Dental Case, a Brazilian Serious Game for Supporting Decision-making in the Dental Clinic: A Case Study



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Submitted Jul 4, 2023
Published Oct 11, 2023
10.24018/ejdent.2023.4.5.289

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Background: Games are intrinsic to society and are used to represent a wide variety of human activities. Contemporary society has been digitalized, and the habit of playing games has naturally migrated to the digital environment. The use of digital games in education, where they are known as serious games, has given rise to the introduction of new educational approaches for dental students and dentists, which complement traditional approaches. A brief conceptual outline of games can help broaden our understanding thereof in social and educational contexts.

Objective: To report the designing and development of a serious game for decision-making in clinical case management in the field of dentistry, for use as a complementary teaching tool.

Method: The method used was a case study to describe the development of the content and narrative of a Brazilian serious game for decision-making in the dental clinic, called Dental Case. A player in Dental Case takes on the role of a dentist during a consultation, with the mission of completing the steps of anamnesis, clinical examination, complementary examination, diagnosis, and treatment. The clinical cases presented in the game were designed to resemble real-life decision-making situations in the dental clinic of a primary healthcare setting. The content developed was reviewed and validated by specialists, from both a technical and pedagogical point of view, and then included in the game software by an information technology (IT) team.

Results: Dental Case was developed from a set of clinical cases. The game targets dental professionals and students, and its goal is to lend support to the teaching of decision-making in the different stages of clinical care. The game is freely available on the web, and on the Play Store and Apple Store mobile application platforms.

Conclusions: The resources made available by Dental Case constitute a new complementary pedagogical approach, and a tool for the application of educational technologies in dentistry, which can contribute to expanding the scale and reach of educational activities. Future research is warranted to investigate the effectiveness of Dental Case in promoting learning and should include an evaluation of its performance by its users.

Keywords: clinical decision-making dentistry educational technology permanent education serious game video game

References

  1. Murray J. Hamlet on the Holodeck: The Future of Narrative in Cyberspace. São Paulo: Unesp; 2001.
     Google Scholar
  2. McGonigal J. Reality is broken: why games make us better and how they can change the world [Internet]. New York: Penguin Press; 2011. Available at: https://educacaofisicaaefcps.files.wordpress.com/2018/07/reality_is_broken.pdfISBN:1-101-46715-0.
     Google Scholar
  3. McLuhan M. Understanding Media: The Extensions of Man. São Paulo: Editora Cultrix; 1964.
     Google Scholar
  4. Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg. 2012;99(10):1322–1330. doi: 10.1002/bjs.8819.
     Google Scholar
  5. Faria L, Oliveira-Lima JA de, Almeida-Filho N. Evidence-based medicine: a brief historical analysis of conceptual landmarks and practical goals for care. Hist Cienc Saude Manguinhos. 2021;28(1):59–78.
     Google Scholar
  6. Sonis ST, Fazio RC, Fang L. History, Physical and Laboratory. Principles and Practice of Oral Medicine. São Paulo: Guanabara Koogan S.A.; 1995. p. 491.
     Google Scholar
  7. Blanié A, Amorim M-A, Meffert A, Perrot C, Dondelli L, Benhamou D. Assessing validity evidence for a serious game dedicated to patient clinical deterioration and communication. Adv Simul. 2020;5(1):4. doi: 10.1186/s41077-020-00123-3.
     Google Scholar
  8. Middeke A, Anders S, Schuelper M, Raupach T, Schuelper N. Training of clinical reasoning with a Serious Game versus small-group problem-based learning: A prospective study. Ito E, organizador. PLoS One 2018;13(9):e0203851. doi: 10.1371/journal.pone.0203851.
     Google Scholar
  9. Gamborg ML, Mehlsen M, Paltved C, Tramm G, Musaeus P. Conceptualizations of clinical decision-making: a scoping review in geriatric emergency medicine. BMC Emerg Med. 2020;14;20(1):73. doi: 10.1186/s12873-020-00367-2.
     Google Scholar
  10. Gruppetta M, Mallia M. Clinical reasoning: exploring its characteristics and enhancing its learning. Br J Hosp Med. 2020 out 2;81(10):1–9.
     Google Scholar
  11. Thammasitboon S, Cutrer WB. Diagnostic decision-making and strategies to improve diagnosis. Curr Probl Pediatr Adolesc Health Care. 2013. p. 232–241.
     Google Scholar
  12. Graafland M, Vollebergh MF, Lagarde SM, Van Haperen M, Bemelman WA, Schijven MP. A serious game can be a valid method to train clinical decision-making in surgery. World J Surg. 2014;38(12):3056–3062. doi: 10.1007/s00268-014-2743-4.
     Google Scholar
  13. Kaczmarczyk J, Davidson R, Bryden D, Haselden S, Vivekananda-Schmidt P. Learning decision making through serious games. Clin Teach. 2016;13(4):277–282. doi: 10.1111/tct.12426.
     Google Scholar
  14. British Johnsen HM, Fossum M, Vivekananda-Schmidt P, Fruhling A, Slettebø Å. Teaching clinical reasoning and decision-making skills to nursing students: Design, development, and usability evaluation of a serious game. Int J Med Inform. 2016; 94:39–48. doi: 10.1016/j.ijmedinf.2016.06.014.
     Google Scholar
  15. Mohan D, Farris C, Fischhoff B, Rosengart MR, Angus DC, Yealy DM, et al. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. BMJ. 2017; j5416. doi: 10.1136/bmj.j5416.
     Google Scholar
  16. Pereira AC, Walmsley AD. Games in dental education: playing to learn or learning to play? Br Dent J. 2019;227(6):459–460.
     Google Scholar
  17. Oliveira AEF de, França RM, Haddad AE, Brasil LSB, Pinho JRO. Open applications developed in Brazil for distant learning in dentistry: valuable educational resources for academic and professional qualification. J da Soc Int Telemedicina e eHealth. 2016;4(10):1–6. https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/142/html.
     Google Scholar
  18. Sipiyaruk K, Gallagher JE, Hatzipanagos S, Reynolds PA. A rapid review of serious games: From healthcare education to dental education. Eur J Dent Educ. 2018;22(4):243–257. doi: 10.1111/eje.12338.
     Google Scholar
  19. Zaror C, Mariño R, Atala-Acevedo C. Current State of Serious Games in Dentistry: A Scoping Review. Games Health J. 2021;10(2):95–108.
     Google Scholar
  20. Mehrotra P. Edutainment in dental curriculum – A systematic review. J Oral Biol Craniofacial Res. 2020;10(4):417–421. doi: 10.1016/j.jobcr.2020.07.016.
     Google Scholar
  21. Ju-Hui Wu, Je-Kang Du & Chen-Yi Lee. Development and questionnaire-based evaluation of virtual dental clinic: a serious game for training dental students. Medical Education Online. 2021; 26:1. https://doi.org/10.1080/10872981.2021.1983927.
     Google Scholar
  22. Sipiyaruk, K., Gallagher, J.E., Hatzipanagos, S. et al. Acquiring critical thinking and decision-making skills: an evaluation of a serious game used by undergraduate dental students in dental public health. Tech Know Learn. 2017; 22:209–218. https://doi.org/10.1007/s10758-016-9296-6
     Google Scholar
  23. Morita MC, Uriarte Neto M, Fontanella VRC, Haddad AE. The unplanned and unequal expansion of Dentistry courses in Brazil from 1856 to 2020. Braz Oral Res. 2021;35:1–10.
     Google Scholar
  24. GameCase. GameCase admin [Internet]. 2020. Available at: https://gamecase.adm.br/
     Google Scholar
  25. Lemos AF, Nascimento EN, Passos MFD, Oliveira AEF de, Veiga C de C, Salgado Filho N. Experiências exitosas da rede UNASUS 10 anos [Successful experiences of the UNASUS network 10 years]. São Luís: EDUFMA; 2020. Portuguese.
     Google Scholar
  26. Novak J. Game development. Cengage Learn. São Paulo; 2010.
     Google Scholar
  27. Facebook.com. React – A JavaScript library for creating user interfaces [Internet]. React. 2021. Available at: https://pt-br.reactjs.org/.
     Google Scholar
  28. Klaassen H, Ashida S, Comnick CL, Xie XJ, Smith BM, Tabrizi M, et al. COVID‐19 pandemic and its impact on dental students: A multi‐institutional survey. J Dent Educ. 2021;85(7):1280–1286.
     Google Scholar
  29. Farrokhi F, Mohebbi SZ, Farrokhi F, Khami MR. Impact of COVID-19 on dental education - a scoping review. BMC Med Educ. 2021;21(1):1–12.
     Google Scholar
  30. Chang TY, Hong G, Paganelli C, Phantumvanit P, Chang WJ, Shieh YS, et al. Innovation of dental education during COVID-19 pandemic. J Dent Sci. 2021;16(1):15-20. doi: 10.1016/j.jds.2020.07.011.
     Google Scholar
  31. Mohan D, Angus DC, Ricketts D, Farris C, Fischhoff B, Rosengart MR, et al. Assessing the validity of using serious game technology to analyze physician decision making. PLoS. 2014;9(8).
     Google Scholar
  32. Diehl LA, Souza RM, Gordan PA, Esteves RZ, Coelho ICM. InsuOnline, an electronic game for medical education on insulin therapy: A randomized controlled trial with primary care physicians. J Med Internet Res. 2017;19(3).
     Google Scholar
  33. Zhonggen Y. A Meta-Analysis of Use of Serious Games in Education over a Decade. Int J Comput Games Technol. Hindawi Limited; 2019. doi: 10.1155/2019/4797032.
     Google Scholar
  34. de Freitas S, Oliver M. How can exploratory learning with games and simulations within the curriculum be most effectively evaluated? Comput Educ. 2006; 46:249–264.
     Google Scholar
  35. Zyda M. From visual simulation to virtual reality to games. IEEE Comput Soc. 2005;38(9):25–32. doi: 10.1109/MC.2005.297.
     Google Scholar
  36. Sobral D, Machado I, Paiva A. Machiavellian characters and the edutainment Paradox. Lect Notes Artif Intell. Subseries Lect Notes Comput Sci. 2003. p. 333–340. doi: 10.1007/978-3-540-39396-2_55.
     Google Scholar
  37. Danilicheva P, Klimenko S, Baturin Y, Serebrov A. Education in virtual worlds: virtual storytelling. 2009 Int Conf CyberWorlds. IEEE. 2009. p. 333–338. doi: 10.1109/CW.2009.57.
     Google Scholar
  38. Diehl LA, Souza RM, Alves JB, Gordan PA, Esteves RZ, Jorge MLSG, et al. InsuOnline, a serious game to teach insulin therapy to primary care physicians: design of the game and a randomized controlled trial for educational validation. JMIR Res Protoc. 2013;2(1): e5. doi: 10.2196/resprot.2431.
     Google Scholar
  39. Barnabè F, Giorgino MC, Guercini J, Bianciardi C, Mezzatesta V. Engaging professionals with serious games: the Lean Healthcare Lab at Siena University Hospital. Dev Learn Organ Emerald Group Publishing Ltd.; 2017;31(3):7–10. doi: 10.1108/DLO-06-2016-0051.
     Google Scholar
  40. Hummel HGK, Nadolski RJ, Eshuis J, Slootmaker A, Storm J. Serious game in introductory psychology for professional awareness: Optimal learner control and authenticity. Br J Educ Technol. 2020. doi: 10.1111/bjet.12960.
     Google Scholar
  41. Ministry of Health, UNA-SUS, Secretariat of Labor Management and Health Education, FIOCRUZ. The net UNA-SUS | UNA-SUS [Internet]. [cited in Oct 9th, 2017]. Available at: https://www.unasus.gov.br/page/una-sus/rede-una-sus.
     Google Scholar
  42. GSMA. GSMA | About the GSMA - Represents the interests of mobile operators worldwide [Internet]. GSM Assoc. 2023 [cited 2023 Jun 5]; Available at: https://www.gsma.com/newsroom/blog/gsma-mwc-barcelona-trend-watch-what-comes-after-one-billion-5g-connections-the-2nd-wave-of-5g/.
     Google Scholar
  43. ComScore. State of Gaming – 2023 [Internet]. ComScore. 2023. [cited 2023 Jun 5]; Available at: https://www.comscore.com/por/Insights/Apresentacoes-e-documentos/2023/Tendencias-Digitais-e-Lancamentos-2023.
     Google Scholar
  44. Sioux Group. Research Brazil Game 2022 [Internet]. PGB 2022. [cited 2023 Jun 5]; Available at: https://www.pesquisagamebrasil.com.br/pt/ebooks/.
     Google Scholar
  45. Seo Y, Dolan R, Buchanan-Oliver M. Playing games: advancing research on online and mobile gaming consumption. Internet Res. Emerald Group Publishing Ltd.; 2019. p. 289–292. doi: 10.1108/INTR-04-2019-542.
     Google Scholar
  46. Therrien C. Game studies – inspecting video game historiography through critical lens: etymology of the first-person shooter genre. Games Stud - Int J Comput game Re. 2015;15(2). Available at: http://gamestudies.org/1502/articles/therrien.
     Google Scholar