skip to main content
10.1145/3290605.3300262acmconferencesArticle/Chapter ViewAbstractPublication PageschiConference Proceedingsconference-collections
research-article

Design Goals for Playful Technology to Support Physical Activity Among Wheelchair Users

Published: 02 May 2019 Publication History

Abstract

Playful technology has the potential to support physical activity (PA) among wheelchair users, but little is known about design considerations for this audience, who experience significant access barriers. In this paper, we lever-age the Integrated Behavioural Model (IBM) to understand wheelchair users' perspectives on PA, technology, and play.First, we present findings from an interview study with eight physically active wheelchair users. Second, we build on the interviews in a survey that received 44 responses from a broader group of wheelchair users. Results show that the anticipation of positive experiences was the strongest predictor of engagement with PA, and that accessibility concerns act as barriers both in terms of PA participation and technology use. We present four design goals - emphasizing enjoyment,involving others, building knowledge and enabling flexibility - to make our findings actionable for researchers and designers wishing to create accessible playful technology to support PA.

References

[1]
Shashi K Agarwal. 2012. Cardiovascular benefits of exercise. International journal of general medicine 5 (2012), 541.
[2]
Icek Ajzen. 1991. The theory of planned behavior. Organizational behavior and human decision processes 50, 2 (1991), 179--211.
[3]
Matthew R Bice, James W Ball, and Steve McClaran. 2016. Technology and physical activity motivation. International Journal of Sport and Exercise Psychology 14, 4 (2016), 295--304.
[4]
Jan O Borchers. 2000. A pattern approach to interaction design. In Proceedings of the 3rd conference on Designing interactive systems: processes, practices, methods, and techniques. ACM, 369--378.
[5]
Paul Branscum and Amir Bhochhibhoya. 2016. Exploring gender differences in predicting physical activity among elementary aged children: an application of the integrated behavioral model. American Journal of Health Education 47, 4 (2016), 234--242.
[6]
Robert E Braun. 2012. Using the integrated behavioral model to predict binge drinking among college students. Ph.D. Dissertation. University of Toledo.
[7]
Virginia Braun and Victoria Clarke. 2006. Using thematic analysis in psychology. Qualitative research in psychology 3, 2 (2006), 77--101.
[8]
Laurien M Buffart, Tessa Westendorp, Rita J Van Den Berg-Emons, Henk J Stam, and Marij E Roebroeck. 2009. Perceived barriers to and facilitators of physical activity in young adults with childhood-onset physical disabilities. Journal of Rehabilitation Medicine 41, 11 (2009), 881--885.
[9]
Bigham Carrington, Laput. {n. d.}. Exploring the Data Tracking and Sharing Preferences of Wheelchair Athletes. ASSETS'18 ({n. d.}).
[10]
Patrick Carrington, Kevin Chang, Helena Mentis, and Amy Hurst. 2015. But, I don't take steps: Examining the Inaccessibility of Fitness Trackers for Wheelchair Athletes. In Proceedings of the 17th International ACM SIGACCESS Conference on Computers & Accessibility. ACM, 193--201.
[11]
Valve Corporation. 2007. Portal.
[12]
Stephen Cuzzort and Thad Starner. 2008. AstroWheelie: A wheelchair based exercise game. In Wearable Computers, 2008. ISWC 2008. 12th IEEE International Symposium on. IEEE, 113--114.
[13]
Antonella De Angeli, Michela Cozza, Mladjan Jovanovic, Linda Tonolli, Mark Mushiba, Andrew McNeill, Lynne Coventry, et al. {n. d.}. Understanding Motivations in Designing for Older Adults.
[14]
Martina Eckert, Marcos López, Carlos Lázaro, Juan Meneses, and José F Martínez Ortega. 2015. MoKey-A motion based keyboard interpreter. In Consumer Electronics (ISCE), 2015 IEEE International Symposium on. IEEE, 1--2.
[15]
Terry J Ellapen, Henriëtte V Hammill, Mariette Swanepoel, and Gert L Strydom. 2017. The health benefits and constraints of exercise therapy for wheelchair users: A clinical commentary. African Journal of Disability (Online) 6 (2017), 1--8.
[16]
inc Fitocracy. 2011. Fitocracy.
[17]
Beat Games. 2018. Beat Saber.
[18]
Yue Gao, Kathrin M Gerling, Regan L Mandryk, and Kevin G Stanley. 2014. Decreasing sedentary behaviours in pre-adolescents using casual exergames at school. In Proceedings of the first ACM SIGCHI annual symposium on Computer-human interaction in play. ACM, 97--106.
[19]
Kathrin M Gerling, Michael R Kalyn, and Regan L Mandryk. 2013. KINECT wheels: wheelchair-accessible motion-based game interaction. In CHI'13 Extended Abstracts on Human Factors in Computing Systems. ACM, 3055--3058.
[20]
Kathrin M Gerling, Regan L Mandryk, and Michael R Kalyn. 2013. Wheelchair-based game design for older adults. In Proceedings of the 15th International ACM SIGACCESS Conference on Computers and Accessibility. ACM, 27.
[21]
Kathrin Maria Gerling, Matthew Miller, Regan L Mandryk, Max Valentin Birk, and Jan David Smeddinck. 2014. Effects of balancing for physical abilities on player performance, experience and self-esteem in exergames. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 2201--2210.
[22]
Pedro C Hallal, Lars Bo Andersen, Fiona C Bull, Regina Guthold, William Haskell, Ulf Ekelund, Lancet Physical Activity Series Working Group, et al. 2012. Global physical activity levels: surveillance progress, pitfalls, and prospects. The lancet 380, 9838 (2012), 247--257.
[23]
Kieran Hicks and Kathrin Gerling. 2015. Exploring casual exergames with kids using wheelchairs. In Proceedings of the 2015 Annual Symposium on Computer-Human Interaction in Play. ACM, 541--546.
[24]
Danuta Kasprzyk, Daniel E Montaño, and Martin Fishbein. 1998. Application of an Integrated Behavioral Model to Predict Condom Use: A Prospective Study Among High HIV Risk Groups 1. Journal of Applied Social Psychology 28, 17 (1998), 1557--1583.
[25]
Conor Linehan, George Bellord, Ben Kirman, Zachary H Morford, and Bryan Roche. 2014. Learning curves: analysing pace and challenge in four successful puzzle games. In Proceedings of the first ACM SIGCHI annual symposium on Computer-human interaction in play. ACM, 181-- 190.
[26]
Ann E Maloney, T Carter Bethea, Kristine S Kelsey, Julie T Marks, Sadye Paez, Angela M Rosenberg, Diane J Catellier, Robert M Hamer, and Linmarie Sikich. 2008. A pilot of a video game (DDR) to promote physical activity and decrease sedentary screen time. Obesity 16, 9 (2008), 2074--2080.
[27]
Meethu Malu and Leah Findlater. 2016. Toward accessible health and fitness tracking for people with mobility impairments. In Proceedings of the 10th EAI International Conference on Pervasive Computing Technologies for Healthcare. ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering), 170--177.
[28]
Jeffrey J Martin. 2013. Benefits and barriers to physical activity for individuals with disabilities: a social-relational model of disability perspective. Disability and rehabilitation 35, 24 (2013), 2030--2037.
[29]
M Rosly Mat, H Rosly Mat, Nazirah Hasnan, Glen M Davis, and Ruby Husain. 2017. Exergaming boxing versus heavy-bag boxing: are these equipotent for individuals with spinal cord injury? European journal of physical and rehabilitation medicine 53, 4 (2017), 527--534.
[30]
Daniel E Montano and Danuta Kasprzyk. 2015. Theory of reasoned action, theory of planned behavior, and the integrated behavioral model. Health behavior: Theory, research and practice (2015), 95--124.
[31]
Florian Mueller and Katherine Isbister. 2014. Movement-based game guidelines. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 2191--2200.
[32]
Florian'Floyd' Mueller, Shannon O'Brien, and Alex Thorogood. 2007. Jogging over a distance: Supporting a jogging together experience although being apart. In CHI'07 extended abstracts on Human factors in computing systems. ACM, 1989--1994.
[33]
Niantic. 2016. Pokemon GO.
[34]
Nintendo. 2007. New Super Mario Bros.
[35]
Thomas J O'Connor, Shirley G Fitzgerald, Rory A Cooper, Tricia A Thorman, and Michael L Boninger. 2002. Kinetic and physiological analysis of the GAME (Wheels) system. J Rehabil Res Dev 39, 6 (2002), 627--634.
[36]
Cassandra Phoenix and Noreen Orr. 2014. Pleasure: A forgotten dimension of physical activity in older age. Social science & medicine 115 (2014), 94--102.
[37]
Nora Shields and Anneliese Synnot. 2016. Perceived barriers and facilitators to participation in physical activity for children with disability: a qualitative study. BMC pediatrics 16, 1 (2016), 9.
[38]
Emma M Smith, Brodie M Sakakibara, and William C Miller. 2016. A review of factors influencing participation in social and community CHI 2019, May 4--9, 2019, Glasgow, Scotland Uk Liam Mason activities for wheelchair users. Disability and Rehabilitation: Assistive Technology 11, 5 (2016), 361--374.
[39]
Kevin G Stanley, Ian J Livingston, Alan Bandurka, Mohammad Hashemian, and Regan L Mandryk. 2011. Gemini: A pervasive accumulated context exergame. In International Conference on Entertainment Computing. Springer, 65--76.
[40]
Meegan G Van Straaten, Beth A Cloud, Melissa M Morrow, Paula M Ludewig, and Kristin D Zhao. 2014. Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: a high-dose shoulder program with telerehabilitation. Archives of physical medicine and rehabilitation 95, 10 (2014), 1810-- 1817.
[41]
Monica Visani Scozzi, Ioanna Iacovides, and Conor Linehan. 2017. A Mixed Method Approach for Evaluating and Improving the Design of Learning in Puzzle Games. In Proceedings of the Annual Symposium on Computer-Human Interaction in Play. ACM, 217--228.
[42]
Ross Wadey and Melissa Day. 2018. A longitudinal examination of leisure time physical activity following amputation in England. Psychology of Sport and Exercise 37 (2018), 251--261.
[43]
Wouter Walmink, Danielle Wilde, and Florian'Floyd' Mueller. 2014. Displaying heart rate data on a bicycle helmet to support social exertion experiences. In Proceedings of the 8th International Conference on Tangible, Embedded and Embodied Interaction. ACM, 97--104.
[44]
Toni Louise Williams, Brett Smith, and Anthony Papathomas. 2014. The barriers, benefits and facilitators of leisure time physical activity among people with spinal cord injury: a meta-synthesis of qualitative findings. Health Psychology Review 8, 4 (2014), 404--425.
[45]
Zi Ye, Hamilton A Hernandez, TC Graham, Darcy Fehlings, Lauren Switzer, Md Ameer Hamza, and Irina Schumann. 2012. Liberi and the racer bike: exergaming technology for children with cerebral palsy. In Proceedings of the 14th international ACM SIGACCESS conference on Computers and accessibility. ACM, 225--226.

Cited By

View all
  • (2024)“In our world, calories are very important”- Experiences of Wheel-chair users with Spinal Cord Injury with commercial self-tracking technology and self-tracking: A qualitative interview study (Preprint)JMIR Human Factors10.2196/65207Online publication date: 12-Aug-2024
  • (2024)Exploring how People with Spinal Cord Injuries Seek Support on Social MediaProceedings of the 26th International ACM SIGACCESS Conference on Computers and Accessibility10.1145/3663548.3675628(1-17)Online publication date: 27-Oct-2024
  • (2023)Accessibility of games and game-based applications: A systematic literature review and mapping of future directionsNew Media & Society10.1177/1461444823120402026:4(2336-2384)Online publication date: 9-Nov-2023
  • Show More Cited By

Index Terms

  1. Design Goals for Playful Technology to Support Physical Activity Among Wheelchair Users

      Recommendations

      Comments

      Information & Contributors

      Information

      Published In

      cover image ACM Conferences
      CHI '19: Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems
      May 2019
      9077 pages
      ISBN:9781450359702
      DOI:10.1145/3290605
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

      Sponsors

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 02 May 2019

      Permissions

      Request permissions for this article.

      Check for updates

      Author Tags

      1. accessibility
      2. games
      3. integrated behavioral model
      4. wheelchair

      Qualifiers

      • Research-article

      Conference

      CHI '19
      Sponsor:

      Acceptance Rates

      CHI '19 Paper Acceptance Rate 703 of 2,958 submissions, 24%;
      Overall Acceptance Rate 6,199 of 26,314 submissions, 24%

      Upcoming Conference

      CHI 2025
      ACM CHI Conference on Human Factors in Computing Systems
      April 26 - May 1, 2025
      Yokohama , Japan

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • Downloads (Last 12 months)57
      • Downloads (Last 6 weeks)12
      Reflects downloads up to 08 Mar 2025

      Other Metrics

      Citations

      Cited By

      View all
      • (2024)“In our world, calories are very important”- Experiences of Wheel-chair users with Spinal Cord Injury with commercial self-tracking technology and self-tracking: A qualitative interview study (Preprint)JMIR Human Factors10.2196/65207Online publication date: 12-Aug-2024
      • (2024)Exploring how People with Spinal Cord Injuries Seek Support on Social MediaProceedings of the 26th International ACM SIGACCESS Conference on Computers and Accessibility10.1145/3663548.3675628(1-17)Online publication date: 27-Oct-2024
      • (2023)Accessibility of games and game-based applications: A systematic literature review and mapping of future directionsNew Media & Society10.1177/1461444823120402026:4(2336-2384)Online publication date: 9-Nov-2023
      • (2023)Towards Greater Inclusion and Accessibility for Physically Disabled Players in Location-Based GamesProceedings of the ACM on Human-Computer Interaction10.1145/36110467:CHI PLAY(699-720)Online publication date: 4-Oct-2023
      • (2023)ARbility: re-inviting older wheelchair users to in-store shopping via wearable augmented realityVirtual Reality10.1007/s10055-023-00769-027:3(1919-1936)Online publication date: 22-Mar-2023
      • (2022)“I’m Just Overwhelmed”: Investigating Physical Therapy Accessibility and Technology Interventions for People with Disabilities and/or Chronic ConditionsACM Transactions on Accessible Computing10.1145/356339615:4(1-22)Online publication date: 22-Oct-2022
      • (2022)Identifying factors that inhibit self-care behavior among individuals with severe spinal cord injuryProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3517658(1-16)Online publication date: 29-Apr-2022
      • (2022)The Challenge of (Non-)Disclosure: Exploring the Lived Experience of Ethiopian Adolescents with HIV and Their Attitudes Toward TechnologyProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3502132(1-19)Online publication date: 29-Apr-2022
      • (2022)Including the Experiences of Physically Disabled Players in Mainstream Guidelines for Movement-Based GamesProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3501867(1-15)Online publication date: 29-Apr-2022
      • (2021)Understanding the Role of Technology to Support BreastfeedingProceedings of the 2021 CHI Conference on Human Factors in Computing Systems10.1145/3411764.3445247(1-13)Online publication date: 6-May-2021
      • Show More Cited By

      View Options

      Login options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      HTML Format

      View this article in HTML Format.

      HTML Format

      Figures

      Tables

      Media

      Share

      Share

      Share this Publication link

      Share on social media