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Aphasia is an invisible disability that may come with negative consequences for communication, community participation, and quality of life. Game-based rehabilitation is a promising solution to address unmet long-term recovery and psychosocial needs for people with aphasia. In this paper, we describe a participatory game design process that engages people with aphasia (PwA) in the creation of three hybrid digital-analog games. We detail methods for facilitating collaboration across language barriers and divergent professional expertise based on interviews and participant observations throughout our iterative design process. We also contribute a set of design principles synthesized from aphasia rehabilitation research, interviews and community data. We conclude with recommendations for pursuing community-empowered aphasia game design for this underserved population based on reflection from our co-design experience.<\/jats:p>","DOI":"10.1145\/3474697","type":"journal-article","created":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T22:59:48Z","timestamp":1633561188000},"page":"1-31","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Designing Game-Based Rehabilitation Experiences for People with Aphasia"],"prefix":"10.1145","volume":"5","author":[{"given":"Kathryn","family":"Hymes","sequence":"first","affiliation":[{"name":"Stanford University, Berkeley, CA, USA"}]},{"given":"Jessica","family":"Hammer","sequence":"additional","affiliation":[{"name":"Carnegie Mellon University, Pittsburgh, PA, USA"}]},{"given":"Hakan","family":"Seyalioglu","sequence":"additional","affiliation":[{"name":"Thorny Games, Berkeley, CA, USA"}]},{"given":"Carol","family":"Dow-Richards","sequence":"additional","affiliation":[{"name":"Aphasia Recovery Connection, Henderson, NV, USA"}]},{"given":"Deidra","family":"Brown","sequence":"additional","affiliation":[{"name":"Aphasia Recovery Connection, Henderson, NV, USA"}]},{"given":"Trish","family":"Hambridge","sequence":"additional","affiliation":[{"name":"Aphasia Recovery Connection, Henderson, NV, USA"}]},{"given":"Jill","family":"Ventrice","sequence":"additional","affiliation":[{"name":"Aphasia Recovery Connection, Henderson, NV, USA"}]},{"given":"Meguey","family":"Baker","sequence":"additional","affiliation":[{"name":"Night Sky Games, Greenfield, MA, USA"}]},{"given":"Yeonsoo Julian","family":"Kim","sequence":"additional","affiliation":[{"name":"CYS Games, Arlington, VA, USA"}]},{"given":"Tim","family":"Hutchings","sequence":"additional","affiliation":[{"name":"Bradley University, Peoria, IL, USA"}]},{"given":"William S.","family":"Evans","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, Pittsburgh, PA, USA"}]}],"member":"320","published-online":{"date-parts":[[2021,10,6]]},"reference":[{"key":"e_1_2_1_1_1","unstructured":"[n.d.]. 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