Prototypes of Digital Simulators and Board Games for Cervical Cancer Prevention: Insights from Cytology Professionals
DOI:
https://doi.org/10.5753/jis.2025.5633Keywords:
cervical cancer, digital simulator, board game, health professional educationAbstract
Introduction: This study explores the importance of robust pathology education for health science students, emphasizing the challenges of curriculum standardization, inconsistencies, and limited access to practical experiences. In Brazil’s public health landscape, cervical cancer remains a significant challenge, underscoring the need for preventive measures such as Human Papillomavirus (HPV) detection testing. Objective: To address gaps in the educational field, tools like digital simulators and board games offer promising potential for fostering practical and dynamic learning experiences. Methods: A simulator was developed on the Unity platform, integrating features of a physical board game to enhance interactivity. In the first phase of this study, perceptions of gynaecological cytology professionals were evaluated regarding the use of a digital simulator as a complementary tool for skill development. Subsequently, a small group of students tested the simulator and assessed it using the categories of the Pleasure Framework to capture affective responses. Results: Among 74 professionals surveyed, 50% strongly agreed that using a digital simulator would improve their training in gynaecological cytology, and 36% believed it would positively contribute to clinical practice. Nursing students reported positive emotional engagement during the test sessions, particularly in the categories of simulation, exploration, and camaraderie. Conclusion: Assessing this educational technology is crucial for determining its effectiveness in improving the teaching and learning process and its potential integration into academic health training.
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Assunção, L. D., Discacciati, M. G., da Silva, A. G., Yoshida, A., Vale, D. B., and Teixeira, J. C. (2025). Clinical performance of a liquid preservation medium for cervicovaginal samples in dna-hpv testing and liquid-based cytology for cervical cancer screening. Cytopathology. DOI: https://doi.org/10.1111/cyt.13495.
Bradley, M. M. and Lang, P. J. (1994). Measuring emotion: the self-assessment manikin and the semantic differential. Journal of behavior therapy and experimental psychiatry, 25(1):49–59. DOI: https://doi.org/10.1016/0005-7916(94)90063-9.
Brandão, A. L., de Aguiar, A., de Araujo, A. F., Domingos, G. B., and Soares, R. C. (2016). Parajecripe: Um jogo sobre esportes adaptados. In Proceedings of the XIV Brazilian Symposium on Games and Digital Entertainment, SBGAMES ’16. URL: [link] (Accessed on September 18, 2025).
Brandão, A. L. and Baranauskas, M. C. C. (2025). A conceptual framework for socienactive scenarios of play: a pilot study. In Conference Proceedings of DiGRA 2025: Games at the Crossroads, Tampere. DiGRA. DOI: https://doi.org/10.26503/dl.v2025i2.2472.
Cardoso, F. S., Dumpel, R., da Silva, L. B. G., Rodrigues, C. R., Santos, D. O., Cabral, L. M., and Castro, H. C. (2008). Just working with the cellular machine: a high school game for teaching molecular biology. Biochemistry and Molecular Biology Education, 36(2):120–124. DOI: https://doi.org/10.1002/bmb.20164.
CONITEC, C. N. d. I. d. T. n. S. U. d. S. (2024). Portaria sectics-ms nº 3: Decision to incorporate molecular tests for the detection of oncogenic hpv within the scope of the ‘unified health system’ – ‘sus’ - brazil. Online: [link]. (Accessed on September 18, 2025).
Costello, B. and Edmonds, E. (2007). A study in play, pleasure and interaction design. In Proceedings of the 2007 conference on Designing pleasurable products and interfaces, pages 76–91. DOI: https://doi.org/10.1145/1314161.1314168.
de Castro, L. T. and Couto, T. B. (2018). Prática deliberada em ciclos rápidos: uma estratégia moderna de simulação. Scientia Medica, 28(1):ID28849–ID28849. DOI: https://doi.org/10.15448/1980-6108.2018.1.28849.
de Oliveira, H. C., Hounsell, M. d. S., and Gasparini, I. (2016). Pop: An instrument to decide on the adoption of participatory design. In Human-Computer Interaction. Theory, Design, Development and Practice: 18th International Conference, HCI International 2016, Toronto, ON, Canada, July 17-22, 2016. Proceedings, Part I 18, pages 141–152. Springer. DOI: https://doi.org/10.1007/978-3-319-39510-4_14.
Domingos, G. B., Brandão, A. L., Szykman, A. G., and Gois, J. P. (2017). Production and post-production phases of the game scrum for the development of an adapted sports digital game. In Proceedings of the XV Brazilian Symposium on Games and Digital Entertainment, SBGAMES ’17. URL: [link] (Accessed on September 18, 2025).
Germano da Silva, A., Cardoso, E., Muller, L., Pereira, G., Duarte, M., Lellis-Santos, C., Brandão, A., and Malinverni, A. (2024a). Uma abordagem híbrida físico-digital para fortalecer a conscientização e prevenção do câncer de colo do útero. In Anais do XXIII Simpósio Brasileiro de Jogos e Entretenimento Digital, pages 1585–1595, Porto Alegre, RS, Brasil. SBC. DOI: https://doi.org/10.5753/sbgames.2024.240163.
Germano da Silva, A., Santino da, S. F., Fávero, A. G., Souza, R. X., Brandão, A. L., Ribeiro, D. A., Yujra, V. Q., and de Moraes Malinverni, A. C. (2024b). Exploring interactive strategies for teaching pathology in nursing graduation in southeast brazil. Ensino de Ciências e Tecnologia em Revista–ENCITEC, 14(3):126–137. DOI: https://doi.org/10.31512/encitec.v14i3.1662.
Hassell, L. A., Absar, S. F., Chauhan, C., Dintzis, S., Farver, C. F., Fathima, S., Glassy, E. F., Goldstein, J. A., Gullapalli, R., Ho, J., et al. (2023). Pathology education powered by virtual and digital transformation: now and the future. Archives of Pathology & Laboratory Medicine, 147(4):474–491. DOI: https://doi.org/10.5858/arpa.2021-0473-RA.
Hipólito, M. C. V., de Lemos, O. D. L., and de Moraes, L. M. H. B. (2024). Simulação virtual: Opinião de estudantes de enfermagem sobre a aprendizagem da coleta da citologia oncótica por meio de um serious game. Revista de Graduação USP, 8(1):57–66. DOI: https://doi.org/10.11606/issn.2525-376X.v8i1p57-66.
Hunt, E. A., Duval-Arnould, J. M., Nelson-McMillan, K. L., Bradshaw, J. H., Diener-West, M., Perretta, J. S., and Shilkofski, N. A. (2014). Pediatric resident resuscitation skills improve after “rapid cycle deliberate practice” training. Resuscitation, 85(7):945–951. DOI: https://doi.org/10.1016/j.resuscitation.2014.02.025.
INCA, I. N. d. C. J. A. G. d. S. (2023). Cancer statistics - brazil. Online: [link]. (Accessed on September 18, 2025).
Krishnamurthy, K., Selvaraj, N., Gupta, P., Cyriac, B., Dhurairaj, P., Abdullah, A., Krishnapillai, A., Lugova, H., Haque, M., Xie, S., et al. (2022). Benefits of gamification in medical education. Clinical Anatomy, 35(6):795–807. DOI: https://doi.org/10.1002/ca.23916.
Leone, F. R. and Pinto, C. G. d. C. (2023). Lockdown: Todos contra o vírus”, um jogo cooperativo para abordar contextos sociocientíficos de pandemias. Online: [link]. (Accessed on September 18, 2025).
Lopes, W., Augusto, P., Fernandes, I., and Madeira, C. (2024). Proposal for a gamification strategy applied to remote learning. Journal on Interactive Systems, 15(1):92–103.
Manzano-León, A., Camacho-Lazarraga, P., Guerrero-Puerta, M. A., Guerrero-Puerta, L., Alias, A., Aguilar-Parra, J. M., and Trigueros, R. (2021). Development and validation of a questionnaire on motivation for cooperative playful learning strategies. International Journal of Environmental Research and Public Health, 18(3):960. DOI: https://doi.org/10.3390/ijerph18030960.
Martinovski, J. d. S. G., da S. Knihs, N., Salum, N. C., Amante, L. N., Stein, M., Locks, M. O. H., and da Rosa, L. M. (2023). Pap smear collection: Proposal of a low-cost simulator for health education. International Peer-reviewed and Open Access Journal for the Nursing Specialists, 13(4):15–22. DOI: https://doi.org/10.5430/jnep.v13n4p15.
Mehanna, S. H. and Garbelini, M. C. D. L. (2021). Ensino de patologia no curso de medicina. Espaço para a Saúde, 22. DOI: https://doi.org/10.22421/1517-7130/es.2021v22.e786.
Nayar, R. and Wilbur, D. C. (2018). Sistema Bethesda para Relato de Citologia Cervical: definições, critérios e notas explicativas. Livromed, São Paulo, 3rd edition.
Rutes, W., Oliveira, H. d., and Hounsell, M. d. S. (2015). Peed: Uma metodologia para promoção do envolvimento de especialistas de domínio em projetos acadêmicos de jogos sérios. In XIV Simpósio Brasileiro de Jogos e Entretenimento Digital. URL: [link] (Accessed on September 18, 2025).
Silva, C., Rodrigues, F., Junior, R. V., and Alcantara, A. (2024). Ludificação: Um jogo híbrido para o ensino e aprendizagem da disciplina de rede de computadores em cursos de ciência da computação. In Anais Estendidos do XXIII Simpósio Brasileiro de Jogos e Entretenimento Digital, pages 147–152, Porto Alegre, RS, Brasil. SBC. DOI: https://doi.org/10.5753/sbgames_estendido.2024.241015.
Silva, D., Brandão, A., and Vittori, K. (2023). Embracing representation: Integrating canoeing and female swimming adapted sports in a digital game platform. In Anais do XXXIV Simpósio Brasileiro de Informática na Educação, pages 618–630, Porto Alegre, RS, Brasil. SBC. DOI: https://doi.org/10.5753/sbie.2023.234301.
Soares, M. F. S. and Athanazio, D. A. (2016). O novo currículo e o fim da patologia. Revista Brasileira de Educação Médica, 40(3):528–534. DOI: https://doi.org/10.1590/1981-52712015v40n3e01082015.
Spiegel, C. N., Alves, G. G., da S. Cardona, T., Melim, L. M. C., Luz, M. R. M., Araújo-Jorge, T. C., and Henriques-Pons, A. (2008). Discovering the cell: an educational game about cell and molecular biology. Journal of Biological Education, 43(1):27–36. DOI: https://doi.org/10.1080/00219266.2008.9656146.
Wang, X., Song, Z., Chen, X., Zhou, Y., Lou, Y., Liu, T., and Zhang, D. (2024). Rapid cycle deliberate practice: application in forceps simulation training for gynecology and obstetrics residents. Annals of Medicine, 56(1):2301596. DOI: https://doi.org/10.1080/07853890.2023.2301596.
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Copyright (c) 2025 Andressa Germano da Silva, Gabriel Silveira Gonçalves , Luiza Muller, Bruno Reis Galindo, Larissa Dias Assunção Ruiz, Miguel A. T. Sepulvedra, Camilo Lellis-Santos, André Luiz Brandão, Andréa C. de Moraes Malinverni

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