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G.A.M.E.S.�Gaming Addiction Monitoring and Evaluating System

TEAM 6: Katiana Bougouma, Iridian Guzman, Greeshma Kombara,

Sujit Mohanty, Mayra Sainz, Bryan Wang

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Gaming addiction : A challenge in China

State of things

Gaming curfew held in place by the government for adolescents under the age of 18 from the 10pm to 8 am
Restrictions on the amount that someone can game in a day
gaming companies limiting the time that kids can play based on age

The government will require registration with real names and phone numbers as a way to monitor time spent gaming
"The State Administration of Press and Publication is working with the Ministry of Public Security to lead the building of a unified identification system, which would provide user identification services to video game companies, so that they can accurately verify the identity of minors"

why it's problematic,
Vision issues
Physical/chronic effects
Loss of control over gaming, loss of significant relations( families, jobs, etc)
Disruption of personal life, depression, anxiety

Who will be affected if no intervention, who would benefit from successful intervention (stakeholders, individuals)

Treatment Gap

Demand is too high for supply;
Development of Chinese Psychological Society
However, there is a growing demand for mental health institutes

Stigmatization of the issue is a concern
There hasn’t been any definition of psychotherapy or what treatment would formally look like

University demographics and epidemiology of issue (in context)

More than 50,000 students enrolled in the university system, 25, 425 undergraduates

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17000

640 million

28000

164 million

Chinese Psychiatrists

Active gamers in China

Active gamers in USA

American Psychiatrists

China needs a significant growth in number of mental health professionals

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Identifying students that are not aware they are at risk of having a gaming addiction

Preventing more severe cases of gaming addiction

Initial steps to access support and resources

Improve peer community in the long run

Our POC focuses on proactive identification of students in need

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Intervention Components

University Portal Screening System

Awareness Promotion

Identifying and Assisting Students

Virtual Reality based Cognitive Behavioral Therapy

Program implementation has four major components

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Top 3 university in China for life sciences, engineering and business
Undergraduate Population: 25,425
Major public university in the region
On average only one on-campus psychiatrist present for consultation
Presence in the e-Sport hub of China

First step in the process is to sign MoU with university partner

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Ministry of Health

To gain access to mental health materials in mandarin language (video and written material)

Gaming Industry

Social media influencers for podcasts and mentorship

University

MoU for program implementation and continuous support

IT company

Software development and implementation

Local psychiatrists

Consultation and program refinement

STAKEHOLDERS

GROUP

Faculty Community

Social media influencers for podcasts and mentorship

MoH and University are the major stakeholders in the program

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Hackathon (Promotion and Marketing)

Program Administration (Using developed software)

Prevention: 1.Pre-module survey, 2.Mandatory training, 3.Post-module survey

Mitigation: Screening - Academics, key words, key servers

(No Flag) Continued Background Monitoring

(Flag) Action: 1.Contact, GAS, resources 2.Advising, VR-CBT, GAS

Upscale: Live-Streaming Competition, VR-CBT Labs

A multi-level approach helps in creating a structured consultative program

Data Collection

The software system collects data from various sources (University records, specific browsing keywords)

Data Analysis

Machine learning algorithms to flag potential mental illnesses among students

Referrals and Focus groups

Increase student engagement to facilitate conversation

Technology solution for telehealth

VR-CBT to provide initial consultation and facilitate clinical assessment

We will be developing a software that will use a customized algorithm to detect high risk online behaviors indicative of video game addiction. The system will be implanted within the university's admin system, and will screen student accounts by combining four main metrics: Active internet usage for over 48h, gaming health keyword searches, gaming servers access, and academic drop trends.
The program is administered to all matriculated students, but for the data collection aspect we will be specifically tracking and analyzing trends in the entering freshmen cohort.
Our program has two main tracks: one for Prevention, and one for Mitigation efforts

The prevention track will consist in initial and final surveys on the gaming addiction issue, and a required Gaming Addiction training module for all matriculating students. The module will follow the precedent of alcohol and sexual abuse trainings
The mitigation track will involve a continuous background monitoring of student online engagement. Our system will be assessing the combination of Four metrics, and all accounts that fall under all categories and over our selected thresholds will be flagged in our system.

Flagged accounts will enroll students in our action plan component of that track, which involves an initial contact step where we share educational resources about gaming health with flagged students, as well as administer a standard Gaming Addiction Survey through their university account. The second step in the action plan comes in when students continue to display flagged patterns. At that point, we will be requiring them to come schedule an advising appointment, take a gaming addiction survey, and complete the 9 modules of the VR-CBT, pending a hold on their account that will affect their access to grades and registration.
As for the unflagged accounts, no action will be taken although monitoring will continue in the background

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Hackathon is the best way to create a minimum viable product

Hackathon

A 3-Day event to create minimum viable product

Software Refinement

Partnership with IT firm to improve security

QA and Testing

Security assessment

University Integration

Support from university to integrate with admin platform

Rollout

Measurement and Analytics of student info

Minimum cost to create MVP
15 days of promotion and marketing
Advanced analytics features for proactive recommendation

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VR-CBT has shown maximum effectiveness in telepsychiatry

Among individuals not attending therapy, 19% prefer using VR approach

90% of people using VR-CBT attended all session

63% of the Chinese population are smartphone users

VR-CBT

Creates interactive 3D environment

Patients can use own smartphone

Reduces therapists involvement

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Key Performance Indicators for POC
1. Case detection consistency with data	Margin of error 20%
2. Increased awareness about game addiction	Response rate 70% (Highly qualitative)
3. Improvement in psychometric test score	Comparison with outpatient record
4. Service utilization threshold	At least 50%
5. Gameplay time reduction	At least 20% since program inception

The program is evaluated against key indicators to measure success

Screening system data is compared with government surveyed information about mental health issue prevalence in population

Majority of the target segment is unaware about the issue; the system tries to get qualitative feedback

Comparison of our evaluation score with community health center record to check system consistency

Service utilization such as VR headset usage and focus group attendance is monitored to check system efficacy

If the system works as intended, there should be a considerable reduction in gaming time

1

2

4

5

3

Source: Health Service Delivery, WHO

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Upscale includes bi-annual Livestream Gaming competitions

Overlord streaming events streamed on gaming platforms

Individual gamers and gaming clans can join from anywhere

Hosts will include notorious gamers, relevant podcast hosts

Template: 'Rocket League' in collaboration with The U.S. Center for education and innovation, live streamed through Twitch

Our program promotes healthy gaming habits and facilitates conversation

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Our program promotes healthy gaming habits and facilitates conversation

Need of industry??

Revenue
Visibility
New trends

How we meet it??

Customer segment
Live stream
Social media

App-based communal ecosystem (Family) to bring in engaging family members

Long-term engagement of 2022 to bring in gamers to talk about issue live, will create popularity among all-gender population

Quarterly social media engagements (TikTok, WeChat etc.) to create buzz on campus

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July

August

September

October

December

March

June

3 days

45 days

30 days

Hackathon event hosted in Hangzhou

Software development and module delivery

Program implementation begins (term starts)

Focus group implementation

Evaluation after 3 months

Evaluation after 6 months

Evaluation after 9 months

Program Timeline: Evaluation after each 3-month duration

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SOFTWARE DEVELOPMENT

Hackathon prizes
VR software development (5 virtual environments)
Travel and Logistics expenditure
Integration cost with university system
IT administrator training and licensing costs

MARKETING AND PROMOTIONS

Marketing promotions for Hackathon
Social media live-streaming promotion
Message boards on-campus

OPERATIONAL EXPENSES

Focus group organization cost (Food and Beverages)
In-house psychiatrist training cost
Local mental health professional consulting partnership

PROCUREMENT AND ADMINISTRATIVE

VR headset acquisition cost
Mental health material resources acquisition cost
Office space lease for VR consultation

$ 140,000

$ 30,000

$ 20,000

$ 15,000

TOTAL ALLOCATED BUDGET

IMPLEMENTATION EXPENSE

$ 218K

$ 205K

Approximately 60% of the budgetary allocation for the POC is spent on software backend development

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2025

5-year long-term program involves continuous innovation to leverage technology

1

2

3

4

5

2021

2023

2022

2024

Proof of Concept

Validation

Expansion to 10 universities & Pilot livestream competition

App based communal approach to therapy (Family)

App based approach connect mental health student patients among universities

University level peer mentoring program

Meets the KPI’s
Gets validation from university authorities

Buddy system to facilitate mentorship

Bring on-board pro-gamers to talk about issues

Engage families through app-based health monitoring app

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Q&A

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1. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, N.J: Prentice-Hall.

2. Donker T, Cornelisz I, van Klaveren C, et al. Effectiveness of Self-guided App-Based Virtual Reality Cognitive Behavior Therapy for Acrophobia: A Randomized Clinical Trial. JAMA Psychiatry. 2019;76(7):682–690. doi:10.1001/jamapsychiatry.2019.0219

3. Emory University. (2015, June 24). Researchers study virtual reality exposure therapy to treat military sexual trauma-related PTSD. Retrieved from http://news.emory.edu/stories/2015/06/virtual_reality_therapy_military_sexual_trauma/

4. Lemmens, J., Valkenburg, P., & Peter, J. (2009). Development and Validation of a Game Addiction Scale for Adolescents. Media Psychology, 12(1), 77–95.

5. Schell, S. F., Luke, D. A., Schooley, M. W., Elliott, M. B., Herbers, S. H., Mueller, N. B., & Bunger, A. C. (2013, February 1). Public health program capacity for sustainability: a new framework. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599102/

6. Senson, A. (2016, January 6). Virtual Reality Therapy: Treating The Global Mental Health Crisis. Retrieved from https://techcrunch.com/2016/01/06/virtual-reality-therapy-treating-the-global-mental-health-crisis/

7. University of Southern California. (2020). Prototypes. Retrieved from https://ict.usc.edu/prototypes/vrcpat/

8. USAID. (2015, September 29). Population, Health and Environment M&E Training Tool Kit. Retrieved from https://www.measureevaluation.org/resources/tools/population-health-and-environment/population-health-and-environment-training-materials

9. Virtually Better Inc. (2020). Virtual Reality for a Healthier You. Retrieved from https://www.virtuallybetter.com/

10. Whalen, A. (2019, November 7). The Chinese government is limiting gamers to 90 minutes a day and imposing a video game curfew. Retrieved from https://www.newsweek.com/china-video-games-curfew-gaming-addiction-gamers-chinese-censorship-1470439

11. World Health Organization. (2018, September 14). Gaming disorder. Retrieved from https://www.who.int/features/qa/gaming-disorder/en/

Reference

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If the winner of "Hackathon" is a student at Zhejiang University then software company can be approached to create a unique code

Virtual Reality Devices Damaged — Already incorporated into budget

High rates of internet usage may occur before a video game competition — evaluations will occur every three months

Survey Bias — Previously used "Monitoring and Evaluating Training Tool Kit" will be incorporated

Keywords used during screening process — Designed using the World Health Organization's definition for video game addiction vs American Physiological Association

Risk and Limitations in our intervention

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Financial Budget for POC
Hackathon prizes	USD 15,000
VR environment development (5 environments)	USD 30,000
Travel and logistics	USD 25,000
Integration cost with university system	USD 40,000
IT administrator training and licensing cost	USD 30,000
Total software development cost	USD 1,40,000
Marketing for Hackathon	USD 5,000
Social media live-streaming promotion	USD 10,000
Message boards on campus	USD 5,000
Total marketing expense	USD 20,000
Focus group expenditure (Food and beverage)	USD 5,000
In-house psychiatrist training	USD 5,000
Consulting partnership with local psychiatrist	USD 5,000
Total operational expenditure	USD 15,000
VR headset acquisition cost	USD 10,000
Mental health material acquisition cost	USD 10,000
Office space leasing	USD 10,000
Total administrative expenses	USD 30,000
Total cost of implementation	USD 205,000

Financial breakdown

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�

7- and 21- item scale

Specially developed for adolescents

Validated and Reliable

Measures: Time Spent on Games, Life Satisfaction, Loneliness, Social Competence, & Aggression

5-point rating scale; 1 (never), 2 (rarely), 3 (sometimes), 4 (often), 5 (very often)

Limitation – translating from English to Chinese, has been translated to Japanese

Gaming Addiction Survey (Lemmens Et al. 2009)

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MoH-based licensing with many of the public universities

Funding Stability

Government mandate for compulsory implementation

Political Support

Existing data from the 5-year program will help in smoother transition

Organizational Capability

Mandate compulsory inclusion in the framework

Program Adaptation

Additional KPI’s

Program Evaluation

Government mandate to make the program sustainable beyond 5-year timeline

Funding stability

MoH-based Licensing for all/public institutions
Revenues go to a funding pool to provide HR for

Evaluations
Yearly System updates
Funding allocations for individual institutions (hardware upkeep, staff)

Political Support
Organizational Capacity

Built in – the program is self-contained
Staff from university health centers or provided by gov funding

Program adaptation

Yearly system updates (MoH elective regulations)
Contracted through IT company (government contract)

Program Evaluation

Built-in (flagging and program usage trends stored within system, analyzed by program to output graphics and relevant metrics

Communications

Academic and Social Media platforms

Livestreaming competitions each semester
Educational resources through universities

Public Health Impact

Prevention and Mitigation tracks