A dynamic difficulty adjustment model for dysphonia therapy games

Abstract

Studies on childhood dysphonia have revealed considerable rates for voice disorders in 4 – 12 year-old children. The sustained vowel exercise is widely used as a technique in the vocal (re)education process. However this exercise can become tedious after a short practice. Here, we propose a novel dynamic difficulty adjustment model to be used in a serious game with the sustained vowel exercise to motivate children on practicing this exercise often. The model automatically adapts the difficulty of the challenges in response to the child’s performance. The model is not exclusive to this game and can be used in other games for dysphonia treatment. In order to measure the child’s performance, the model uses parameters that are relevant to the therapy treatment. The proposed model is based on the flow model in order to balance the difficulty of the challenges with the child’s skills.