General description
Name*
Name Serious Game*
Please specify the name of the serious game
Operating system*
On what operating system(s) does the game run?
Version*
Which version of the game is this? Also, how would you type this this game (alfa, beta, release version)?
Web-link*
What is the web-link for the game?
Category: Commercial project, non-commercial project, other*
How would you categorize this game?
Access*
Please specify access to the game? Why did you choose this type of access?
Developer, Owner/Distributor
Information about the manufacturer*
Please fill out Name, address, webpage, contact person(s), email address, phone and fax number of the manufacturer
Information about the owner/distributor*
Please fill out Name, address, webpage, contact person(s), email address, phone and fax number of the owner/distributor of the game
Information about the funding acquired for the development of the serious game*
Please fill out funding sources, name of companies and organisations
Sponsoring/ Advertising
Advertisements*
Is the game free of commercial pop-ups and/or advertisements? If not what is advertised? What is the rationale for using advertisements?
Sources of owner/distributor's revenue (1)*
Is the game free for users? Is it a pay-per download ? Please specify
Sources of owner/distributor's income (2)*
Are there sources of income within the game?
Sources of owner/distributor's income (2)*
What are the sources of income of the owner/distributor?
Conficts of interest
Affiliations of owner/distributor (1)*
What affiliations do the publishers have that could influence content or user group?
Affiliations of owner/distributor (2)*
What interests do the publishers have that could influence content or user group?
Disclosure*
Are conflicts of interest disclosed ?
Disclosure*
If yes, do people have to accept the disclosure before they can play the game ?

Purpose
Goal or purpose*
What is (are) the purpose(s) of the game? Please describe the goal outside the game in one sentence
Is (are) the purpose(s) disclosed to user?*
Medical device*
Is the serious game a medical device, or not? If yes, which class?
If yes, does it comply to the necessary requirements (FDA-approval, CE-mark?). Please e-mail necessary information.*
User group*
Please state the intended user group. And specify for each user group the applicable disease/condition of health profession
User group*
Please specify within the user group the demographic variables important to the game, like gender, age range, or other relevant descriptive items?
Setting*
How are these objectives translated into gameplay and functionalty of the game?

Didatic features
Learning*
What will the player learn? Describe the learning or behavioral objectives of the game
Instruction*
Are there any in-game instructions, tutorials? If so, please specify.
Assessment (progress) in game*
What parameters are used to measure/follow progress or learning effects?
Assessment (progress) in game*
What kind of feedback is provided to players?
Restrictions and limits
Restrictions and limits of the serious game*
Every serious game has restrictions and limits. In your opinion what content on the subject is NOT covered by the game
Potential undesirable effects*
Please state potential undesirable effects. This does not include "gaming the game" (cheating), but effects of negative transfer of learning.
Disclosure*
Is this dislosed to the user? Please state measures taken to prevent undesirable effects

Validity
Design process*
Were medical/content/ educational experts involved in the design process from the start? Please specify how? Also add documentation showing this involvement (when available).
Design process*
Were representatives of the user group involved in the design process from the start? Please specify how? Also add documentation showing this involvement (when available).
Content validity*
Were relevant experts involved in the validation of the content of the game validated? Please add documentation/reports/articles (when available).
Concurrent validity*
How does learning outcome compare to other methods assessing the same construct. Please add documentation/reports/articles (when available).
Predictive validity*
Is this game able to predict improvements of skills? Was this game validated in a RCT? Has the the study been published in a peer-reviewed journal? Please add documentation/ reports/ articles. (when available)
Upload Validations File
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Upload any files supporting the validation. Maximum file size is 12MB.
User testing
User testing*
Did user testing take place? What were the results, and how were these incorporated in the design? Please add documentation (A user test requires at least 15 users)
Stability*
Does the game produce the same results on different platforms?
Upload Testing File
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Upload any files supporting user testing. Maximum file size is 12MB.
Data protection and privacy
Data processing*
Please elaborate on (if appropriate) information about data collection mechanisms integrated into the serious game
Data processing*
To which countries is the game distributed?
Patient/ player privacy*
Are patient-specific data stored by the game?
Patient/ player privacy*
If yes, are patient informed consent criteria met according to laws in countries stated above? How is informed consent acquired?
Data storage and protection*
Who owns and stores the data resulting from play?
Data access*
Who can access the stored data?
Data storage period*
During what period, or for how long is the data stored?
Data storage and protection*
Can user delete data temporarily and/or permanently?
Data storage and protection*
Is data stored and managed in compliance with the privacy laws of the relevant countries, such as the GDPR/AVG? Please specify which
Disclosure or disclaimer*
Are the abovementioned items on data privacy disclosed to the user?

Other documents
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Upload any supportive documents to your submission. Maximum file size is 12MB
Truth statement
Signed truth statement*
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Upload the signed truth statement here. Maximum file size is 12MB
You can find the truth statement document here.

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Submission Form: Quality Label Serious Games

Stap 1 van 5 - Game Description

General description

Developer, Owner/Distributor

Sponsoring/ Advertising

Conficts of interest

Purpose

Didatic features

Restrictions and limits

Validity

User testing

Data protection and privacy

Truth statement