September 20, 2020

Breast Cancer Survivors’ Perspectives on Motivational and Personalization Strategies in Mobile App–Based Physical Activity Coaching Interventions: Qualitative Study

Francisco Monteiro-Guerra, MScGabriel Ruiz Signorelli, MScOctavio Rivera-Romero, PhDEnrique Dorronzoro-Zubiete, PhDBrian Caulfield, PhD 



Background: Despite growing evidence supporting the vital benefits of physical activity (PA) for breast cancer survivors, the majority do not meet the recommended levels of activity. Mobile app–based PA coaching interventions might be a feasible strategy to facilitate adherence of breast cancer survivors to the PA guidelines. To engage these individuals, PA apps need to be specifically designed based on their needs and preferences and to provide targeted support and motivation. However, more information is needed to understand how these technologies can provide individual and relevant experiences that have the ability to increase PA adherence and retain the individual’s interest in the long term.


Objective: The aim of this study is to explore insights from breast cancer survivors on motivational and personalization strategies to be used in PA coaching apps and interventions.


Methods: A qualitative study was conducted, using individual semistructured interviews, with 14 breast cancer survivors. The moderator asked open-ended questions and made use of a slideshow presentation to elicit the participants’ perspectives on potential mobile app–based intervention features. Transcribed interviews were evaluated by 3 reviewers using thematic content analysis.


Results: Participants (mean age 53.3, SD 8.7 years) were White women. In total, 57% (8/14) of the participants did not adhere to the PA guidelines. In general, participants had access to and were interested in using technology. The identified themes included (1) barriers to PA, (2) psychological mediators of PA motivation, (3) needs and suggestions for reinforcing motivation support, (4) personalization aspects of the PA coaching experience, and (5) technology trustworthiness. Motivational determinants included perceived control, confidence and perceived growth, and connectedness. Participants were interested in having a straightforward app for monitoring and goal setting, which would include a prescribed activity program and schedule, and positive communication. Opinions varied in terms of social and game-like system possibilities. In addition, they expressed a desire for a highly personalized coaching experience based on as much information collected from them as possible (eg, disease stage, physical limitations, preferences) to provide individualized progress information, dynamic adjustment of the training plan, and context-aware activity suggestions (eg, based on weather and location). Participants also wanted the app to be validated or backed by professionals and were willing to share their data in exchange for a more personalized experience.


Conclusions: This work suggests the need to develop simple, guiding, encouraging, trustworthy, and personalized PA coaching apps. The findings are in line with behavioral and personalization theories and methods that can be used to inform intervention design decisions. This paper opens new possibilities for the design of personalized and motivating PA coaching app experiences for breast cancer survivors, which might ultimately facilitate the sustained adherence of these individuals to the recommended levels of activity.

July 14, 2020

A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing

Francisco Monteiro-Guerra, MScGabriel Ruiz Signorelli, MScShreya Tadas, MScEnrique Dorronzoro Zubiete, PhDOctavio Rivera Romero, PhDLuis Fernandez-Luque, PhDBrian Caulfield1, PhD



Background: Existing evidence supports the many benefits of physical activity (PA) in breast cancer survival. However, few breast cancer survivors adhere to the recommended levels of activity. A PA coaching app that provides personalized feedback, guidance, and motivation to the user might have the potential to engage these individuals in a more active lifestyle, in line with the general recommendations. To develop a successful tool, it is important to involve the end users in the design process and to make theoretically grounded design decisions.


Objective: This study aimed to execute the design process and early prototype evaluation of a personalized PA coaching app for posttreatment breast cancer survivors. In particular, the study explored a design combining behavioral theory and tailored coaching strategies.


Methods: The design process was led by a multidisciplinary team, including technical and health professionals, and involved input from a total of 22 survivors. The process comprised 3 stages. In stage 1, the literature was reviewed and 14 patients were interviewed to understand the needs and considerations of the target population toward PA apps. In stage 2, the global use case for the tool was defined, the features were ideated and refined based on theory, and a digital interactive prototype was created. In stage 3, the prototype went through usability testing with 8 patients and was subjected to quality and behavior change potential evaluations by 2 human-computer interaction experts.


Results: The design process has led to the conceptualization of a personalized coaching app for walking activities that addresses the needs of breast cancer survivors. The main features of the tool include a training plan and schedule, adaptive goal setting, real-time feedback and motivation during walking sessions, activity status through the day, activity history, weekly summary reports, and activity challenges. The system was designed to measure users’ cadence during walking, use this measure to infer their training zone, and provide real-time coaching to control the intensity of the walking sessions. The outcomes from user testing and expert evaluation of the digital prototype were very positive, with scores from the system usability scale, mobile app rating scale, and app behavior change scale of 95 out of 100, 4.6 out of 5, and 15 out of 21, respectively.


Conclusions: Implementing a user-centered design approach for the development and early evaluation of an app brings essential considerations to tailor the solution to the user’s needs and context. In addition, informing the design on behavioral and tailored coaching theories supports the conceptualization of the PA coaching system. This is critical for optimizing the usability, acceptability, and long-term effectiveness of the tool. After successful early in-laboratory testing, the app will be developed and evaluated in a pilot study in a real-world setting.

May 06, 2020

Accelerating the global response against the exponentially growing COVID-19 outbreak through decent data sharing

Cooper J Galvin, Luis Fernandez-Luque, Yu-Chuan (Jack) Li


COVID-19 is a novel and exponentially-growing disease and consequently the accelerated development of knowledge from good data is possible quickly and globally. In order to combat the global pandemic of novel coronavirus disease 2019 (COVID-19), all humans on earth need to make difficult strategic decisions on three very different scales, all fueled by Analytical and Artificial Intelligence-based predictive Models (AAIMs).

April 26, 2020

A Mobile Health Solution Complementing Psychopharmacology-Supported Smoking Cessation: Randomized Controlled Trial

Carrasco-Hernandez L, Jódar-Sánchez F, Núñez-Benjumea F, Moreno Conde J, Mesa González M, Civit-Balcells A, Hors-Fraile S, Parra-Calderón CL, Bamidis PD, Ortega-Ruiz F


Background: Smoking cessation is a persistent leading public health challenge. Mobile health (mHealth) solutions are emerging to improve smoking cessation treatments. Previous approaches have proposed supporting cessation with tailored motivational messages. Some managed to provide short-term improvements in smoking cessation. Yet, these approaches were either static in terms of personalization or human-based nonscalable solutions. Additionally, long-term effects were neither presented nor assessed in combination with existing psychopharmacological therapies.

December 03, 2019

Opening the Black Box: Explaining the Process of Basing a Health Recommender System on the I-Change Behavioral Change Model

Santiago Hors-Fraile, Shwetambara Malwade, Francisco Luna-Perejon, Claudio Amaya, Antón Civit, Francine Schneider, Panagiotis Pamidis, Shabbir Syed-Abdul, Yu-Chuan Li, Hein de Vries 


Recommender systems are gaining traction in healthcare because they can tailor recommendations based on users’ feedback concerning their appreciation of previous health-related messages. However, recommender systems are often not grounded in behavioral change theories, which may further increase the effectiveness of their recommendations. This paper’s objective is to describe principles for designing and developing a health recommender system grounded in the I-Change behavioral change model that shall be implemented through a mobile app for a smoking cessation support clinical trial. We built upon an existing smoking cessation health recommender system that delivered motivational messages through a mobile app. A group of experts assessed how the system may be improved to address the behavioral change determinants of the I-Change behavioral change model. The resulting system features a hybrid recommender algorithm for computer tailoring smoking cessation messages. A total of 331 different motivational messages were designed using 10 health communication methods. The algorithm was designed to match 58 message characteristics to each user profile by following the principles of the I-Change model and maintaining the benefits of the recommender system algorithms. The mobile app resulted in a streamlined version that aimed to improve the user experience, and this system’s design bridges the gap between health recommender systems and the use of behavioral change theories. This article presents a novel approach integrating recommender system technology, health behavior technology, and computer-tailored technology. Future researchers will be able to build upon the principles applied in this case study.

October 28, 2019

A Research Roadmap: Connected Health as an Enabler of Cancer Patient Support

Signorelli GR, Lehocki F, Mora Fernández M, O'Neill G, O'Connor D, Brennan L, Monteiro-Guerra F, Rivero-Rodriguez A, Hors-Fraile S, Munoz-Penas J, Bonjorn Dalmau M, Mota J, Oliveira RB, Mrinakova B, Putekova S, Muro N, Zambrana F, Garcia-Gomez JM



The evidence that quality of life is a positive variable for the survival of cancer patients has prompted the interest of the health and pharmaceutical industry in considering that variable as a final clinical outcome. Sustained improvements in cancer care in recent years have resulted in increased numbers of people living with and beyond cancer, with increased attention being placed on improving quality of life for those individuals. Connected Health provides the foundations for the transformation of cancer care into a patient-centric model, focused on providing fully connected, personalized support and therapy for the unique needs of each patient. Connected Health creates an opportunity to overcome barriers to health care support among patients diagnosed with chronic conditions. This paper provides an overview of important areas for the foundations of the creation of a new Connected Health paradigm in cancer care. Here we discuss the capabilities of mobile and wearable technologies; we also discuss pervasive and persuasive strategies and device systems to provide multidisciplinary and inclusive approaches for cancer patients for mental well-being, physical activity promotion, and rehabilitation. Several examples already show that there is enthusiasm in strengthening the possibilities offered by Connected Health in persuasive and pervasive technology in cancer care. Developments harnessing the Internet of Things, personalization, patient-centered design, and artificial intelligence help to monitor and assess the health status of cancer patients. Furthermore, this paper analyses the data infrastructure ecosystem for Connected Health and its semantic interoperability with the Connected Health economy ecosystem and its associated barriers. Interoperability is essential when developing Connected Health solutions that integrate with health systems and electronic health records. Given the exponential business growth of the Connected Health economy, there is an urgent need to develop mHealth (mobile health) exponentially, making it both an attractive and challenging market. In conclusion, there is a need for user-centered and multidisciplinary standards of practice to the design, development, evaluation, and implementation of Connected Health interventions in cancer care to ensure their acceptability, practicality, feasibility, effectiveness, affordability, safety, and equity.

February 04, 2019

Smartphone Sensors for Monitoring Cancer-Related Quality of Life: App Design, EORTC QLQ-C30 Mapping and Feasibility Study in Healthy Subjects

Sabina Asensio-Cuesta, Ángel Sánchez-García, J. Alberto Conejero, Carlos Saez, Alejandro Rivero-Rodriguez and Juan M. García-Gómez

Abstract: Quality of life (QoL) indicators are now being adopted as clinical outcomes in clinical trials on cancer treatments. Technology-free daily monitoring of patients is complicated, time-consuming and expensive due to the need for vast amounts of resources and personnel. The alternative method of using the patients’ own phones could reduce the burden of continuous monitoring of cancer patients in clinical trials. This paper proposes monitoring the patients’ QoL by gathering data from their own phones. We considered that the continuous multiparametric acquisition of movement, location, phone calls, conversations and data use could be employed to simultaneously monitor their physical, psychological, social and environmental aspects. An open access phone app was developed (Human Dynamics Reporting Service (HDRS)) to implement this approach. We here propose a novel mapping between the standardized QoL items for these patients, the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and define HDRS monitoring indicators. A pilot study with university volunteers verified the plausibility of detecting human activity indicators directly related to QoL.

January 07, 2019

An Innovative, Information and Communication Technology Supported Approach, Towards Effective Chronic Pain Management

Haridimos Kondylakis, Santiago Hors-Fraile, Lefteris Koumakis, Angelina Kouroubali, George Notas, Alejandro Rivero-Rodriguez, Prodromos Sidiropoulos, Panagiotis Simos, and Dimitrios G. Katehakis.


Chronic pain is one of the most common health problems affecting daily activity, employment, relationships and emotional functioning. Unfortunately, the lack of specialized health care personnel, and the high heterogeneity in terms of clinical manifestation and treatment results contribute in failure to manage efficiently and effectively pain. Information and communication technology (ICT) can be a valuable tool, enabling patients and healthcare professional empowerment and better self-management of pain. To this direction, this article reports on the design of a novel technical infrastructure to support effectively and efficiently chronic pain management, based on an Intelligent Personal Health Record platform on top of already available ICT tools. The designed platform targets, among others, at improving the knowledge on the patient data, effectiveness and adherence to treatment and providing effective communication channels between patients and healthcare professionals.

August 31, 2018

3MD for chronic conditions : a model for motivational mHealth design

Giunti, Guido - University of Oulu Graduate School, Salumedia Tecnologías


Chronic conditions are the leading cause of death in the world. Major improvements in acute care and diagnostics have created a tendency towards the chronification of formerly terminal conditions, requiring people with these conditions to learn how to self-manage. Mobile technologies hold promise as self-management tools due to their ubiquity and cost-effectiveness.

The delivery of health-related services through the use of mobile technologies (mHealth) has grown exponentially in recent years. However, only a fraction of these solutions takes into consideration the views of relevant stakeholders like healthcare professionals or even patients. The use of behavioral change models (BCM) has proven important in developing successful health solutions, yet engaging patients remains a challenge. There is a trend in mHealth solutions called gamification that attempts to use game elements to drive user behavior and increase engagement. As it stands, designers of mHealth solutions for behavioral change in chronic conditions have no clear way of deciding what factors are relevant to consider.

This doctoral thesis is framed in Consumer Health Informatics within the field of Medical Informatics and Information Systems. The focus of this work was to discover factors for the design of mHealth solutions for chronic patients; to do so, negotiations between medical knowledge, BCM and gamification were explored through an embedded case study research methodology. The data obtained was thematically analyzed to create the Model for Motivational Mobile-health Design for Chronic conditions (3MD).

August 23, 2018

3MD for Chronic Conditions, a Model for Motivational mHealth Design: Embedded Case Study

Guido Giunti


Background: Chronic conditions are the leading cause of death in the world. Major improvements in acute care and diagnostics have created a tendency toward the chronification of formerly terminal conditions, requiring people with these conditions to learn how to self-manage. Mobile technologies hold promise as self-management tools due to their ubiquity and cost-effectiveness. The delivery of health-related services through mobile technologies (mobile health, mHealth) has grown exponentially in recent years. However, only a fraction of these solutions take into consideration the views of relevant stakeholders such as health care professionals or even patients. 

June 24, 2018

Designing a Novel Technical Infrastructure for Chronic Pain Self-Management.

Kondylakis H, Kouroubali A, Koumakis L, Rivero-Rodriguez A, Hors-Fraile S, Katehakis D.


Chronic pain is one of the most common health problems affecting daily activity, employment, relationships and emotional functioning. Unfortunately, limited access to pain experts, the high heterogeneity in terms of clinical manifestation and treatment results, contribute in failure to manage efficiently and effectively pain. Information and Communication Technology (ICT) can be a valuable tool, enabling better self-management and self-empowerment of pain.

May 22, 2018

Supply and Demand in mHealth Apps for Persons With Multiple Sclerosis: Systematic Search in App Stores and Scoping Literature Review

Guido Giunti; Estefanía Guisado Fernández; Enrique Dorronzoro Zubiete; Octavio Rivera Romero


Background: Multiple sclerosis (MS) is a non-curable chronic inflammatory disease of the central nervous system that affects more than 2 million people worldwide. MS-related symptoms impact negatively on the quality of life of persons with MS, who need to be active in the management of their health. mHealth apps could support these patient groups by offering useful tools, providing reliable information, and monitoring symptoms. A previous study from this group identified needs, barriers, and facilitators for the use of mHealth solutions among persons with MS. It is unknown how commercially available health apps meet these needs.

February 28, 2018

More Stamina, a Gamified mHealth Solution for Persons with Multiple Sclerosis: Research Through Design

Guido Giunti; Vasiliki Mylonopoulou; Octavio Rivera Romero


Background: Multiple sclerosis (MS) is one of the world’s most common neurologic disorders. Fatigue is one of most common symptoms that persons with MS experience, having significant impact on their quality of life and limiting their activity levels. Self-management strategies are used to support them in the care of their health. Mobile health (mHealth) solutions are a way to offer persons with chronic conditions tools to successfully manage their symptoms and problems. Gamification is a current trend among mHealth apps used to create engaging user experiences and is suggested to be effective for behavioral change. To be effective, mHealth solutions need to be designed to specifically meet the intended audience needs. User-centered design (UCD) is a design philosophy that proposes placing end users’ needs and characteristics in the center of design and development, involving users early in the different phases of the software life cycle. There is a current gap in mHealth apps for persons with MS, which presents an interesting area to explore.

January 31, 2018

Exploring the Specific Needs of Persons with Multiple Sclerosis for mHealth Solutions for Physical Activity: Mixed-Methods Study

Guido Giunti; Jan Kool; Octavio Rivera Romero; Enrique Dorronzoro Zubiete


Background: Multiple sclerosis (MS) is one of the world’s most common neurologic disorders, with symptoms such as fatigue, cognitive problems, and issues with mobility. Evidence suggests that physical activity (PA) helps people with MS reduce fatigue and improve quality of life. The use of mobile technologies for health has grown in recent years with little involvement from relevant stakeholders. User-centered design (UCD) is a design philosophy with the goal of creating solutions specific to the needs and tasks of the intended users. UCD involves stakeholders early and often in the design process. In a preliminary study, we assessed the landscape of commercially available MS mobile health (mHealth) apps; to our knowledge, no study has explored what persons with MS and their formal care providers think of mHealth solutions for PA.

January 31, 2018

A biopsy of Breast Cancer mobile applications: state of the practice review

Guido Giunti; Diego H. Giunta; Estefania Guisado-Fernandez; Jackie L. Bender; Luis Fernandez-Luque



Breast cancer is the most common cancer in women. The use of mobile software applications for health and wellbeing promotion has grown exponentially in recent years. We systematically reviewed the breast cancer apps available in today’s leading smartphone application stores and characterized them based on their features, evidence base and target audiences.

December 31, 2017

Activating Technology for Connected Health in Cancer: Protocol for a Research and Training Program

Nicola Mountford; Enrique Dorronzoro Zubiete; Threase Kessie; Begonya Garcia-Zapirain; Roberto Nuño-Solinís; David Coyle; Kristin B Munksgaard; Luis Fernandez-Luque; Octavio Rivera Romero; Matilde Mora Fernandez; Pedro Valero Jimenez; Ailish Daly; Ruth Whelan; Brian Caulfield


Background: As cancer survival rates increase, the challenge of ensuring that cancer survivors reclaim their quality of life (QoL) becomes more important. This paper outlines the research element of a research and training program that is designed to do just that.

November 30, 2017

Mobile Phone Apps for Quality of Life and Well-Being Assessment in Breast and Prostate Cancer Patients: Systematic Review

Esther Rincon; Francisco Monteiro-Guerra; Octavio Rivera-Romero; Enrique Dorronzoro-Zubiete; Carlos Luis Sanchez-Bocanegra; Elia Gabarron


Background: Mobile phone health apps are increasingly gaining attention in oncological care as potential tools for supporting cancer patients. Although the number of publications and health apps focusing on cancer is increasing, there are still few specifically designed for the most prevalent cancers diagnosed: breast and prostate cancers. There is a need to review the effect of these apps on breast and prostate cancer patients’ quality of life (QoL) and well-being.

November 12, 2017

Quality of Information About Physical Activity in Breast Cancer Facebook Pages: A Preliminary Content Review

Gabriel R. Signorelli; Matilde M. Fernandez; Francisco M.M. Guerra; Luis Fernandez-Luque; Brian Caulfield


In this study, we focused on posting frequency and quality of exercise and physical activity content in Facebook. We sought to (1) explore the frequency of exercise and physical activity topics posted on specialized Breast Cancer channels and (2) evaluate the quality of these information. Evaluations of informations quality were performed independently by two sports and exercise experts, with previous breast cancer physical activity experience, using the DISCERN instrument. Despite of almost one hundred Facebook pages about Breast Cancer, only six are explicitly dedicated to physical activity and exercise and those pages do not have a significant numbers of likes. It shows that there is no specialized and focused serious initiative on Facebook looking for improve Breast Cancer educational levels about exercise and motivating them to engage in a physical activity lifestyle. There are very few, and low quality posts about exercise and physical activity for breast cancer showing that less importance tan it need has been given to this topic.

October 31, 2017

The Design of a Mobile App for Promotion of Physical Activity and Self-Management in Prostate Cancer Survivors: Personas, Feature Ideation and Low-Fidelity Prototyping

Francisco Monteiro-Guerra; Octavio Rivera-Romero; Vasiliki Mylonopoulou; Gabriel R. Signorelli; Francisco Zambrana; Luis Fernandez-Luque

Most prostate cancer survivors are confronted with disease-related and treatment-related side effects that impact their quality of life. A tool that combines specific physical activity coaching with the promotion of a healthy lifestyle and self-management guidance might be a successful method to enhance a lifestyle change in these patients. As a prerequisite for useful health technology, it is important to consider a design process centred in the patients. The aim of this study was to investigate the context of the problem and the user needs to support the ideation of a low-fidelity prototype of a tool to promote a healthy lifestyle among early-stage prostate cancer survivors.

June 30, 2017

Designers are from Mars, Physicians are from Venus: challenges on integrating HCI and IS perspectives into Healthcare

Guido Giunti


The ubiquity of information and communication technologies (ICTs) can’t be challenged in today’s world. The current global use of smartphones has reached 2.6 billion (Ericsson 2017) and this is without counting other type of devices like personal computers or tablets. It is a surprise to no one that the underlying Information Systems (IS) have permeated other fields and disciplines, changing and redefining them. What is surprising, however, is its relatively slow adoption in healthcare and medicine. There are several factors at play that can explain this situation.

June 23, 2017

Connected Health in Multiple Sclerosis: A Mobile Applications Review

Guido Giunti; Estefania Guisado-Fernandez; Brian Caulfield


Multiple Sclerosis (MS) is an unpredictable, often disabling disease that can adversely affect any body function; this often requires persons with MS to be active patients who are able to self-manage. There are currently thousands of health applications available but it is unknown how many concern MS. We conducted a systematic review of all MS apps present in the most popular app stores (iTunes and Google Play store) on June 2016 to identify all relevant MS apps. After discarding non-MS related apps and duplicates, only a total of 25 MS apps were identified. App description contents and features were explored to assess target audience, functionalities, and developing entities. The vast majority of apps were focused on disease and treatment information with disease management being a close second. This is the first study that reviews MS apps and it highlights an interesting gap in the current repertoire of MS mHealth resources.

June 23, 2017

Detecting Gamification in Breast Cancer Apps: An Automatic Methodology for Screening Purposes

Guido Giunti; Diego H. Giunta; Santiago Hors-Fraile; Minna Isomursu; Diana Karosevičiūtė


Breast cancer is the most common cancer in women both in developed and developing countries. More than half of all cancer mobile application concern breast cancer. Gamification is widely used in mobile software applications created for health-related services. Current prevalence of gamification in breast cancer apps is unknown and detection must be manually performed. The purpose of this study is to describe and produce a tool allowing automatic detection of apps which contain gamification elements and thus empowering researchers to study gamification using large data samples. Predictive logistic regression model was designed on data extracted from breast cancer apps title and description text available in app stores. Model was validated comparing estimated and benchmark values, observed by gamification specialists. Studys outcome can be applied as a screening tool to efficiently identify gamification presence in breast cancer apps for further research.

September 30, 2016

Design of two combined health recommender systems for tailoring messages in a smoking cessation app

Santiago Hors-Fraile; Francisco J Núñez Benjumea; Laura Carrasco Hernández; Francisco Ortega Ruiz; Luis Fernandez-Luque

In this article, we describe the design of two recommender systems (RS) designed to support the smoking cessation process through a mobile application. We plan to use a hybrid RS (content-based, utility-based, and demographic filtering) to tailor health recommendation messages, and a content-based RS to schedule a timely delivery of the message. We also define metrics that we will use to assess their performance, helping people quit smoking when we run the pilot.

June 30, 2016

Gamified Design for Health Workshop

Guido Giunti


Increasing lifespans for chronic disease sufferers means a population of young patients who require lifestyle intervention from an early age. For multiple sclerosis (MS) patients, social problems begin with the decline of cognitive skills and their quality of life is affected.

In this workshop, organizers will propose participants to work on different gamification design approachs to solve MS patients' engagement problem. Participants will obtain skills that can be extrapolated to other conditions that require patients change to adopt a different behavior.

At the end, participants will present their proposed gamification design and discuss and comment each solution, assessing potential unintended outcomes and advantages.

November 30, 2014

Play as a prevention strategy: Using a web app to teach youth about STDs

Elia Gabarron; J.Artur Serrano; Thomas R.  Schopf; Luis Fernandez-Luque; Rolf Wynn

Introduction Chlamydia is the most common sexually transmitted disease (STD) in Norway; and 85,7% of reported chlamydia cases are found in persons below 29 years of age.

1. Methods The web app aims at providing information for Norwegian secondary school students about the prevention of STDs. The development of the app was based on a constructivist learning theory using text, multimedia, and interactive game-like applications. We examined the use of the various sections of the web app by Google Analytics statistics. The web app was also evaluated by students using questionnaires and by interviewing nurses engaged in teaching secondary school students.

November 30, 2013

Gamification Strategy on Prevention of STDs for Youth

Elia Gabarron; Thomas Schopf; J. Artur Serrano; Luis Fernández Luque; Enrique Dorronzoro Zubiete

Sexually transmitted diseases (STDs) and especially chlamydia is a worrying problem among North-Norwegian youngsters. Gamified web applications should be valued for sexual health education, and thus STDs prevention, for their potential to get users engaged and involved with their healthcare. Aiming to achieve that youngsters become more aware of STDs we have developed “”, a gamified web application focused on sexual health targeting North-Norwegian youngsters.  

July 31, 2013

Evaluation of sensors for inputting data in exergames for the elderly.

Santiago Hors-Fraile; James Browne; Ellen Brox; Gunn Evertsen


We aim to solve which off-the-shelf motion sensor device is the most suitable for extensive usage in PC open-source exergames for the elderly. To solve this problem, we studied the specifications of the market-available sensors to reduce the initial, broad set of sensors to only two candidates: the Nintendo Wii controllers and the Microsoft© Kinect™ camera. The capabilities of these two are tested with a demo implementation. We take into account both the accuracy in the movement-detection of the sensors, and the software-related issues. Our outcome indicates that the Microsoft© Kinect™ camera is the option that currently provides the best solution for our purpose. This study can be helpful for researchers to choose the device that suits their project needs better, removing the sensor-choosing task time from their schedule.

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