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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>S. Caria, F. Paternò, C. Santoro, V. Semucci, The design of web games for helping young high-
functioning autistics in learning how to manage money, MONET</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.1007/s11036-018-1069-0</article-id>
      <title-group>
        <article-title>A Card-based Toolkit for Co-Designing Smart Interactive Experiences with Subjects with Neurodevelopmental Disorders</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Giulia Cosentino</string-name>
          <email>giulia.cosentino@polimi.it</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Maristella Matera</string-name>
          <email>maristella.matera@polimi.it</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Marco Mores</string-name>
          <email>marco.mores@fraternitaeamicizia.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Diego Morra</string-name>
          <email>diego.morra@mail.polimi.it</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Fraternità e Amicizia</institution>
          ,
          <addr-line>Milan</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Politecnico di Milano</institution>
          ,
          <addr-line>Milan</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2013</year>
      </pub-date>
      <volume>23</volume>
      <issue>2018</issue>
      <abstract>
        <p>This paper reports on a co-design method that involves subjects with Neurodevelopmental Disorders (NDD) in the design of smart interactive experiences for themselves, i.e., aimed to enhance situations of their everyday life. Through a user-centered process that involved a sample of subjects with NDD and their therapists, we have identified a co-design toolkit that aims to favour reflection, by allowing subjects to feel engaged and empowered in solving concrete problems.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Neurodevelomental Disorders</kwd>
        <kwd>Co-Design</kwd>
        <kwd>Tangibles</kwd>
        <kwd>Card Tool-kits</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
    </sec>
    <sec id="sec-2">
      <title>2. Rationale and Background</title>
      <p>
        Participatory Design (PD) has been adopted in the last years for designing products and applications
for people with NDD. The inclusion of subjects with NDD in the design process has impact not only on
the quality of the final products but also on educational goals for the participating group itself. Card
toolkits are often used in the generative phase of co-design methods to collaboratively build prototype
artefacts [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. A number of kits have been developed to help people ideating interactive applications.
Among others, SNaP [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] is a collaborative game, with ideas taken from traditional board game design
[
        <xref ref-type="bibr" rid="ref6 ref7">6, 7</xref>
        ]. It addresses children aged from 11 to 14 years old and aims to make them “protagonists” in
the ideation and reflections concerning smart interactive experiences. The SNaP version used for the
study reported in this paper focuses on experiences for enhancing outdoors activities, e.g., at the park.
      </p>
      <p>
        The idea and layout of the cards are based on the Tiles Ideation Toolkit [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. They include 18
Environment cards, representing objects that can be found in parks or outdoor non-urban environments;
20 Input cards, representing sensors and buttons that trigger an interaction; 5 Output Cards,
representing actuators that react to the interaction (Figure 1). The Game Board (Figure 2) is designed for
2–4 players. During the game-play, players have the role of Designers. The game is facilitated by
a moderator, with the role of Mayor. After diferent phases of card acquisition and discussion, all
players “win” the game collaboratively; the game ends when each of them has designed at least an
interactive object fulfilling his/her mission.
      </p>
    </sec>
    <sec id="sec-3">
      <title>3. Design process</title>
      <p>Given the SNaP capability of facilitating reflection on needs and possible solutions, its focus on
physical material (i.e., cards), and its regular scheme guiding the design activities, we wanted to assess in
which measure the game could be adopted to empower subjects with NDD to reflect on their needs.
We tried to engage them in the ideation of smart interactive experiences for themselves, i.e., able to
support and enhance situations of their everyday life starting from the city park scenario. One of
the main goal in education for people with disabilities is to give them as much autonomy as possible,
even in travel and life outside their homes: we chose the urban park scenario in order to give them
the chance to design an inclusive environment, where they feel comfortable. We thus conducted a
workshop involving 4 subjects with NDD (see Table 1), followed by an interview with 2 therapists.</p>
      <sec id="sec-3-1">
        <title>3.1. Workshop: familiarization with the game</title>
        <p>
          The workshop (see Figure 3) was conducted to favour the familiarization of the subjects with NDD
with the original game; the literature indeed considers familiarization an important element to
improve subjects’ contributions to the final design [
          <xref ref-type="bibr" rid="ref9">9</xref>
          ]. The entire session lasted 1 hour. The participants
played SNaP following its standard rules and focusing on missions for enhancing activities in a city
park. All the materials were translated in Italian. All the subjects appeared very engaged and
enthusiast of playing with SNaP. They liked the cards and their graphics and understood their meaning.
They were all able to ideate playful interactive games to enhance their stay at the park, for themselves
and also for other visitors. For example, subject FEA57 thought of “street signs that rotate every time
someone passes by, to give directions to reach interesting, hidden spots of the park”. The subject FEA46
ideated an interactive experience for deaf-blind visitors: “flowers must be able to sense the proximity
of a person and emit scents to ofer an olfactory experience” .
        </p>
        <p>We interpreted these results as an indication of the subjects’ engagement and understanding of the
design context. The subjects also commented on the game dynamics. They suggested to include tricks
during the game to further engage the players (for example, traps or going back a number of positions).
They appreciated a lot having missions, because they provide guidance through the game and set a
goal. One subject suggested adding a new (super-)mission for helping the other game participants to
conceive their new ideas. This is an indication that they grasped the collaborative spirit of the game,
till the point to think about a specific role to encourage ideation by every participant.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. Interview with therapists</title>
        <p>Adopting the game to involve subjects with NDD in the design of digital devices for their everyday
activities soon emerged as a benefit. There are some work in the literature (see for example [10])
highlighting that, in spite of the growing focus on assistive technologies for children with NDD,
there is a lack of approaches addressing other age ranges in which technologies might help subjects
gain diferent types of skills. During an interview (see Figure 4), the two therapists who participated
to the workshop indeed emphasized the opportunity for the subjects to reflect on their needs and on
possible solutions. Very often, therapies focus on getting subjects to become independent in everyday
tasks, especially those to be accomplished outdoor. Experiences at the park represent activities that
can favour subjects’ well-being and can encourage them to go outside. The therapists were therefore
in favour of adopting the game in their therapies; they also suggested extensions (e.g., new cards)
focusing on further activities, for example, reaching the grocery store, the pharmacy, the best friend’s
house. Reflecting on how digital devices can support all these activities becomes a means to reflect on
the related adversities. The therapists remarked that the physicality of cards was a strength from a
psychological point of view, because CD subjects need to see and touch physical material to improve
their understanding of the context they have to focus on. The therapists suggested us to introduce
additional interactive, physical-digital elements to further help players understand how to combine
diferent cards and what the concrete efect of using sensors and actuators is in their interactive
experiences.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Conclusion and Future Work</title>
      <p>Thanks to the co-design approach this work focuses on, all participants had the chance to feel engaged
and empowered in solving a concrete problem, i.e., the design of interactive park activities. On the
other hand, they also played a crucial role in the design process of the method itself, as they gave very
important feedback about the game. Therapists’ feedback was important as well, as they suggested
that a concrete and tangible board could enhance the participants’ ability to think about diferent
solutions. As shown in literature [11], people with NDD show some dificulties in abstraction, which
could occur in a simple card game. These findings are coherent with other works [12] and suggest
that tangibles could be very helpful for enhancing both learning and the creativity process. Our future
work will concentrate on systematically assessing these benefits through the design and
implementation of an interactive game board, to be used in combination with the original paper board, where the
diferent sensors and actuators could be plugged in to see the efect of card combinations. We expect
that spatial combination of tangibles can positively afect also participants’ collaboration [13]. Then
we will organize further workshops with the same subjects to have a feedback on prototypes of the
interactive board.</p>
    </sec>
  </body>
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