SpiroPlay, a Suite of Breathing Games for Spirometry by Kids & Experts

Robertus Wilhelmus van Delden, D. Plass - Oude Bos, Vivianne de With, Koen Vogel, Randy Klaassen, Nynke Zwart, Joyce Faber, Boony Thio

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review


We have built and implemented a set of metaphors for breathing games by involving children and experts. These games are made to facilitate prevention of asthma exacerbation via regular monitoring of children with asthma through spirometry at home. To instruct and trigger children to execute the (unsupervised) spirometry correctly, we have created interactive metaphors that respond in real-time to the child's inhalation and exhalation. Eleven metaphors have been developed in detail. Three metaphors have been fully implemented based on current guidelines for spirometry and were tested with 30 asthmatic children. Each includes multi-target incentives, responding to three different target values (inhalation, peak expiration, and complete exhalation). We postulate that the metaphors should use separate goals for these targets, have independent responses, and allow to also go beyond expected values for each of these targets. From the selected metaphors, most children preferred a dragon breathing fire and a soccer player kicking a ball into a goal as a metaphor; least liked were blowing seeds of a dandelion and applying lotion to a dog to grow its hair. Based on this project we discuss the potential and benefits of a suite-of-games approach: multiple games that each can be selected and adapted depending on personal capabilities and interests.
Original languageEnglish
Title of host publicationProceedings of the Annual Symposium on Computer-Human Interaction in Play
PublisherACM Publishing
ISBN (Print)9781450380744
Publication statusPublished - 2 Nov 2020
EventAnnual Symposium on Computer-Human Interaction in Play, CHI PLAY 2020 - Virtual Conference
Duration: 2 Nov 20205 Nov 2020


ConferenceAnnual Symposium on Computer-Human Interaction in Play, CHI PLAY 2020
Abbreviated titleCHI PLAY 2020

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