Cuizgiver: development of a digital game for training the caregiver of Spinal Cord Injuries

Abstract

Introduction: Spinal cord injury (SCI) translates into a critical event that results in significant changes to the lifestyle of an individual, family, caregiver. This article describes different stages of development of a digital game for the training of caregivers of SCI patients focusing on the intervention of rehabilitation nurses. It aims to describe usability and acceptance of “CuizGiver” game by experts. Methodology: This process develops in 3 phases. Firstly, an integrative literature review was performed to identify the needs of caregivers of SCI patients. In the second phase, a game was designed to further instruct the caregivers. Lastly, a group of experts validated the android application. Results: In first step, was identified knowledge needs about SCI and associated health problems (neurogenic bladder management; prevention of urinary tract infections; neurogenic bowel management; prevention of respiratory infections; prevention of pressure ulcers; acting on autonomic dysreflexia and/or or spasticity; medicines management or adequate nutrition). In view of these needs, a game was created, which was evaluated and tested by 23 experts. Feedback regarding its use to further instruct caregivers and address their queries, was positive and relevant and marked as educational and appealing. Conclusion: The requirements regarding caregivers preparation and knowledge are predominant in the rehabilitation nurse intervention process. Gamification is a significant and innovative strategy. “CuizGiver” game was appreciated by experts, giving positive and relevant feedback in the use for training caregivers, allowing to identify their doubts and being educational and appealing. Nonetheless, its effectiveness in this audience requires further investigation.

Keywords

• spinal cord injury;
• , caregiver
• needs assessment
• experimental games
• rehabilitation nursing