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Harnessing the power
    and appeal of
technology to improve
     kids’ health
                        2!
Our Model!


 research!   innovation!   customer input!




                                             3!
Re-Mission!

   •  20 levels!
   •  7 cancer types!
   •  Objectives: kill cells, manage side-effects and complications!
   •  Weapons: chemo, radiation, antibiotics, stool softener!




                                                                       4!
PEDIATRICS      August 2008!

RE-MISSION WORKS!
•  Improved treatment adherence!
     –  16% increase in antibiotic doses!
     –  Blood chemo levels 20% higher!
•  Improved cancer knowledge!
•  Greater self-efficacy: Increased belief in
   ability to control/cope with cancer!




                                               5!
Identifying the mechanisms of action in Re-Mission!




         Knowledge and
      learning are only part
            of the story

                                                      6!
Identifying the mechanisms of action in Re-Mission!




                                        ?             Treatment!
                                                      adherence!




                                                                   7	

                                                                      7!
Re-Mission Works – But How?	

Identifying the mechanisms of action in Re-Mission!




                                             Emotion/!
                                             Motivation!


                                                                               Treatment!
                                                                               adherence!

                                             Knowledge!



                                       Re-Mission Attitudes Study!
                                 Jennifer Aaker, Ph.D., Stanford University!




                                                                                            8	

                                                                                               8!
Identifying the mechanisms of action in Re-Mission!




    How does videogame play influence real-life behavior?!




                                                       ?	

                              Interactivity and Reward-Related Neural
                              Activation During a Serious Videogame!
                                                     !
                             h#p://dx.plos.org/10.1371/journal.pone.0033909	
  
                                                     !



                                                                                  9	

                                                                                     9!
Identifying the mechanisms of action in Re-Mission!




                                     10 min fMRI T2*!




                                                                                 Rest!
                                     Rest	
  




                                                                      Rest	
  
               Rest	
  

                          Rest	
  




                                                Rest	
  

                                                           Rest	
  
          Play!
          Rest!




                                                                                         10!
Identifying the mechanisms of action in Re-Mission!




               Interactive play
                              !                     Passive exposure!


   Caudate!                             Caudate!


  Thalamus!                             Thalamus!


Hippocampus!                         Hippocampus!




                                                                        11	

                                                                          11!
iden%fying	
  mechanisms	
  of	
  ac%on	
  
 Identifying the mechanisms of action in Re-Mission!



                                                       Results!
                                                       •    Game-based interventions can be powerful tools for
                                                            activating health-supportive behaviors!
                                                              •    Psychological outcomes (knowledge, self-efficacy)!
                                                              •    Treatment-related behavior (chemo / antibiotic
                                                                   adherence)!
                                                       •    Interactive game-play has wide impact on the brain!
                                                              •    Learning / knowledge !
    Interactivity and Reward-Related Neural                   •    Motivation / emotion!
                    Activation!
          During a Serious Videogame!
                                                       •    Hippocampal activation may play a role in generalizing
                                                            in-game experience to real-life behavior!
    Brian Knutson, Ph.D., Stanford University
                                            !
    http://dx.plos.org/10.1371/journal.pone.0033909!
                                                       Implications!
                                                       •    Psychological “recipe” for positive behavior change!
                                                       •    Neural biomarkers for optimizing interventions !

                                                                                                                       12	
  
                                                                                                                          12!
Thank you!

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fMRI Results

  • 1.
  • 2. Harnessing the power and appeal of technology to improve kids’ health 2!
  • 3. Our Model! research! innovation! customer input! 3!
  • 4. Re-Mission! •  20 levels! •  7 cancer types! •  Objectives: kill cells, manage side-effects and complications! •  Weapons: chemo, radiation, antibiotics, stool softener! 4!
  • 5. PEDIATRICS August 2008! RE-MISSION WORKS! •  Improved treatment adherence! –  16% increase in antibiotic doses! –  Blood chemo levels 20% higher! •  Improved cancer knowledge! •  Greater self-efficacy: Increased belief in ability to control/cope with cancer! 5!
  • 6. Identifying the mechanisms of action in Re-Mission! Knowledge and learning are only part of the story 6!
  • 7. Identifying the mechanisms of action in Re-Mission! ? Treatment! adherence! 7 7!
  • 8. Re-Mission Works – But How? Identifying the mechanisms of action in Re-Mission! Emotion/! Motivation! Treatment! adherence! Knowledge! Re-Mission Attitudes Study! Jennifer Aaker, Ph.D., Stanford University! 8 8!
  • 9. Identifying the mechanisms of action in Re-Mission! How does videogame play influence real-life behavior?! ? Interactivity and Reward-Related Neural Activation During a Serious Videogame! ! h#p://dx.plos.org/10.1371/journal.pone.0033909   ! 9 9!
  • 10. Identifying the mechanisms of action in Re-Mission! 10 min fMRI T2*! Rest! Rest   Rest   Rest   Rest   Rest   Rest   Play! Rest! 10!
  • 11. Identifying the mechanisms of action in Re-Mission! Interactive play ! Passive exposure! Caudate! Caudate! Thalamus! Thalamus! Hippocampus! Hippocampus! 11 11!
  • 12. iden%fying  mechanisms  of  ac%on   Identifying the mechanisms of action in Re-Mission! Results! •  Game-based interventions can be powerful tools for activating health-supportive behaviors! •  Psychological outcomes (knowledge, self-efficacy)! •  Treatment-related behavior (chemo / antibiotic adherence)! •  Interactive game-play has wide impact on the brain! •  Learning / knowledge ! Interactivity and Reward-Related Neural •  Motivation / emotion! Activation! During a Serious Videogame! •  Hippocampal activation may play a role in generalizing in-game experience to real-life behavior! Brian Knutson, Ph.D., Stanford University ! http://dx.plos.org/10.1371/journal.pone.0033909! Implications! •  Psychological “recipe” for positive behavior change! •  Neural biomarkers for optimizing interventions ! 12   12!