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Designed for children with kidney failure, November 9, 2021The "Kidney Kwest" game was developed to give something to children to play while they are on dialysis. It is meant to teach them about a medication they take, what kinds of foods to eat, and to let them explore some parts of the stomach.
It was made using a new engine that requires the player to use full sentences instead of standard IF commands. This is to help the patients have an easier time knowing which commands to type.
The game will tell you that if you do not enter a complete sentence, it will cause it to slow down and process the request before it responds. A few commands such as "go west" do bring up an immediate response, but as the game is now, you WILL experience numerous lags. Some of these lag times are ridiculously lengthy.
The description of Kidney Kwest says that it was designed for patients ages 8 to 18. That is a pretty vast range for a piece of media to cover. Children who are 9 or 10 are at a very different level of development than those in their late teens. I think that as it is written now, the game is best suited to a middle school audience. I believe it would be more effective to adapt the writing to create at least one other version for older students.
In the game, you must collect items for a costume and find food. Some reviewers have pointed out that you are only able to hold two items at a time, but actually, there is a way around this. However, it will take an extra command for each item to add it to your inventory. This is just one of the ways the game adds extra steps to your kwest. The reason why extra steps are a problem is because the player has a limited amount of time to find food before the game will end. Once you have played and know what you are doing, you can plan for this; however, on the first several explorations, I can imagine many of the younger kids being kicked out before they are able to make sense of what needs to be done.
There is no randomization; once you have figured out how to solve the game, it will be the same every playthrough. Kids might not look forward to coming to dialysis to play the same steps over and over. At the end of the game, it is suggested that you play again to get a different costume. The costume you will put together will be almost exactly the same, except it will either be gold, silver, or bronze, depending on what food you ate. I almost didn't notice the color difference; to me, it just seemed like I was getting the same items to make the same costume.
The area you explore consists of five rooms. There is a map onscreen to help players navigate, but it is somewhat small. There are some illustrations, but they look like very old pieces of clipart. The interface only uses half the screen, is very plain, and sometimes displays so much text that it doesn't fit in the small window, so you have to scroll back up to see where to start reading. The game is very unappealing visually.
You have to take your medication before or after you eat, otherwise you will go back to the start. There were times when the character was so hungry, I had to eat an unhealthy food just to survive. After several playthroughs, I knew where the healthy food was, and went there first. When you eat the chips or the hamburger, the game will tell you that Kelly has changed color because the food was salty. However, the graphic of Kelly disappears on your next move, and I would always completely forget that anything was wrong.
Whenever you take your medication, or eat something after taking the medication, you travel into your stomach to look for phosphate crystals to remove manually, because your kidney is not able to do it for you. This might be the least effective portion of the game. You are given a list of several parts of the stomach to explore, and the crystals hide in them. However, the majority of the time, the crystal is immediately visible upon entering the stomach, meaning that no exploration is needed, and the child has no chance to become familiar with the inner workings described. I got a little confused by some of the descriptions in this portion. The only visual given here is a picture of the crystal when you are near it. There wasn't much description for the parts of the stomach. An illustration of this area seems like it would be a helpful component for young learners, especially if it were designed like a map that you could track your movements through.
The game mascot is Kelly, the magical kidney. Does an illustrated character aimed at kids always have to be alliterative? When you first find Kelly, and every time you look in your itinerary, she is called "Kelly the magic phosphate binder container". However, if you look just at Kelly separately, you find out that Kelly is the character sitting on top of the container that the phosphate binders are in. So you actually have a phosphate binder container, which is just the container that medicine comes in, several pills called phosphate binders, and Kelly the magical kidney sitting on top. It took me more than one playthrough to understand this. It was confusing when I needed to take a pill what I actually had to ask for. When I typed "Look at Kelly the kidney," I was told that there was more than one kidney and that I had to be specific. If I typed "Look at a kidney," I was told that no kidneys were visible.
I feel that media aimed at children need to be as carefully considered and receive as much effort as those for adults.