JMIR Publications

ABSTRACT

Background:

Public health education plays a crucial role in effectively addressing infectious diseases, such as COVID-19. However, existing educational materials often provide only foundational information, and traditional group education faces challenges due to social distancing policies.

Objective:

Addressing these gaps, our study introduces the serious game, "Flattening the Curve." This interactive experience immerses learners in the role of quarantine policy managers, offering unique insights into the effects and challenges of social distancing policies.

Methods:

The development of the game adhered to the SERES framework, ensuring a scientifically designed foundation. To achieve its learning objectives, the game incorporates learning and game mechanics including an agent-based infection model, a social distancing policy model, and an economic model, which were developed based on theoretical bases. After defining a broad concept of scientific and design foundations, a participatory design process was conducted and participants’ feedback was analyzed based on the DPE (design, play, and experience) framework. This learner-centric approach enhanced the educational effectiveness of the game.

Results:

The game successfully achieves its learning objectives, encompassing a comprehensive understanding of infectious disease characteristics, the disease transmission process, the necessity and efficacy of quarantine policies, their delicate balance with economic factors, and the concept of flattening the curve. In response to participatory design feedback, the game underwent meticulous modifications, including refining game systems, parameters, design elements, UI, and interactions. Evaluation results reflect participants' positive assessments of the game.

Conclusions:

The serious game "Flattening the Curve," developed through a participatory design approach, emerges as a valuable tool for public health education, particularly concerning social distancing policies. The game and its source code are openly accessible online, enabling widespread usage for research and educational purposes.