SpiroPlay (Steering into the flow) - Gamified spirometry for telemonitoring of children with asthma.

Asthma is the most common chronic disease for Dutch children (280k). These children are at risk of a low quality of life. Modern technology allows real-time monitoring of lung function at home, enabling caregivers and healthcare providers to timely anticipate to worsening of asthma control.

Previous research however revealed that the compliance and reliability of home-measured lung function measurements are suboptimal. This project aims to improve this with the aid of instructive gamified feedback through:

  1. behavioural steering using various responsive blowing metaphors,
  2. different forms of feedback based on rule-based artificial intelligence.


Telemonitoring, asthma, steering behaviour, gamification


In this project, a list of over 100 metaphors has been thought up together with children, of which 10 have been elaborated with the help of long function experts, so they stimulate the wanted behaviour (full breath in, hard breath out, full breath out). Three metaphors have been implemented within this one-year project within a suite of games. Next they have been evaluated within a clinical setting. To provide helpful feedback, software has been developed to detect common errors in the execution of a spirometry test.

The main contribution of lectorate Ambient Intelligence was in setting up and executing the co-creation sessions for the metaphor generation with children and experts together with the Human Media Interaction research group of University of Twente.

A follow-up subsidy request is being developed to improve on the various aspects within this project.


  • Universiteit Twente (lead)
  • Saxion
  • MST
  • Deventer Ziekenhuis
  • Game Lab Oost


2019 – 2020

More information

Danny Plass

Dr. Danny Plass - Oude Bos

Associate professor

06 -1507 2877 linkedin website


This project is funded by the Pioneers in Health Care innovatiefonds (PIHC)