Nutrition Science and Behavioral Theories Integrated in a Serious Game for Adolescents

Majumdar, Dalia; Koch, Pamela; Gray, Heewon L.; Contento, Isobel R.; Islas-Ramos, Ana de Lourdes; Fu, Daniel

doi:10.1177/1046878115577163

Cited by 9 publications

(4 citation statements)

References 56 publications

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“…However, our findings revealed that the game can increase health awareness even among high school students. This finding is in line with those of previous studies [ 35 - 37 ], which demonstrated that serious games designed for health behavior change can be effective for adolescents.…”

Section: Discussionsupporting

confidence: 93%

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior

Egashira¹,

Son²,

Ema³

2022

JMIR Serious Games

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Background Health activities should be tailored to individual lifestyles and values. To raise awareness of health behaviors, various practices related to health education, such as interactive activities among individuals with different backgrounds, have been developed. Moreover, serious games have been used as a tool for facilitating communication. However, there have been few investigations that are based on the framework of the theory of planned behavior on the mechanisms of health-related behavioral intention change from playing serious games. Objective We aimed to investigate the mechanisms of behavioral intention change among various age groups after an intervention using a serious game to increase awareness of lifestyle-related diseases. Methods Adults, undergraduates, and high school students played a serious game, called Negotiation Battle, and answered a questionnaire—Gaming Event Assessment Form for Lifestyle-related Diseases—before, immediately after, and 2-4 weeks after the game. The questionnaire was composed of 16 items based on the theory of planned behavior. We used structural equation modeling to compare responses from the 3 groups. Results For all 3 age groups (adults: mean 43.4 years, range 23-67 years; undergraduates: mean 20.9 years, range 19-34 years; high school students: mean 17.9 years, 17-18 years), perceived behavior control was the key factor of behavioral intention change. Immediately after the game, causal relationships between perceived behavioral control and behavioral intention were enhanced or maintained for all groups—adults (before: path coefficient 1.030, P<.001; after: path coefficient 2.045, P=.01), undergraduates (before: path coefficient 0.568, P=.004; after: path coefficient 0.737, P=.001), and high school students (before: path coefficient 14.543, P=.97; after: path coefficient 0.791, P<.001). Analysis of free descriptions after intervention suggested that experiencing dilemma is related to learning and behavioral intention. Conclusions The study revealed that the serious game changed the behavioral intention of adolescents and adults regarding lifestyle-related diseases, and changes in perceived behavioral control mediated the alteration mechanism.

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Section: Discussionsupporting

confidence: 93%

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior

Egashira¹,

Son²,

Ema³

2022

JMIR Serious Games

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show abstract

“…However, our findings revealed that the game can increase health awareness even among high school students. This finding is in line with those of previous studies [35][36][37], which demonstrated that serious games designed for health behavior change can be effective for adolescents. Moreover, we observed that Negotiation Battle reinforced perceived behavior control out of all factors of theory of planned behavior, which led to behavioral intention change.…”

Section: Principal Findingssupporting

confidence: 93%

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior (Preprint)

Egashira¹,

Son²,

Ema³

2021

Preprint

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BACKGROUND Health activities should be tailored to individual lifestyles and values. To raise awareness of practical health behaviors, various practices related to health education, such as interactive activities among individuals with different backgrounds, have been developed. Moreover, serious games have been used as a tool for facilitating communication. However, studies that investigated the mechanisms of behavioral intention change in relation to health through serious games based on the framework of the theory of planned behavior are few. OBJECTIVE The study aims to investigate the mechanisms of behavioral intention change among participants of various age groups after intervention using a serious game called “Negotiate Battle,” which is established to increase awareness of lifestyle-related diseases. METHODS Three age groups (i.e., adults, university students, and high school students) played the serious game and answered a questionnaire before, immediately after, and 2–4 weeks after the game. The questionnaire was composed of four factors according to the theory of planned behavior. The study employed structural equation modeling and compared the results of the three groups. RESULTS The study found that perceived behavior control was the key factor of behavioral intention change. Immediately after the game, causal relationship from perceived behavioral control to behavioral intention was enhanced or maintained for all groups. Analysis of free descriptions after intervention suggested that experiencing dilemma is related to learning and behavioral intention. CONCLUSIONS The study revealed that the serious game changed the behavioral intention of adolescents and adults regarding lifestyle-related diseases, and changes in perceived behavioral control mediated the alteration mechanism.

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“…Therefore, researchers aim to promote a healthy lifestyle and global awareness using games and media in a fun and motivating fashion. However, few games on nutrition topics have been developed and have been shown to be successful in promoting physical activity and changing dietary behavior (26). The aim of the present study was to evaluate the effect of mobile gamebased learning apps on improving dietary information in patients with type 2 diabetes.…”

mentioning

confidence: 99%

Effect of implementing a mobile game on improving dietary information in diabetic patients

Koohmareh

Karandish

Hadianfard

2021

mjiri

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Nutrition Science and Behavioral Theories Integrated in a Serious Game for Adolescents

Cited by 9 publications

References 56 publications

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior (Preprint)

Effect of implementing a mobile game on improving dietary information in diabetic patients

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