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Moreover, active video games incorporate many characteristics of the learning and relearning processes including the ratio of massed versus distributed practice, personalized difficulty levels, and just-right increment steps during learning, fun, and engagement [ 11].
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A personalized training program with the appropriate difficulty level according to the patients' abilities can be established.
Throughout the adaptive sessions, participants were offered an adaptive personalized training in terms of the adjustment of difficulty levels.
We have strived for developing adaptive personalized training games by introducing the automatic adjustment of difficulty levels in the penguin painting game (individual training) and the social maze game (collaborative training).
The heterogeneity of SCCHN malignancies contributes to the difficulty in treating patients with generic cancer protocols; personalized treatments based on tumor signatures may serve as an efficacious complement to current standards of care.
The video games automatically adjust their difficulty based on the user's performance, creating a personalized digital therapy, which is a key part of his lab's effort to shift "away from just focusing on large populations and focusing more on the individual, the n of 1," Gazzaley says.
Overall, we can conclude that providing adaptive difficulty in the training exercises has delivered an adaptive personalized training to each MS patient according to his/her own individual training progress.
However, the existing route finding algorithms suffer from a number of major difficulties, mainly owing to insufficient criteria modeling for a personalized system.
Figure 15 shows the personalized training trajectory for each patient as a result of integrating the adaptive difficulty level adjustment in the penguin painting game.
As an optimization strategy to achieve such personalized training, we propose providing the ability to automatically and dynamically adjust the difficulty of the exercise to avoid boredom, provide suitable challenge, and minimize the therapist's involvement as well.
We expect that supporting adaptivity in the adjustment of difficulty levels of the training exercises will not only deliver a personalized training to each MS patient but also provide suitable challenge, enable less boredom, and minimize the therapist's involvement.
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