A Meta-analysis of Narrative Game-based Interventions for Promoting Healthy Behaviors

Zhou, Chun; Occa, Aurora; Kim, So Yoon; Morgan, Susan E.

doi:10.1080/10810730.2019.1701586

Cited by 46 publications

(16 citation statements)

References 50 publications

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“…Transportation demands attention and cognitive resources; thus, people who experience higher levels of transportation are more likely to process, organize, and elaborate on the information at hand, which, in turn, could lead to better memory performance (Whitbred et al, 2010; Zhou et al, 2020). Consistent with this view, Dunlop et al (2008) found transportation to be positively associated with participants' ad recall.…”

Section: The Effects Of Transportation On Memory Attitudes and Behavioral Intentionmentioning

confidence: 99%

Strategic use of immersive media and narrative message in virtual marketing: Understanding the roles of telepresence and transportation

Chen

Yao

2021

Psychology and Marketing

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This study differentiates the roles of telepresence and transportation, the two widely cited processes underpinning an immersive media viewing experience, in the context of virtual marketing. In Study 1, college students viewed a real estate property tour in virtual reality (VR; high immersion) or as a 360° video (low immersion) in a research lab. The tour was accompanied by a voiceover presenting descriptive information about the apartment (descriptive evidence) or a narrative‐based introduction (narrative evidence). We found the enhanced telepresence under the VR viewing condition negatively impacted users' memory of the property; this effect was particularly pronounced with the narrative voiceover. Study 2 replicated key findings from Study 1 in an online experiment with a larger and more diverse sample. We also found that narrative‐induced transportation strengthened attitudinal outcomes, and enhanced telepresence boosted this effect. Our studies disentangle the impacts of VR‐induced telepresence on cognitive processing from the effects of narrative‐induced transportation on persuasive outcomes. The highly immersive media experience combined with deep transportation into the narrative can strengthen viewers' positive attitude towards the overall experience but hinder their ability to remember the details of the content. The findings point to a medium‐message matching strategy to achieve marketing goals.

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Section: The Effects Of Transportation On Memory Attitudes and Behavioral Intentionmentioning

confidence: 99%

Strategic use of immersive media and narrative message in virtual marketing: Understanding the roles of telepresence and transportation

Chen

Yao

2021

Psychology and Marketing

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“…Due to its cultural appropriateness, the opportunity to connect to the game played an essential role in ensuring that it was acceptable to parents. Beginning with language (a woman in the game softly narrated in Swahili, Tanzania's official and national language), a safe environment was created for children to feel comfortable with the content [ 46 ]. Although CSAPE recommends that children be explicitly taught about healthy and improper interaction by giving proper names to private parts, Tanzanian culture's conservative nature makes it much more suitable to use colloquial words in the game [ 25 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…The storylike game with a narrative flow and basic activities were sufficiently fun for the children to play and help understand lessons while not being too addicting [ 46 ]. This feature increased parents' eagerness to encourage their children to play, knowing that they are still going to balance the game's use with other activities.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Mobile Game for Culturally Sensitive Child Sexual Abuse Prevention Education in Tanzania: Mixed Methods Study

Malamsha¹,

Sauli²,

Luhanga³

2021

JMIR Serious Games

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Background Globally, 3 out of 20 children experience sexual abuse before the age of 18 years. Educating children about sexual abuse and prevention is an evidence-based strategy that is recommended for ending child sexual abuse. Digital games are increasingly being used to influence healthy behaviors in children and could be an efficient and friendly approach to educating children about sexual abuse prevention. However, little is known on the best way to develop a culturally sensitive game that targets children in Africa—where sexual education is still taboo—that would be engaging, effective, and acceptable to parents and caretakers. Objective This study aimed to develop a socioculturally appropriate, mobile-based game for educating young children (<5 years) and parents and caretakers in Tanzania on sexual abuse prevention. Methods HappyToto children’s game was co-designed with 111 parents and caretakers (females: n=58, 52.3%; male: n=53, 47.7%) of children below 18 years of age and 24 child experts in Tanzania through surveys and focus group discussions conducted from March 2020 to April 2020. From these, we derived an overview of topics, sociocultural practices, social environment, and game interface designs that should be considered when designing child sexual abuse prevention (CSAP) education interventions. We also conducted paper prototyping and storyboarding sessions for the game’s interface, storylines, and options. To validate the application’s prototype, 32 parents (females: n=18, 56%; males: n=14, 44%) of children aged 3-5 years and 5 children (females: n=2, 40%; males: n=3, 60%) of the same age group played the game for half an hour on average. The parents undertook a pre-post intervention assessment on confidence and ability to engage in CSAP education conversations, as well as exit surveys on the usability and sociocultural acceptability of the game, while children were quizzed on the topics covered and their enjoyment of the game. Results Parents and caregivers showed interest in the developed game during the conducted surveys, and each parent on average navigated through all the parts of the game. The confidence level of parents in talking about CSAP increased from an average of 3.56 (neutral) before using the game to 4.9 (confident) after using the game. The ability scores, calculated based on a range of topics included in CSAP education talks with children, also increased from 5.67 (out of 10) to 8.8 (out of 10) after the game was played. Both confidence level and ability scores were statistically significant (P<.001). All 5 children were interested in the game and enjoyed the game-provided activities. Conclusions The HappyToto game can thus be an effective technology-based intervention for improving the knowledge and skills of parents and children in CSAP education.

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“…As young women may be turning to social media when bored, including prevention efforts that entertain while also educating may help by first garnering attention, which can be difficult in the crowded social media environment. A recent meta-analysis of narrative game-based health behavior interventions found that such interventions had a large effect on improving knowledge, a medium effect on self-efficacy, and small effects on increasing enjoyment and encouraging health behaviors [65]. Narrative game-based interventions provided through or promoted on social media could be a useful option to explore for tanning prevention efforts.…”

Section: Principal Findingsmentioning

confidence: 99%

Associations Between Emotions, Social Media Use, and Sun Exposure Among Young Women: Ecological Momentary Assessment Study

Willoughby¹,

Myrick²,

Gibbons³

et al. 2020

JMIR Dermatol

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Background Research has pointed to a connection between social media use, emotions, and tanning behaviors. However, less is known about the role specific emotions may play in influencing social media use and how emotions and social media use may each be associated with outdoor tanning. Objective This paper aims to examine the connection between emotions, social media use, and outdoor tanning behaviors among young women, a group particularly important for skin cancer prevention efforts. Methods We used ecological momentary assessment to collect data from 197 women aged 18 to 25 years 3 times a day for 7 days in July 2018. We collected data from women in 2 states. Results We found that boredom was associated with increased time spent on social media and that increased time spent on social media was associated with increased time spent outdoors without sun protection. Conclusions Our results highlight that social media may be a particularly important channel for skin cancer prevention efforts targeting young women, as more social media use was associated with increased time spent outdoors with skin exposed. Researchers should consider the role of emotions in motivating social media use and subsequent tanning behaviors. Additionally, as boredom was associated with social media use, intervention developers would benefit from developing digital and social media interventions that entertain as well as educate.

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A Meta-analysis of Narrative Game-based Interventions for Promoting Healthy Behaviors

Cited by 46 publications

References 50 publications

Strategic use of immersive media and narrative message in virtual marketing: Understanding the roles of telepresence and transportation

Strategic use of immersive media and narrative message in virtual marketing: Understanding the roles of telepresence and transportation

Development and Validation of a Mobile Game for Culturally Sensitive Child Sexual Abuse Prevention Education in Tanzania: Mixed Methods Study

Associations Between Emotions, Social Media Use, and Sun Exposure Among Young Women: Ecological Momentary Assessment Study

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