%0 Journal Article %@ 2291-9279 %I JMIR Publications %V 6 %N 4 %P e18 %T Developing Digital Games to Address Airway Clearance Therapy in Children With Cystic Fibrosis: Participatory Design Process %A Balli,Fabio %+ Concordia University, 1455 de Maisonneuve West, Montreal, QC, H3G 1M8, Canada, 1 514 848 2424, info@fabioballi.net %K digital games %K children %K cystic fibrosis %K game design %K treatment adherence and compliance %K intersectoral collaboration %K access to information %K recommendations %K telemedicine %K mobile phone %D 2018 %7 21.11.2018 %9 Original Paper %J JMIR Serious Games %G English %X Background: Children affected with cystic fibrosis do respiratory exercises to release the mucus stuck in their lungs. Objective: The objective of our study was to develop prototypes of digital games that use breath pressure to make this daily physiotherapy more fun. Methods: We used a participatory design approach and organized short events to invite contributors from different disciplines to develop game prototypes. From the 6 prototypes, 3 were tested by 10 children during a prestudy. The source code of the games, of which 2 continue to be developed, has been released on the internet under fair use licenses. Results: We discuss 7 themes of importance in designing games for health, combining our experience with a review a posteriori of literature. Conclusions: This study provides examples of games and their pitfalls as well as recommendations to create games for health in a participatory approach that enables everyone to improve and adapt the work done. %M 30463835 %R 10.2196/games.8964 %U http://games.jmir.org/2018/4/e18/ %U https://doi.org/10.2196/games.8964 %U http://www.ncbi.nlm.nih.gov/pubmed/30463835