We present SpokeIt, a novel speech therapy game co-created with users, medical experts, speech pathologists, developmental psychologists, and game designers. Our serious game for health aims is to augment and support in-office speech therapy sessions with an at-home supported speech therapy experience. SpokeIt was co-created using participatory methods involving multiple stakeholders and target
... [Show full abstract] users. We describe the technical details of SpokeIt, the process of working with multiple stakeholders, and the methods that allowed us to create medium fidelity prototypes in real-time with players. We share our emerging designs, tools, insights for the broader CHI audience, and plans for future work.