Engineering a Clinically Traceable Serious Game for Autism Spectrum Disorder

  • Bruna M. Barbosa UFG
  • Carlos Henrique R. Souza UFG
  • Halleffy H. Reis Santos UFG
  • Pedro M. R. G. Silva UFG
  • Daniela F. do Nascimento UFG
  • Luciana O. Berretta UFG
  • Sérgio T. Carvalho UFG

Resumo


Introduction: Serious Games for Health (SGH) increasingly support clinical and therapeutic interventions, yet developers still rely heavily on ad hoc practices that limit software quality, clinical traceability, and long-term maintainability. Objective: This study presents the construction of a serious game for Autism Spectrum Disorder (ASD) through a Requirements Engineering framework that systematically translates clinical requirements into auditable game mechanics. Method: We grounded the proposed framework around the triad of People, Processes, and Products. The framework organizes development through four iterative stages: elicitation, analysis, specification, and validation. To demonstrate its application, we developed a high-fidelity vertical slice in Unity 1 focused on social-pragmatic training for adults with ASD. Results: The prototype implemented clinically grounded features, including a non-punitive correction loop, sensory-safe interaction design, and structured telemetry export for clinical monitoring. Internal and external evaluators confirmed that the resulting artifact preserved clinical intent, met sensory accessibility constraints, and provided sufficient technical autonomy for reproducible development. Conclusion: The results show that structured requirements artifacts can guide the construction of clinically coherent and technically auditable SGH, supporting more reliable and scalable digital health interventions.
Palavras-chave: Serious Games, Requirements Engineering, Traceability, Software Governance, Autism Spectrum Disorder (ASD)

Referências

Ambros-Antemate, J. F., Beristain-Colorado, M. D. P., Vargas-Treviño, M., GutiérrezGutiérrez, J., Hernández-Cruz, P. A., Gallegos-Velasco, I. B., e Moreno-Rodríguez, A. (2021). Software engineering frameworks used for serious games development in physical rehabilitation: Systematic review. JMIR Serious Games, 9(4):e25831.

Andrew, L., Barwood, D., Boston, J., Masek, M., Bloomfield, L., e Devine, A. (2023). Serious games for health promotion in adolescents – a systematic scoping review. Education and Information Technologies, 28(5):5519–5550.

Barbosa, B., Carvalho, S., e Berretta, L. (2025). Diretrizes baseadas em requisitos para o design de jogos sérios para pessoas com tea. In Anais do I Workshop sobre Engenharia de Software para Desenvolvimento de Jogos, pages 9–16, Porto Alegre, RS, Brasil. SBC.

Barbosa, B., Ribeiro, M. W., Berretta, L., e Carvalho, S. (2024). Diagnostea: a digital game as a tool for the diagnosis/therapy of autism spectrum disorder. In Anais do XXIII Simpósio Brasileiro de Jogos e Entretenimento Digital, pages 1707–1718, Porto Alegre, RS, Brasil. SBC.

Barbosa, B., Souza, C., Santos, H., Berretta, L., e Carvalho, S. (2026). From clinical requirements to game mechanics: A requirements engineering framework for serious games for health. In Anais do XXVI Simpósio Brasileiro de Computação Aplicada à Saúde, pages 705–716, Porto Alegre, RS, Brasil. SBC.

Barbosa, B. M. e Ribeiro, M. W. (2022). Jogos digitais no diagnóstico/terapia do transtorno do espectro autista: Uma revisão de literatura. page 1297.

Carlier, S., Naessens, V., De Backere, F., e De Turck, F. (2023). A Software Engineering Framework for Reusable Design of Personalized Serious Games for Health: Development Study. JMIR Serious Games, 11:e40054.

Caserman, P., Hoffmann, K., Müller, P., Schaub, M., Straßburg, K., Wiemeyer, J., Bruder, R., e Göbel, S. (2020). Quality Criteria for Serious Games: Serious Part, Game Part, and Balance. JMIR Serious Games, 8(3):e19037.

Fang, D., Silva, E., e Reis, L. P. (2025). Designing Serious Games to Support Teachers’ Emotion Regulation: A Systematic Review. In 2025 IEEE Conference on Serious Games and Applications for Health (SeGAH), pages 1–6, Manchester, United Kingdom. IEEE.

Maxim, R. I. e Arnedo-Moreno, J. (2025). Identifying Key Principles and Commonalities in Digital Serious Game Design Frameworks: Scoping Review. JMIR Serious Games, 13:e54075.

Robertson, M. C., Baranowski, T., Thompson, D., Basen-Engquist, K. M., Swartz, M. C., e Lyons, E. J. (2021). Using the Behaviour Change Wheel Program Planning Model to Design Games for Health: Development Study. JMIR Serious Games, 9(4):e29964.

Souza, E. G. D., Classe, T. M. D., e Castro, R. M. D. (2023). CaSEJ: Game Design Canvas para Brainstorming de Jogos para Saúde. In Anais Estendidos do XXII Simpósio Brasileiro de Jogos e Entretenimento Digital (SBGames Estendido 2023), pages 1223–1234, Brasil. Sociedade Brasileira de Computação.

Tao, G., Garrett, B., Taverner, T., Cordingley, E., e Sun, C. (2021). Immersive virtual reality health games: a narrative review of game design. Journal of NeuroEngineering and Rehabilitation, 18(1):31.

Ushaw, G., Eyre, J., e Morgan, G. (2017). A paradigm for the development of serious games for health as benefit delivery systems. In 2017 IEEE 5th International Conference on Serious Games and Applications for Health (SeGAH), pages 1–8.

Vasconcellos, M. e Carvalho, F. (2023). “gdd-sério”: uma proposta de game design document (gdd) para desenvolvimento de jogos sérios. In Anais Estendidos do XXII Simpósio Brasileiro de Jogos e Entretenimento Digital, pages 169–178, Porto Alegre, RS, Brasil. SBC.

Washizaki, H. (2024). Guide to the Software Engineering Body of Knowledge (SWEBOK Guide). IEEE Computer Society.
Publicado
29/09/2026
BARBOSA, Bruna M.; SOUZA, Carlos Henrique R.; SANTOS, Halleffy H. Reis; SILVA, Pedro M. R. G.; NASCIMENTO, Daniela F. do; BERRETTA, Luciana O.; CARVALHO, Sérgio T.. Engineering a Clinically Traceable Serious Game for Autism Spectrum Disorder. In: SIMPÓSIO BRASILEIRO DE JOGOS E ENTRETENIMENTO DIGITAL (SBGAMES), 25. , 2026, Goiânia/GO. Anais [...]. Porto Alegre: Sociedade Brasileira de Computação, 2026 . p. 2990-2999. DOI: https://doi.org/10.5753/sbgames.2026.26301.