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A Pilot Study for Development of the Serious Game Contents for Education in the Elderly Diabetes

노인 당뇨환자 교육용 기능성 게임 콘텐츠 개발을 위한 예비연구

  • Received : 2017.04.25
  • Accepted : 2017.07.07
  • Published : 2017.07.31

Abstract

This study was a pilot test of serious educational game content(named Roly Poly 160) designed to enhance self-care by elderly diabetics. Roly Poly 160 was developed in eight steps (literature review, demand survey and consultation, extraction of serious content using games, development of Roly Poly 160, pretest for users, workshop for health care workers, final completion of Roly Poly 160 and user satisfaction survey of Roly Poly 160). Roly Poly 160 is intuitively structured in three modules (self-management, card games, and quiz games) that can be self-managed by the elderly and is designed based on six principles. First, we constructed an intuitive interface considering the age of users. Second, the menu was selected as the main menu for Koreans and calorie learning was made at the same time. Third, the calories and nutrients (carbohydrate, fat, protein, calcium, sodium) of selected foods are analyzed, and all test data recorded in the questionnaire chart are graphically displayed by year, month and week so that the change trends can be grasped at a glance. Fourth, necessary data were saved and output and used as educational data. Fifth, user data are made compatible and aggregated and up to 100 million members can be registered. Sixth, it is designed to be developed as a mobile app if necessary. Using Roly Poly 160, 119 diabetic patients were diagnosed with diabetes, and the satisfaction score was 4.26 out of 5. These findings indicate that Roly Poly 160 is appropriate as a diabetes self-care tool and suggests that there is a possibility to use it as a program to educate people about diabetes in public health centers, hospitals and clinics.

본 연구는 노인 당뇨환자를 위한 교육용 기능성 게임 콘텐츠(롤리폴리 160)를 개발하고 적용가능성을 평가하기 위한 예비연구이다. 롤리폴리 160은 문헌고찰, 요구도 조사 및 자문의뢰, 게임을 활용한 기능성 콘텐츠 추출, 롤리폴리 160 개발, 사용자 사전 만족도 조사, 보건교육자 대상 워크샵, 롤리폴리 160 수정, 롤리폴리 160 사용자 만족도 조사와 같은 8단계 연구절차를 걸쳐서 개발되었다. 롤리폴리 160은 노인 당뇨환자가 자가관리를 할 수 있는 3가지 모듈(식사자가관리, 카드게임, 퀴즈게임)로 직관적으로 구성되었으며, 6가지 원칙에 입각하여 설계되었다. 첫째, 사용자의 연령을 고려한 직관적인 인터페이스를 구축하였다. 둘째, 음식은 한국인이 주로 섭취하는 음식위주로 배열하고 음식선택시 칼로리 학습이 동시에 이루어지도록 하였다. 셋째, 사용자 선택한 음식의 칼로리와 영양소(탄수화물, 지방, 단백질, 칼슘, 나트륨)가 분석되고, 문진표에 기록한 모든 검사자료는 년, 월, 주 별로 그래프로 도식화하여 변화추이가 한눈에 파악되도록 설계하였다. 넷째, 필요한 자료는 저장하여 출력하여 교육 자료로 활용 가능하도록 하였다. 다섯째, 사용자의 자료는 호환 및 합산이 가능하며 1억 명까지 회원가입이 가능하도록 하였다. 여섯째, 필요 시 모바일 App으로 개발이 가능하도록 설계하였다. 롤리폴리 160을 활용하여 119명의 노인 당뇨환자에게 당뇨교육을 실시한 후 만족도 점수는 5점 만점 중 4.26점으로 나타났다. 이는 롤리폴리 160이 당뇨환자 자가간호 도구로 적절하며, 향후 보건소나 병 의원에서 당뇨환자를 교육하는 프로그램으로 활용가능성이 있음을 시사해준다.

Keywords

References

  1. Korea National Statistical Office, Annual report on the cause of death statistics in Korea. Retrieved October 1, 2013, From: http://www.kostat.go.kr.
  2. G. S. Kim, & G. W. Go., " Factors Associated with the Diabetes Self-care Activities of the Elderly with Type 2 Diabetes", Journal of Korea Gerontological Society, vol. 32, no. 4, pp. 961-973, 2012.
  3. World Health Organization, "Setting the scene, In Adherence to Long-term Therapies: evidence for action(Sabate E., ed)", World Health Organization, Geneva, Switzerland, pp. 13-16, 2003.
  4. Y. E. Kwon, & Y. S. Kim, "Factors Related to Self-Management the Elderly People with Diabetes Mellitus in a Community-Dwelling", The Korean Society of Living Environmental System, vol. 18, no. 1, pp. 92-100, 2011.
  5. M. H. Hong, J. W. Yoo, S. A. Kim, J. R. Lee, N. R. Roh, J. E, Park, & M. O. Gu, "Knowledge and Diffusion of Knowledge for Nursing Care of Patients with Diabetes Mellitus among Clinical Nurses", Journal of Korean Clinical Nursing Research, vol. 15, no. 3, pp. 61-74, 2009.
  6. A. Karter, A. Ferrara, J. A. Darbinian, L. M. Ackerson, & J. V. Selby, "Self-monitoring of blood glouse; language and financial barriers in a managed care population with diabetes", Diabetes Care, vol. 23, no. 4, pp. 477-483, 2000. DOI: https://doi.org/10.2337/diacare.23.4.477
  7. S. Y. Park, & P. J. Oh, "Factors Influencing Diabetes Educational Needs in Patients with Diabetes Mellitus", Journal of Academia -Industrial Cooperation Society, vol. 15, no. 7, pp. 4301-4309, 2014. DOI: https://doi.org/10.5762/KAIS.2014.15.7.4301
  8. C. J. Lim, "Status of the Serious games, Development cases and Prospects", Korea Multimedia Society, vol. 15, no. 2, pp. 1-9, 2011.
  9. H. L. Lee, & W. J. Chung, "Study on Effective Development Direction of Serious Games for Healthcare", Korea Game Society, vol. 13, no. 4, pp. 73-90, 2013.
  10. T. Woo, & J. Yeom, "A Study on Medical Serious games: Classification & Possibility", Korea Game Society, vol. 12, no. 2, pp. 91-99, 2012.
  11. T. Baranowski, D. Thompson, R. Buday, A. S. Lu, & J. Baranowski, "Design of video games for childrens diet and physical activity behaviour change", Int. J. Comp Sci. Sport, vol. 9, pp. 3-17, 2010.
  12. S. J. Brown, D. A. Lieberman, B. A. Gemeny, Y. C. Fan, D. M. Wilson, & D. J. Pasta, "Educational video game for juvenile diabetes: Results of a controlled trial", Medical Informatics, vol. 22, pp. 77-89, 1997. DOI: https://doi.org/10.3109/14639239709089835
  13. D. A. Lieberman, "Management of chronic pediatric diseases with interactive health games: Theory and research findings", Journal of Ambulatory Care Management, vol. 24, no. 1, pp. 26-38, 2001a. DOI: https://doi.org/10.1097/00004479-200101000-00004
  14. K. S. Kim, Y. J. Lee, J. H. Ahn, & K. C. Lim, "The need to develop functional games for the elderly", Korea Information Processing Society review, vol. 17, no. 1, pp. 69-78, 2010.
  15. Y. J. Kim, "The Effects of Diet Education Contents for the Customized Serious Game Development in Type II Diabetes", Korea Game Society, vol. 16, no. 4, pp. 87-96, 2016.
  16. J. H. Park & Y. C. Kwon, Development of the Test for the Elderly = Korean Version of Mini-Mental State Examination (MMSE-K), Journal of The Korean Neuropsychiatric Association, vol. 28, no. 1, pp. 125-135, 1989.
  17. J. Cohen, "Statistical power analysis for behavioral science. New York : Academic Press, 1988.
  18. M. J. Lee, "Activation of functional game centered on game production process", The Society of Digital Policy & Management, vol. 11, no. 12, pp. 761-768, 2013.
  19. G. W. Sung, Development and application of elderly health leader education program for the care of the elderly diabetes, Korea Health Promotion Institute, pp. 1-235, 2013.