Dr. Bradley Tanner
President of Clinical Tools
Bradley Tanner, MD is the President of Clinical Tools Inc, a Chapel Hill based R&D firm specializing in the creation of VR and immersive games to impact health professional training and health outcomes. Dr. Tanner is also Clinical Associate Professor Psychiatry at the University of North Carolina, Chapel Hill, and Board Certified in Psychiatry and in Obesity Medicine. As the business and technological lead, Dr. Tanner leverages his unique technological, business and clinical background to guide game and user interface design, object oriented programming, and agile development of novel gaming solutions for health training.
His research investigates the value of gaming and 3D immersive headset-based virtual reality technology to enhance educational best practice and improve health outcomes especially related to obesity medicine, pain control, addiction, and mental health. He writes blog.medstudentlearning.com, to advocate for changes in the training of medical students to account for the dramatic changes that await future doctors and to highlight the value of game-based education and training technology to meet those needs.
Where’s the Fun in Serious Games?: Keys to Developing an Effective and Engaging Game with Planned Positive Impact
“Serious games” and “games for health” often fail. Instead of the fun, challenging, and engaging experience seen in first-person, strategy, MOBA, MMO RPG, or cooperative games, players of “serious” games are expected to accomplish a “real” goal, say an educational or health outcome. The experiences are often lonely, passive, and isolating single-player experiences. They often deploy a “gamification” strategy focused on earning points, badges, and ranking on a leader board. Players quickly see the difference between a gamified education experience (“you ate the right food, you got 5 points!”) vs. a real immersive multi-player game – and reject it or complete it only because it is required. Academic support for the effectiveness of “serious” games has been unimpressive and enthusiasm for developing such a game is fading.
This either/or state of affairs (fun vs. useful) is misguided. Outside of games we engage in a plethora of enjoyable activities which are also good for us. The list of activities from playing sports, to brainstorming new ideas, to cooking, to pottery, to running goes on an on. And that list also includes playing “fun” games which have been shown to impact memory, attention, connectedness, mood, and skills related to 3D modeling, collaboration, planning, and more.
Instead of the above “education first” strategy, the designer of a game with planned positive impact should first imagine a game WITHOUT an education, health or other serious objective. As the game design evolves the team identifies opportunities to inject meaningful impact into the experience. For example, since games already have objectives and goals; the goal can be aligned with acquiring a specific (and useful) skill or a healthy behavior.
As the design process proceeds, standard game design and development strategies are followed including user experience, and opportunities for choice, exploration, self-expression, and creativity. As design standards require, the game emphasizes a flow state matching challenge with skills, rapid feedback, and expansion of social connections through communication with other players. There is no reason a planned positive impact should interfere; instead, it should give the game focus. In the design, multi-player is essential for the game to tap the ability of multi-player to enhance enthusiasm and engagement, reinforce skills, engage emotions, and provide coaching and support.
Continuing the example, imagine a game with planned positive impact of health improvement through lifestyle change. Players practice lifestyle change by counteracting and replacing lifestyle choices contributing to excessive weight and poor cardiovascular health; specifically inactivity, decreased exercise, and nutritional choices. As the game avatar takes on challenges the real-world player is test driving difficult yet necessary lifestyle changes.
In the game, players succeed by practicing skills and countering unhealthy habits: They
1. navigate through the challenges to lifestyle change,
2. recognize food, environment, social situation cues, and npcs that challenge their avatar,
3. counteract those cues in themselves by rejecting some choices,
4. identify and implement changes in lifestyle to offset current lifestyle choices.
5. provide and receive advice and motivation as they collaborate with real life co-players.