better personal health management solutions and practices
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Clinical Solutions
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Public Policy InterventionsTaxes & Legislation
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Public Policy InterventionsAwareness and Education
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Better Personal Health Management
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Which is the Best Solution?Who will Provide the Solution?
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Medical Professionals or Politicans or Citizens?
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The Transition from Cure to Prevention
It’s quite clear that the best chance we have for increasing our life spans and
overall improving our health is to adjust our personal behaviours and to do so at an
early age. 16
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How can we change Personal Behaviours?
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An Approach for Better Personal Health
Gamification Enabling Technologies
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What is Gamification?
Gamification is a process designed to influence actions, behaviours, characteristics and states through the use of games strategies and
mechanics
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What is Gamification?
Every Human Activity can be Viewed as a Game !!
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Games are part of Everyday Vocabulary
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Teaching Game
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Property Game
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Insurance Game
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Used Car Game
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Game = Influence & Persuasion
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Big Players have Most Influence

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Gamification is a Life Skill
Gamification and the ability/motivation to Gamify is embedded in the genetic make up of every living creature.
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The Gamification LensStrategistTactician
MotivatorCoach
SkillAbility
MotivationSelf-Esteem
LoyaltyPassion
EngagementSupport
InterestAwarenessKnowledge
UnawareIndependentSelf-sufficient
Growing Influenceand Ability to Achieve Goals
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Gamification ElementsScenarios/NarrativesChallengesRulesChance/UncertaintyRisksRewards/IncentivesPenaltiesCompetitionExplorationSuccess/Achievement
FailureDiscoveryLeaderboardsLearningDevelopmentSkill/AbilityAction/ReactionMeasurementFeedbackReflection
Gamification introduces some or all of these elements into everyday situations
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The Gamification Cycle

Challenge
Response
Measurement
Feedback
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The "A List" Influencers

Every Individual responds to different influencers in making decisions or choices
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Enabling Technologies and Disruptive Change in Society
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Enabling Technologies
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What enabling technologies will affect the lives ofNurses, Doctors, Hospitals and Care Workers and how will that impact Childhood Obesity ?
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How Do Enabling Technologies Cause Disruptive Change?
The Thomas Cook Story
In 1842 a Cabinet Maker from Market Harborough in the UK set out on a journey
that shaped the world we live in today.
He made an innovative connection between his passion for the Temperance Movement
and the disruptive enabling technology of the railway network.
On that day travel and tourism was changed forever.
Disruptive Technologies, Win-Win Relationships, Commercially Sustainable Social Enterprise
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Why did Thomas Cook Succeed?
36A Proposition that was Attractive, Accessible and Affordable
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Enabling Technologies and Society

The Disruptive shift from Hierarchical Society to Networked Society is a challenge and an opportunity to shape the influence of
technology on society
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Impact on Knowledge Professionals

Knowledge Professionals influence on Behaviours and Actions is being eroded by enabling technologies especially with Digital
Natives
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Enabling Technologies and Society

Knowledge Professionals no longer have hierarchical authority as a means of influencing behaviour
They have to influence by facilitation and mentoring
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Impact on Knowledge Professionals
40What happens when everyone can access knowledge?
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The Prosumer Revolution

Today's users are increasingly Producers as well as Consumers competing in the Attention Economy
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Attention Economy

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The Attention Economy
The Next Generation have very different expectations
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Who will Most Influence Future Health?
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Making a FreshStart
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The Perfect Storm of OpportunityUrgent Societal Issues
● Health – Obesity, Diabetes etc● Ageing Society – Dementia and
care costs● Education – Rejection of
traditional practices● Environment – Unsustainable
demand for Resources● Commerce – E-Commerce threat
to traditional Physical retailers on the High Street
Enabling Technologies● Lifestyle sensor technologies● Mobile Applications● Cloud Computing● Internet of Things● Big Data Analytics● Data Visualisation● Social Media
Creating synergistic collaborative partnerships across multiple disciplines and sectors is key to commercialisation of the opportunities
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The GAETSS Mission
Tackling global challenges by building strategic, profitable, sustainable and innovative win-win partnerships based on social enterprise and united
in a common purpose enabled by technology
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The Fresh Start Background
We live in a society where unprecedented advances in technology provide instant access to and control of many aspects of our lives.
This situation has created a “Perfect Storm” of Urgent Societal Problems and commercially viable Technology Solutions
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Changing Lifestylesand Consumer Empowerment
One of the consequences of this convenient and
easy access to our daily wants and needs is a
decline in the physical and mental challenges
necessary for our lifelong development and health
maintenance
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Global Lifestyle Related Challenges
Modern Lifestyle consequences include many negative effects which place
increasing demands on available resources and
threaten the sustainability of public services for future
generations
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Global Challenge – HealthObesity, Diabetes, Cancer & Cardiovascular Problems
Very High Profile in UK Press and Media
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Who is to Blame?
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In a Spectator Society we come to expect other people to resolve global challenges
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Who is to Blame?
The truth is that we are all collectively responsible through our lifestyle choices…and we are all collectively able to turn things around…
Government
Fast FoodCompanies
Television
Education
Video Games
Lack of FacilitiesPressure of Life
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What can be Done ?
The consequences of a failure to address these challenges are unthinkable…..
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Personal Health Management
Over the last 20 months I have explored and experienced first hand the potential of Gamification and Enabling Technologies to transform personal health and have a
passion to be part of a revolution in health and well-being. I lost 21Kg in 3 months and significantly improved physically and mentally
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Gamification and Enabling TechnologiesLeveraging Consumer Technology Usage and Demands to Address
Global Challenges
Our insatiable demand for technologies that give use choice, interactivity and control is key to developing a strategy
for addressing global challenges in a holistic way
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Gamification and Enabling Technologies Deliver Results
2013
2013 Feb 2015
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Who can Most Influence YOUR Future Health?
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Childhood Obesity Issues
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How can we influence Generation Z?
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Global Challenge – EducationExpectations of Generation Z Digital Natives
● Early exposure to interactive technology
● Engagement in video games
● Easy access to information● Rejection of traditional
teaching methods
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Shifting the Locus of Control
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Games and the Locus of Control
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Games put you in Control and transfer the responsibility for outcomes to you
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The Pegaso EU Project
The Pegaso EU Project uses wearable devices and games to encourage active lifestyles and healthy eating – see http://www.pegasof4f.eu/
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Measurement and Feedback
67Snapshot data Real Time data
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Gamification of Childhood Obesity
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Gamification of Childhood Obesity● Body composition snapshot data to measure progress● Real time data lifestyle tracking to measure activity,
sleep and nutrition● Data analytics and visualisation to control outcomes● Personal responsibility for personal performance● Education benefits for STEM subjects
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Types of Game Mechanics● Quest and exploration games● Scoreboards● Teams and clans● Points and Badges● Leaderboards● Virtual (and physical) coaches/mentors
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Conclusions
Childhood obesity is a complex and serious global challenge that arises from today's technology enabled lifestyles. The same technologies which contribute to these
challenges can also be applied to solving these challenges but it requires fresh thinking
and a fresh start.71