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Engagement and Motivation in Rehabilitative Therapy For The Elderly Elena Márquez Segura PhD student Uppsala University Mobile Life Centre Sweden [email protected] PhySeE ar

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Page 1: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Engagement and Motivation in Rehabilitative Therapy For The Elderly

Elena Márquez Segura

PhD student Uppsala UniversityMobile Life Centre

[email protected]

PhySeEar

Page 2: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ create something that works]

PhySeEar

Elena Márquez Segura – [email protected]

Page 3: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

PhySeEar

[ create something that works]

Page 4: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

PhySeEar

[understand how something works]

[DESIGN]

[PHENOMENA]

[ create something that works]

Page 5: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

Research through Design(Bardzell et al., 2012; Gaver, 2012; Löwgren, 2013; Zimmerman et al., 2010)

(Höök and Löwgren, 2012)

time

concrete

abstract

designs

Grand theories

guidelines annotated portfolio

methodsconcepts

Page 6: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

Research through Design(Bardzell et al., 2012; Gaver, 2012; Löwgren, 2013; Zimmerman et al., 2010)

(Höök and Löwgren, 2012)

time

concrete

abstract

designs

Grand theories

guidelines annotated portfolio

methodsconcepts

PhySeEar

Page 7: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

[ Three things we’ve learnt]PhySeEar

Page 8: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Three things you can use][ Three things we’ve learnt]

Elena Márquez Segura – [email protected]

PhySeEar

Page 9: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Three things you can use][ Three things we’ve learnt]

Elena Márquez Segura – [email protected]

PhySeEar 1. Play as a goal instead of a game/system/artefact as a

goal

2. “Play is free movement within a more rigid structure” Salen and Zimmerman, pg. 304

3. Play to shape the design process

Page 10: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Three things you can use][ Three things we’ve learnt]

Elena Márquez Segura – [email protected]

PhySeEar 1. Play as a goal instead of a game/system/artefact as a

goal

2. “Play is free movement within a more rigid structure” Salen and Zimmerman, pg. 304

3. Play to shape the design process

Page 11: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Three things you can use][ Three things we’ve learnt]

Elena Márquez Segura – [email protected]

PhySeEar 1. Play as a goal instead of a game/system/artefact as a

goal

2. “Play is free movement within a more rigid structure” Salen and Zimmerman, pg. 304

3. Play to shape the design process

Page 12: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ a system as a goal]

Elena Márquez Segura – [email protected]

PhySeEar

[play as a goal]

Page 13: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ a system as a goal]

Elena Márquez Segura – [email protected]

PhySeEar

[play as a goal]

Page 14: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ a system as a goal][ play… just emerged]

Elena Márquez Segura – [email protected]

PhySeEar

(Márquez Segura et al., 2012)

To fit, to transgress, to stay…

Page 15: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ a system as a goal][ play… just emerged]

Elena Márquez Segura – [email protected]

PhySeEar GOOD COP / BAD COP

“Be careful (the lights turn orange). See?

I was about to tell you [...] ”--

physiotherapist

(Márquez Segura et al., 2012)

Page 16: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ a system as a goal][ play… just emerged]

Elena Márquez Segura – [email protected]

PhySeEar “focused” playfulness

“This one (pointing to the light in

the front), this one is a tattletale!”

- inpatient, laughing.

“It knows too much”-

physiotherapist, laughing too.

(Márquez Segura et al., 2012)

Page 17: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND as play emerged…] [ …so did FOCUS]

Elena Márquez Segura – [email protected]

PhySeEar

and self-monitoring

and awareness

and self-tracking

and …

“It got red the two first times” – one inpatient.

Page 18: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

PhySeEar

and self-imposed challenges

“This one… this one does NOT punish me…

[ … so did MOTIVATION]

and beating the system

… I punish him!”

[AND as play emerged…]

Page 19: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

PhySeEar

…and a sense of accomplishment

(Márquez Segura et al., 2012)

[AND as play emerged…] [ … so did MOTIVATION]

…and hard work

Page 20: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Play is free movement][within a more rigid structure]

Elena Márquez Segura – [email protected]

PhySeEar

“Game design [play design] is therefore a second-order design problem, in which designers craft play, but only indirectly, through the systems of rules that game designers create.” (Zimmerman, 2003)

“Play is appropriative, in that it takes the context in which it exists and cannot be totally predetermined by such context.” (Sicart, 2014)

Page 21: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Play to shape the design process]

Elena Márquez Segura – [email protected]

PhySeEar

POD Flexible structure by Les M Design. Image retrieved at https://gfthesis.wordpress.com/

Page 22: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

PhySeEar

Image retrieved at https://asknao.aldebaran.com/

Good cop/bad cop dynamic

taking over some tasks

joint communication

It’s looks …

It’s functionality …joints and movement

[Motivation as the goal][play as the vehicle]

Page 23: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

Page 24: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

[ … and it was useful]

Page 25: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

[ … and it was useful]

Page 26: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

[ … and it was useful]

Page 27: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

[ … and it was useful]

Page 28: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

[ … and it was useful]

Page 29: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[AND play emerged…]

Elena Márquez Segura – [email protected]

PhySeEar

[ … and it was useful]

Page 30: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

[ Three things you can use][ Three things we’ve learnt]

Elena Márquez Segura – [email protected]

PhySeEar 1. Play as a goal instead of a game/system/artefact as a

goal

2. “Play is free movement within a more rigid structure” Salen and Zimmerman, pg. 304

3. Play to shape the design process

Page 31: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

Elena Márquez Segura – [email protected]

PhySeEar

Some big words came from here• Shaowen Bardzell, Jeffrey Bardzell, Jodi Forlizzi, John Zimmerman, and John

Antanitis. 2012. Critical Design and Critical Theory: The Challenge of Designing for Provocation. In Proc. DIS’12, ACM, 288–297.

• William Gaver. 2012. What Should We Expect from Research Through Design? In Proc. CHI’12, ACM, 937–946.

• Jonas Löwgren. 2013. Annotated Portfolios and Other Forms of Intermediate-level Knowledge. In Interactions 20, 1: 30–34.

• Kristina Höök and Jonas Löwgren. 2012. Strong Concepts: Intermediate-level Knowledge in Interaction Design Research. ACM Trans. Comput.-Hum. Interact. 19, 3: 23:1–23:18.

• Miguel Sicart. 2014. Play Matters, MIT Press.• John Zimmerman, Jodi Forlizzi, and Shelley Evenson. 2007. Research Through

Design As a Method for Interaction Design Research in HCI. Proc. of CHI’07, ACM, 493–502.

• John Zimmerman, Erik Stolterman, and Jodi Forlizzi. 2010. An Analysis and Critique of Research Through Design: Towards a Formalization of a Research Approach. In Proc. DIS’10, ACM, 310–319.

• Eric Zimmerman. 2003. Play as Research. The Iterative Design Process. In Design Research: Methods and Perspectives. MIT Press, 176–184.

Page 32: PhySeEar: technological interventions for engagement and motivation in rehabilitative therapy for the elderly

PhySeEar

Elena Márquez Segura

PhD student Uppsala UniversityMobile Life Centre

[email protected]

Engagement and Motivation in Rehabilitative Therapy For The Elderly

Thank you!