Digital Gaming to Improve Adherence Among Adolescents and Young Adults Living With HIV: Mixed-Methods Study to Test Feasibility and Acceptability

Castel, Amanda D.; Qasmieh, Saba; Greenberg, Daniel; Ellenberger, Nicole; Howell, Tyriesa Howard; Griffith, Caleb; Wilbourn, Brittany; Ganesan, Kavitha; Hussein, Nadia; Ralte, Gabriel; Rakhmanina, Natella

doi:10.2196/10213

Cited by 32 publications

(28 citation statements)

References 34 publications

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“…In the adult setting, eHealth tools have been developed for adult relatives [ 16 ] to improve their psychological well-being, but not to improve their interactions with the patient. It is known that web-based tools and games can be used to improve adolescents' and young adults’ adherence to vaccination programs and therapy [ 17 , 18 ]. It seems that eHealth tools can improve psychological outcomes [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Electronic Games for Facilitating Social Interaction Between Parents With Cancer and Their Children During Hospitalization: Interdisciplinary Game Development

Piil¹,

Gyldenvang²,

Møller³

et al. 2021

JMIR Serious Games

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Background Most cancer treatments today take place in outpatient clinics; however, it might be necessary for some patients to be admitted to hospital departments due to severe side effects or complications. In such situations, support from family and social relations can be crucial for the patients’ emotional well-being. Many young adolescents and children whose parents have cancer describe how they are not seen, heard, or listened to as the worried relatives they are. Within the intensive care unit, it has been recommended that early supportive interventions are tailored to include children of the intensive care patient; a similar approach might be relevant in the oncological setting. To our knowledge, no studies have explored how to involve young relatives who are visiting their parent at an oncological department. Recently, a framework for developing theory-driven, evidence-based serious games for health has been suggested. Such a process would include stakeholders from various disciplines, who only work toward one specific solution. However, it is possible that bringing together different disciplines, such as design, art, and health care, would allow a broader perspective, resulting in improved solutions. Objective This study aims to develop tools to enhance the social interaction between a parent with cancer and their child when the child visits the parent in the hospital. Methods In total, 4 groups of design students within the Visual Design program were tasked with developing games addressing the objective of strengthening relations in situ during treatment. To support their work, the applied methods included professional lectures, user studies, and visual communication (phase I); interviews with the relevant clinicians at the hospital (phase II), co-creative workshops with feedback (phase III), and evaluation sessions with selected populations (phase IV). The activities in the 4 phases were predefined. This modified user design had the child (aged 4-18 years) of a parent with cancer as its primary user. Results Overall, 4 different games were designed based on the same information. All games had the ability to make adults with cancer and their children interact on a common electronic platform with a joint goal. However, the interaction, theme, and graphical expression differed between the games, suggesting that this is a wide and fertile field to explore. Conclusions Playing a game can be an efficient way to create social interaction between a parent with cancer and a child or an adolescent, potentially improving the difficult social and psychological relations between them. The study showed that the development of serious games can be highly dependent on the designers involved and the processes used. This must be considered when a hospital aims to develop multiple games for different purposes.

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Section: Discussionmentioning

confidence: 99%

Electronic Games for Facilitating Social Interaction Between Parents With Cancer and Their Children During Hospitalization: Interdisciplinary Game Development

Piil¹,

Gyldenvang²,

Møller³

et al. 2021

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…(24) Semelhante aos resultados apresentados, no qual os adolescentes avaliaram o website de forma positiva, com Indice de Validade de Conteúdo geral 0,94, em estudo realizado sobre desenvolvimento de jogos educativos para adesão ao tratamento de HIV, adolescentes e adultos jovens avaliaram a tecnologia educacional, forneceram comentários relevantes e demonstraram que a ampla utilização de recursos tecnológicos pode favorecer a promoção de saúde e prevenção de doenças em adolescentes. (34) Quanto ao ambiente, foi sinalizada a necessidade de adequação das páginas. Especificamente neste último critério, um adolescente discordou (índice de 0,80), apesar dos outros quatro participantes concordarem, e nenhum tema foi sugerido para ser abordado no website.…”

Section: Discussionunclassified

Website sobre sexualidade e prevenção de infecções sexualmente transmissíveis para adolescentes católicos

Ferreira¹,

Pinheiro²,

Vieira³

et al. 2020

Acta Paulista De Enfermagem

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“…There is limited evidence available about the use of specific theoretical frameworks to guide the game development process for medication safety–focused games for youth [ 29 , 32 ]. A few serious games about medication adherence and education have incorporated varying degrees of theoretical frameworks in their game design and assessment, but these games focus more on medication adherence than education about medications and effects [ 21 , 30 - 33 ]. Serious games that adopted theory in their design used small sample sizes for testing efficacy and effectiveness; hence, positive outcomes were demonstrated by only a few of these studies [ 30 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

Developing a Theory-Driven Serious Game to Promote Prescription Opioid Safety Among Adolescents: Mixed Methods Study

Abraham¹,

Thakur²,

Brown³

2020

JMIR Serious Games

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Background Adolescents in North America are severely affected by the opioid crisis, yet there are limited educational resources for educating teens about prescription opioid safety and misuse. Empirical literature lacks evidence regarding teen education about prescription opioid safety through serious games and lacks conceptual models and frameworks to guide the process of game development for this purpose. Objective This study aims to conceptualize and design a serious game prototype to teach teens about prescription opioid safety and propose a conceptual framework for developing a serious game to educate youth about safe and responsible use of prescription opioids. Methods The initial steps of the project comprised of the formulation of an integrated conceptual framework that included factors from health behavior models and game development models. This was followed by the formal process of serious game development, which resulted in a game prototype. The assessment of the game prototype was done through group discussions, individual interviews, and questionnaires with adolescents following gameplay. Field notes were used to keep track of the responses from the group discussions. Content and thematic analyses were used to analyze field notes and responses to the open-ended questionnaire, which were then used to refine the game prototype. Results A total of 10 playtests with over 319 adolescents and emerging young adults (AYAs) in community settings such as middle schools, high schools, and colleges were conducted by the project team between March and June 2019. The AYAs provided feedback on the initial game prototype using questionnaires administered through Qualtrics or in-person on paper. Preliminary feedback suggested that the teens found the game objectives, outcomes, and design appealing. Overall, the game was perceived as realistic, and learning outcomes seemed achievable. Suggestions for improvement included the need for additional direction on gameplay, clearer instructions, concise dialog, and reduced technical problems in the gameplay. Conclusions We propose a conceptual framework for developing a serious game prototype to educate youth about prescription opioid safety. The project used a theory-driven conceptual framework for the development of a serious game targeting the prevention of adolescent opioid misuse and garnered preliminary feedback on the game to improve the quality of gameplay and the prototype. Feedback through informal assessments in community settings suggests that the youth and their families are interested in a game-based approach to learn about prescription opioid safety in homes and schools. The next steps include modifications to the game prototype based on feedback from the community, integration of learning analytics to track the in-game behaviors of players, and formal testing of the final prototype.

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Digital Gaming to Improve Adherence Among Adolescents and Young Adults Living With HIV: Mixed-Methods Study to Test Feasibility and Acceptability

Cited by 32 publications

References 34 publications

Electronic Games for Facilitating Social Interaction Between Parents With Cancer and Their Children During Hospitalization: Interdisciplinary Game Development

Electronic Games for Facilitating Social Interaction Between Parents With Cancer and Their Children During Hospitalization: Interdisciplinary Game Development

Website sobre sexualidade e prevenção de infecções sexualmente transmissíveis para adolescentes católicos

Developing a Theory-Driven Serious Game to Promote Prescription Opioid Safety Among Adolescents: Mixed Methods Study

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