Abstract
People with color vision deficiency (CVD) often encounter color-related challenges in their daily life, which are difficult for those with non-CVD to comprehend fully. Therefore, we designed a Virtual Reality (VR) serious game, BlueVR, to simulate challenging scenarios encountered by people with CVD and facilitate understanding from people with non-CVD. We conducted an empirical study with thirty participants with non-CVD and six participants with CVD to evaluate the opportunities and challenges of BlueVR. Our findings suggest that BlueVR increased people with non-CVD’s understanding, awareness, and perspective-taking abilities towards people with CVD. Moreover, interviews with participants with CVD revealed that BlueVR accurately depicts their real-life discomforts and meets their expectations to improve potential social awareness. This research contributes valuable insights into the mechanisms underlying the effectiveness of VR serious games in promoting understanding and design implications for future game development.
- Sun Joo (Grace) Ahn, Amanda Minh Tran Le, and Jeremy Bailenson. 2013. The effect of embodied experiences on self-other merging, attitude, and helping behavior. Media Psychology, 16, 1 (2013), Feb., 7–38. issn:1521-3269 https://doi.org/10.1080/15213269.2012.755877 Google ScholarCross Ref
- Zhuming Ai, Balaji K. Gupta, Mary Rasmussen, Ya Ju Lin, Fred Dech, Walter Panko, and Jonathan C. Silverstein. 2000. Simulation of eye diseases in a virtual environment. In Proceedings of the 33rd Annual Hawaii International Conference on System Sciences. IEEE, Maui, HI, USA. 5 pp.–. https://doi.org/10.1109/HICSS.2000.926803 Google ScholarCross Ref
- Kathryn Albany-Ward and Michelle Sobande. 2015. What do you really know about colour blindness? British Journal of School Nursing, 10, 4 (2015), May, 197–199. issn:1752-2803 https://doi.org/10.12968/bjsn.2015.10.4.197 Google ScholarCross Ref
- Halim Cagri Ates, Alexander Fiannaca, and Eelke Folmer. 2015. Immersive Simulation of Visual Impairments Using a Wearable See-through Display. In Proceedings of the Ninth International Conference on Tangible, Embedded, and Embodied Interaction (TEI ’15). Association for Computing Machinery, New York, NY, USA. 225–228. isbn:9781450333054 https://doi.org/10.1145/2677199.2680551 Google ScholarDigital Library
- Colour Blind Awareness. 2023. Education - Colour Blind Awareness. https://www.colourblindawareness.org/education/ Accessed: 2023-05-30 Google Scholar
- Cynthia L. Bennett and Daniela K. Rosner. 2019. The Promise of Empathy: Design, Disability, and Knowing the "Other". In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems (CHI ’19). Association for Computing Machinery, New York, NY, USA. 1–13. isbn:9781450359702 https://doi.org/10.1145/3290605.3300528 Google ScholarDigital Library
- Grigore C. Burdea and Philippe Coiffet. 2003. Virtual Reality Technology. John Wiley & Sons, New York, NY, USA. Google ScholarDigital Library
- Subho Chakrabarti. 2018. Psychosocial aspects of colour vision deficiency: Implications for a career in medicine. The National medical journal of India, 31, 2 (2018), 86–96. Google Scholar
- Xin Bei V Chan, Shi Min S Goh, and Ngiap Chuan Tan. 2014. Subjects with colour vision deficiency in the community: what do primary care physicians need to know? Asia Pacific Family Medicine, 13, 1 (2014), 1–10. Google ScholarCross Ref
- Hugo Chow-Wing-Bom, Tessa M Dekker, and Pete R Jones. 2020. The worse eye revisited: Evaluating the impact of asymmetric peripheral vision loss on everyday function. Vision Research, 169 (2020), 49–57. Google ScholarCross Ref
- Barry L Cole. 2004. The handicap of abnormal colour vision. Clinical and Experimental Optometry, 87, 4-5 (2004), 258–275. issn:1444-0938 https://doi.org/10.1111/j.1444-0938.2004.tb05056.x _eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1444-0938.2004.tb05056.x Google ScholarCross Ref
- Colormax. 2021. Color Vision Correction. https://colormax.org/color-blind-test/ Accessed: 2023-02-20 Google Scholar
- Vaso Constantinou, Andreas Lanitis, and Andri Ioannou. 2017. Using Virtual Reality to Train Designers to Develop Friendly Interfaces for Achromatic Vision Patients. In Proceedings of the 22nd International Conference on Intelligent User Interfaces Companion (IUI ’17 Companion). Association for Computing Machinery, New York, NY, USA. 77–80. isbn:9781450348935 https://doi.org/10.1145/3030024.3038270 Google ScholarDigital Library
- Mark H Davis. 1983. Measuring individual differences in empathy: Evidence for a multidimensional approach.. Journal of personality and social psychology, 44, 1 (1983), 113. Google ScholarCross Ref
- Mark H. Davis, Miles P. Davis, M Davis, Matthew Davis, Mark Davis, Mm Davis, M Davis, F. Caroline Davis, Heather A. Davis, and Ilus W. Davis. 1980. A Multidimensional Approach to Individual Differences in Empathy. JSAS Catalog of Selected Documents in Psychology, 10 (1980), 85. Google Scholar
- Jean Decety and Sara D. Hodges. 2006. The Social Neuroscience of Empathy. In Bridging Social Psychology (1st ed.), Paul A.M. Van Lange (Ed.). Psychology Press, New York, NY, USA. 121–128. isbn:9781410616982 https://doi.org/10.4324/9781410616982 Google ScholarCross Ref
- Stanley D Espinda. 1973. Color vision deficiency: a learning disability? Journal of Learning Disabilities, 6, 3 (1973), 163–166. Google ScholarCross Ref
- Vincent Fiorentini. 2020. Color Blind Pal. https://colorblindpal.com/ Google Scholar
- David R. Flatla and Carl Gutwin. 2012. "So That’s What You See": Building Understanding with Personalized Simulations of Colour Vision Deficiency. In Proceedings of the 14th International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS ’12). Association for Computing Machinery, New York, NY, USA. 167–174. isbn:9781450313216 https://doi.org/10.1145/2384916.2384946 Google ScholarDigital Library
- Nicholas J Formosa, Ben W Morrison, Geoffrey Hill, and Daniel Stone. 2018. Testing the efficacy of a virtual reality-based simulation in enhancing users’ knowledge, attitudes, and empathy relating to psychosis. Australian Journal of Psychology, 70, 1 (2018), 57–65. Google ScholarCross Ref
- Simon Gächter, Chris Starmer, and Fabio Tufano. 2015. Measuring the closeness of relationships: a comprehensive evaluation of the’inclusion of the other in the self’scale. PloS one, 10, 6 (2015), e0129478. Google ScholarCross Ref
- Fernanda Herrera, Jeremy Bailenson, Erika Weisz, Elise Ogle, and Jamil Zaki. 2018. Building long-term empathy: A large-scale comparison of traditional and virtual reality perspective-taking. PloS one, 13, 10 (2018), e0204494. https://doi.org/10.1371/journal.pone.0204494 Google ScholarCross Ref
- Pete R Jones and Giovanni Ometto. 2018. Degraded reality: using VR/AR to simulate visual impairments. In 2018 IEEE Workshop on Augmented and Virtual Realities for Good (VAR4Good). IEEE, 1–4. Google ScholarCross Ref
- Sevgi Coşkun Keskin. 2014. From what isn’t empathy to empathic learning process. Procedia-Social and Behavioral Sciences, 116 (2014), 4932–4938. Google ScholarCross Ref
- Shahedul Huq Khandkar. 2009. Open coding. University of Calgary, 23 (2009), 2009. Google Scholar
- Katharina Krösl, Carmine Elvezio, Matthias Hürbe, Sonja Karst, Steven Feiner, and Michael Wimmer. 2020. XREye: Simulating visual impairments in eye-tracked XR. In 2020 IEEE conference on virtual reality and 3D user interfaces abstracts and workshops (VRW). IEEE, 830–831. Google ScholarCross Ref
- Katharina Krösl, Carmine Elvezio, Laura R Luidolt, Matthias Hürbe, Sonja Karst, Steven Feiner, and Michael Wimmer. 2020. CatARact: Simulating cataracts in augmented reality. In 2020 IEEE International Symposium on Mixed and Augmented Reality (ISMAR). IEEE, 682–693. Google ScholarCross Ref
- James Lewis, David Brown, Wayne Cranton, and Robert Mason. 2011. Simulating visual impairments using the Unreal Engine 3 game engine. In 2011 IEEE 1st International Conference on Serious Games and Applications for Health (SeGAH). IEEE, 1–8. Google ScholarDigital Library
- Xiang Li, Xiaohang Tang, Xin Tong, Rakesh Patibanda, Floyd Mueller, and Hai-Ning Liang. 2021. Myopic Bike and Say Hi: Games for Empathizing with The Myopic. In Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY ’21). Association for Computing Machinery, New York, NY, USA. 333–338. isbn:9781450383561 https://doi.org/10.1145/3450337.3483505 Google ScholarDigital Library
- Yun-si Liang, Han-xue Yang, Yan-tao Ma, Simon SY Lui, Eric FC Cheung, Yi Wang, and Raymond CK Chan. 2019. Validation and extension of the Questionnaire of Cognitive and Affective Empathy in the Chinese setting. PsyCh journal, 8, 4 (2019), 439–448. Google ScholarCross Ref
- Lissette López-Faican and Javier Jaen. 2021. Designing Gamified Interactive Systems for Empathy Development. In Companion Publication of the 2021 ACM Designing Interactive Systems Conference (DIS ’21 Companion). Association for Computing Machinery, New York, NY, USA. 27–29. isbn:9781450385596 https://doi.org/10.1145/3468002.3468236 Google ScholarDigital Library
- Rhouri MacAlpine and David R. Flatla. 2016. Real-Time Mobile Personalized Simulations of Impaired Colour Vision. In Proceedings of the 18th International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS ’16). Association for Computing Machinery, New York, NY, USA. 181–189. isbn:9781450341240 https://doi.org/10.1145/2982142.2982170 Google ScholarDigital Library
- Gustavo M. Machado, Manuel M. Oliveira, and Leandro A. F. Fernandes. 2009. A Physiologically-based Model for Simulation of Color Vision Deficiency. IEEE Transactions on Visualization and Computer Graphics, 15, 6 (2009), Nov., 1291–1298. issn:1941-0506 https://doi.org/10.1109/TVCG.2009.113 Google ScholarDigital Library
- J. Nathans, T. P. Piantanida, R. L. Eddy, T. B. Shows, and D. S. Hogness. 1986. Molecular genetics of inherited variation in human color vision. Science (New York, N.Y.), 232, 4747 (1986), April, 203–210. issn:0036-8075 https://doi.org/10.1126/science.3485310 Google ScholarCross Ref
- NHS. 2022. Colour vision deficiency (colour blindness). https://www.nhs.uk/conditions/colour-vision-deficiency/ Google Scholar
- oftheheadland. 2021. Colorblindly. https://chrome.google.com/webstore/detail/colorblindly/floniaahmccleoclneebhhmnjgdfijgg Google Scholar
- Sujithra Raviselvam, Dongwook Hwang, Bradley Camburn, Karen Sng, Katja Hölttä-Otto, and Kristin L Wood. 2022. Extreme-user conditions to enhance design creativity and empathy-application using visual impairment. International Journal of Design Creativity and Innovation, 10, 2 (2022), 75–100. Google ScholarCross Ref
- Reddit. 2016. What’s the shittiest thing an employer has ever done to you? https://www.reddit.com/r/AskReddit/comments/4fzph7/comment/d2dipv9/ Google Scholar
- Renate LEP Reniers, Rhiannon Corcoran, Richard Drake, Nick M Shryane, and Birgit A Völlm. 2011. The QCAE: A questionnaire of cognitive and affective empathy. Journal of personality assessment, 93, 1 (2011), 84–95. Google ScholarCross Ref
- Pamela Saleme, Timo Dietrich, Bo Pang, and Joy Parkinson. 2020. A gamified approach to promoting empathy in children. Journal of Social Marketing, 10, 3 (2020), 321–337. Google ScholarCross Ref
- Christoph Schulz, Nils Rodrigues, Marco Amann, Daniel Baumgartner, Arman Mielke, Christian Baumann, Michael Sedlmair, and Daniel Weiskopf. 2019. A framework for pervasive visual deficiency simulation. In 2019 IEEE Conference on Virtual Reality and 3D User Interfaces (VR). IEEE, 1–6. Google ScholarCross Ref
- Ahsana Shah, Ruqaiya Hussain, Mohd Fareed, and Mohammad Afzal. 2013. Prevalence of Red-Green Color Vision Defects among Muslim Males and Females of Manipur, India. Iranian journal of public health, 42, 1 (2013), Jan., 16–24. issn:2251-6085 https://pubmed.ncbi.nlm.nih.gov/23515069 Google Scholar
- MP Simunovic. 2010. Colour vision deficiency. Eye, 24, 5 (2010), 747–755. https://doi.org/10.1038/eye.2009.251 Google ScholarCross Ref
- M. P. Simunovic. 2010. Colour vision deficiency. Eye, 24, 5 (2010), May, 747–755. issn:1476-5454 https://doi.org/10.1038/eye.2009.251 Number: 5 Publisher: Nature Publishing Group Google ScholarCross Ref
- Andrew MH Siu and Daniel TL Shek. 2005. Validation of the interpersonal reactivity index in a Chinese context. Research on Social Work Practice, 15, 2 (2005), 118–126. Google ScholarCross Ref
- Judy M Steward and Barry L Cole. 1989. What do color vision defectives say about everyday tasks? Optometry and vision science: official publication of the American Academy of Optometry, 66, 5 (1989), 288–295. Google Scholar
- Simon Stock, Christina Erler, and Wilhelm Stork. 2018. Realistic Simulation of Progressive Vision Diseases in Virtual Reality. In Proceedings of the 24th ACM Symposium on Virtual Reality Software and Technology (VRST ’18). Association for Computing Machinery, New York, NY, USA. Article 117, 2 pages. isbn:9781450360869 https://doi.org/10.1145/3281505.3283395 Google ScholarDigital Library
- Antonio Tagarelli, Anna Piro, Giuseppe Tagarelli, Pasquale Bruno Lantieri, Domenico Risso, and Rosario Luciano Olivieri. 2004. Colour blindness in everyday life and car driving. Acta Ophthalmologica Scandinavica, 82, 4 (2004), 436–442. Google ScholarCross Ref
- Garreth W. Tigwell. 2021. Nuanced Perspectives Toward Disability Simulations from Digital Designers, Blind, Low Vision, and Color Blind People. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems (CHI ’21). Association for Computing Machinery, New York, NY, USA. Article 378, 15 pages. isbn:9781450380966 https://doi.org/10.1145/3411764.3445620 Google ScholarDigital Library
- Xin Tong, Diane Gromala, Seyedeh Pegah Kiaei Ziabari, and Christopher D Shaw. 2020. Designing a virtual reality game for promoting empathy toward patients with chronic pain: feasibility and usability study. JMIR serious games, 8, 3 (2020), e17354. Google Scholar
- Jani Väyrynen, Ashley Colley, and Jonna Häkkilä. 2016. Head Mounted Display Design Tool for Simulating Visual Disabilities. In Proceedings of the 15th International Conference on Mobile and Ubiquitous Multimedia (MUM ’16). Association for Computing Machinery, New York, NY, USA. 69–73. isbn:9781450348607 https://doi.org/10.1145/3012709.3012714 Google ScholarDigital Library
- Sara Ventura, Laura Badenes-Ribera, Rocio Herrero, Ausias Cebolla, Laura Galiana, and Rosa Baños. 2020. Virtual reality as a medium to elicit empathy: A meta-analysis. Cyberpsychology, Behavior, and Social Networking, 23, 10 (2020), 667–676. Google ScholarCross Ref
- National Research Council (US) Committee on Vision. 1981. CLASSIFICATION OF COLOR VISION DEFECTS. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK217820/ Publication Title: Procedures for Testing Color Vision: Report of Working Group 41 Google Scholar
- VRLab. 2023. VR Toolbox. https://psyvrlab.ecnu.edu.cn/labsite/VRToolbox/list.htm Google Scholar
- Zhiquan Wang, Huimin Liu, Yucong Pan, and Christos Mousas. 2020. Color blindness bartender: An embodied VR game experience. In 2020 IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops (VRW). IEEE, 519–520. Google ScholarCross Ref
- Jeanne C. Watson and Leslie S. Greenberg. 2009. Empathic Resonance: A Neuroscience Perspective. In The Social Neuroscience of Empathy, Jean Decety and William Ickes (Eds.). The MIT Press, Cambridge, MA, USA. 125–137. isbn:978-0-262-01297-3 https://doi.org/10.7551/mitpress/9780262012973.003.0011 Google ScholarCross Ref
- Lauren Wispé. 1986. The distinction between sympathy and empathy: To call forth a concept, a word is needed.. Journal of personality and social psychology, 50, 2 (1986), 314. Google ScholarCross Ref
- Bang Wong. 2011. Points of view: Color blindness. Nature Methods, 8, 6 (2011), 441. https://doi.org/10.1038/nmeth.1618 Google ScholarCross Ref
- Hongni Ye, Chaoyu Zhang, Hongsheng Xu, LC Ray, and Xin Tong. 2022. Twilight Rohingya: The Design and Evaluation of Different Navigation Controls in a Refugee VR Environment. In 2022 International Conference on Cyberworlds (CW). IEEE Computer Society, Los Alamitos, CA, USA. 142–146. https://doi.org/10.1109/CW55638.2022.00032 Google ScholarCross Ref
- Lay See Yeo, Rebecca P Ang, Shihan Loh, Karen J Fu, and Jennifer K Karre. 2011. The role of affective and cognitive empathy in physical, verbal, and indirect aggression of a Singaporean sample of boys. The Journal of Psychology, 145, 4 (2011), 313–330. Google ScholarCross Ref
- Yuxiang Zhang and Ricardo Codinhoto. 2020. Developing a visually impaired older people Virtual Reality (VR) simulator to apply VR in the aged living design workflow. In 2020 24th International Conference Information Visualisation (IV). IEEE, 226–235. Google ScholarCross Ref
Index Terms
- BlueVR: Design and Evaluation of a Virtual Reality Serious Game for Promoting Understanding towards People with Color Vision Deficiency
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