title: Concept Development of the Eindhoven Diabetes Education Simulator Project.
abstract: OBJECTIVE
  This study was designed to define the concept of an educational diabetes game following a user-centered design approach.
  
  
  METHODS
  The concept development of the Eindhoven Diabetes Education Simulator (E-DES) project can be divided in two phases: concept generation and concept evaluation. Four concepts were designed by the multidisciplinary development team based on the outcomes of user interviews. Four other concepts resulted from the Diabetes Game Jam. Several users and experts evaluated the concepts. These user evaluations and a feasibility analysis served as input for an overall evaluation and discussion by the development team resulting in the final concept choice.
  
  
  RESULTS
  The four concepts of the development team are a digital board game, a quiz platform, a lifestyle simulator, and a puzzle game. The Diabetes Game Jam resulted in another digital board game, two mobile swipe games, and a fairy tale-themed adventure game. The combined user evaluations and feasibility analysis ranked the quiz platform and the digital board game equally high. Each of these games fits one specific subgroup of users best: the quiz platform best fits an eager-to-learn, more individualistic patient, whereas the board game best fits a less-eager-to-learn, family-oriented patient. The choice for a specific concept is therefore highly dependent on the choice of our specific target audience.
  
  
  CONCLUSIONS
  The user-centered design approach with multiple evaluations has enabled us to choose the most promising concept from eight different options. A digital board game is chosen for further development because the target audience for E-DES is the less-motivated, family-oriented patients.
authors.affiliation: 1 Department of Internal Medicine, Máxima Medical Center , Eindhoven, The Netherlands .|2 Design of Technology and Instrumentation, Eindhoven University of Technology , Eindhoven, The Netherlands .|3 Biomedical Engineering, Eindhoven University of Technology , Eindhoven, The Netherlands .
authors.forename: Anne H
authors.initials: AH
authors.lastname: Maas
authors.affiliation: 1 Department of Internal Medicine, Máxima Medical Center , Eindhoven, The Netherlands .|4 User System Interaction, Eindhoven University of Technology , Eindhoven, The Netherlands .
authors.forename: Pieta
authors.initials: P
authors.lastname: van der Molen
authors.affiliation: 1 Department of Internal Medicine, Máxima Medical Center , Eindhoven, The Netherlands .|5 HBO-ICT, Fontys University for Applied Sciences , Eindhoven, The Netherlands .
authors.forename: Reinier
authors.initials: R
authors.lastname: van de Vijver
authors.affiliation: 6 Industrial Design, Eindhoven University of Technology , Eindhoven, The Netherlands .|7 Center for Sensor Systems and Intelligent E-health, Department of Electronic Engineering, School of Information Science and Technology, Fudan University , Shanghai, China .
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.affiliation: 8 Clinical Physics, Máxima Medical Center , Veldhoven, The Netherlands .
authors.forename: Carola
authors.initials: C
authors.lastname: van Pul
authors.affiliation: 2 Design of Technology and Instrumentation, Eindhoven University of Technology , Eindhoven, The Netherlands .
authors.forename: Eduardus J E
authors.initials: EJ
authors.lastname: Cottaar
authors.affiliation: 3 Biomedical Engineering, Eindhoven University of Technology , Eindhoven, The Netherlands .
authors.forename: Natal A W
authors.initials: NA
authors.lastname: van Riel
authors.affiliation: 3 Biomedical Engineering, Eindhoven University of Technology , Eindhoven, The Netherlands .
authors.forename: Peter A J
authors.initials: PA
authors.lastname: Hilbers
authors.affiliation: 1 Department of Internal Medicine, Máxima Medical Center , Eindhoven, The Netherlands .|9 Department of Internal Medicine, Division of General Internal Medicine, Maastricht University Medical Centre+ , Maastricht, The Netherlands .|10 Ageing and Long-Term Care, CAPHRI School for Public Health and Primary Care, Maastricht University , Maastricht, The Netherlands .
authors.forename: Harm R
authors.initials: HR
authors.lastname: Haak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy*; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D018910:Video Games / Q000523:psychology*