An investigation of the gamification of rehabilitation for visually induced dizziness

Goodwin, Nathan 2024. An investigation of the gamification of rehabilitation for visually induced dizziness. PhD Thesis, Cardiff University. Item availability restricted.

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Abstract

Visually induced dizziness is vertigo or dizziness that is triggered by a complex, large field, or moving visual stimulus (Bisdorff et al., 2015; Staab, 2023). Current forms of rehabilitation can be effective but have issues with adherence (Pavlou et al., 2013), have barriers to accessibility (Mandour et al., 2021; Xie et al., 2021), do not work on all people with visually induced dizziness (Pavlou et al., 2004), or a combination of all three. This thesis develops and tests the gamification of visual desensitisation rehabilitation in order to solve these identified issues of rehabilitative promise, accessibility, and motivation. The development of the tool, named Balance-Land, is achieved through user-centred design (Abras et al., 2004), iteratively changing Balance-Land based upon feedback from people with visually induced dizziness and clinicians (Chapters 2, 3, and 6). The first large-scale feasibility study of Balance-Land (Chapter 4) recruited participants globally and aimed to explore ecologically valid adherence, usability, and the relationship between symptom improvement and time spent using Balance-Land. Exploring the play-pattern data from the feasibility study, Chapter 5 uses linear mixed models to examine the factors associated with the daily symptoms and daily play duration of participants. Qualitative data from participants involved in the feasibility study were assessed, improvements to Balance-Land prioritised, and a final round of feedback from audio vestibular clinicians assessing their impact, were made in Chapter 6. The end result was Balance-Land: a new tool for visual desensitisation rehabilitation for people with visually induced dizziness, that can be downloaded and played for 100 megabytes anywhere in the world.

Item Type:	Thesis (PhD)
Date Type:	Completion
Status:	Unpublished
Schools:	Schools > Psychology
Date of First Compliant Deposit:	7 April 2025
Last Modified:	07 Apr 2025 13:42
URI:	https://orca.cardiff.ac.uk/id/eprint/177451

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