University of Central Florida, College of Nursing, 12201 Research Parkway, Suite 300, Orlando, FL 32826, USA.
University of South Florida, College of Nursing, 12901 Bruce B. Downs Blvd, MDC 22, Tampa, FL 33612-4766, USA.
Appl Nurs Res. 2018 Feb;39:207-210. doi: 10.1016/j.apnr.2017.11.030. Epub 2017 Nov 21.
Older adults undergoing treatment for cancer are at risk for serious complications such as chemotherapy-induced nausea and vomiting (CINV). Older adults are often overwhelmed by information and under-manage cancer treatment-related side effects. New educational strategies such as serious gaming may help teach or reinforce key symptom self-management strategies. This paper describes how a community advisory board of older adults, their caregivers, and oncology nurses were consulted to develop a serious game for CINV.
A formative evaluation process using a community advisory board (CAB) and a series of three focus groups were used to develop this serious game about managing CINV at home.
The formative evaluation process and involvement of the CAB allowed researchers to learn about the experience of having CINV from an older adult perspective. Common themes related to CINV onset, severity and self-management formed the basis for the serious games' script and scenarios. Themes were validated and CAB members provided feedback on a game prototype. Feedback from CAB members indicated that the serious game was realistic and reflective of their CINV experience.
Including older adults in the development of a serious game was instrumental in creating a relevant educational opportunity. Serious gaming should be considered as a way to add to the educational experiences of older adults as generic teaching methods may not address the needs of all age groups. Exploring for new ways to emphasize key points related to symptom management and prioritize learning may impact outcomes for older adults.
接受癌症治疗的老年人有发生严重并发症的风险，例如化疗引起的恶心和呕吐（CINV）。老年人常常被大量信息所淹没，并且无法很好地管理与癌症治疗相关的副作用。新的教育策略，如严肃游戏，可能有助于教授或强化关键的症状自我管理策略。本文描述了如何咨询老年患者、其护理人员和肿瘤护士组成的社区顾问委员会，以开发一种用于治疗 CINV 的严肃游戏。
采用社区顾问委员会（CAB）和一系列三次焦点小组的形成性评估过程来开发这种关于在家中管理 CINV 的严肃游戏。
形成性评估过程和 CAB 的参与使研究人员能够从老年患者的角度了解 CINV 的体验。与 CINV 发作、严重程度和自我管理相关的常见主题构成了严肃游戏脚本和场景的基础。主题得到了验证，CAB 成员对游戏原型提供了反馈。CAB 成员的反馈表明，严肃游戏具有现实性，并反映了他们的 CINV 体验。
让老年人参与严肃游戏的开发对于创造相关的教育机会非常重要。严肃游戏应该被视为为老年人增加教育体验的一种方式，因为通用的教学方法可能无法满足所有年龄段的需求。探索强调与症状管理相关的要点并优先学习的新方法可能会影响老年人的结局。
