title: Patients' Perceptions of a Game About Warfarin and Vitamin K: A Pilot Study.
abstract: BACKGROUND
  Digital games to promote healthy behaviors are rapidly expanding in the healthcare industry. One area where health game can be useful is in educating patients about oral anticoagulants such as warfarin. The goal of this pilot study was to develop a game about warfarin and vitamin K interactions and evaluate its usability among adult patients receiving warfarin therapy.
  
  
  METHODS
  The game was developed by an interdisciplinary team. The content of the game was based on published evidence-based practice about anticoagulation education. Kolb's experiential learning theory served as the theoretical foundation of the game, which we developed in Flash and Actionscript 2(®) (Adobe Systems, San Jose, CA) programming and scripting languages, and it is playable on various platforms, including Windows and Macintosh, via Internet Explorer, Mozilla Firefox, and Safari Web browsers. Twenty patients were surveyed using a 7-point Likert scale to evaluate their experience on the Perceived Health Web Site Usability Questionnaire (PHWSUQ). The PHWSUQ measures satisfaction, ease of learning the site, and usefulness. Possible responses ranged from 1 (very unsatisfied) to 7 (very satisfied) and from strongly disagree (1) to strongly agree (7).
  
  
  RESULTS
  The overall mean score on the PHWSUQ was 53.6 out of 70 (SD, 11.3), or 76.6 percent. The mean scores for "satisfaction," "ease of use," and "usefulness" subscales were 80.2 percent, 71.2 percent, and 77.4 percent, respectively.
  
  
  CONCLUSIONS
  The findings suggest that patients were satisfied with the game, which indicates that adult patients on warfarin are open to game use as an educational tool to learn health information.
authors.affiliation: 1 University of Maryland Medical Center , Baltimore, Maryland.
authors.forename: Badia
authors.initials: B
authors.lastname: Faddoul
authors.affiliation: 2 University of Maryland School of Nursing , Baltimore, Maryland.
authors.forename: Arpad
authors.initials: A
authors.lastname: Kelemen
authors.affiliation: 1 University of Maryland Medical Center , Baltimore, Maryland.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Connerney
authors.affiliation: 3 University of Maryland School of Pharmacy , Baltimore, Maryland.
authors.forename: Brian
authors.initials: B
authors.lastname: Grover
authors.affiliation: 2 University of Maryland School of Nursing , Baltimore, Maryland.
authors.forename: Janice
authors.initials: J
authors.lastname: Hoffman