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J Diabetes Sci Technol. 2007 Nov;1(6):907-17. doi: 10.1177/193229680700100617.

In pursuit of change: youth response to intensive goal setting embedded in a serious video game.

Journal of diabetes science and technology

Debbe Thompson, Tom Baranowski, Richard Buday, Janice Baranowski, Melissa Juliano, McKee Frazior, Jon Wilsdon, Russell Jago

Affiliations

  1. U.S Department of Agriculture/Agricultural Research Service, Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas 77030, USA. [email protected]

PMID: 19885165 PMCID: PMC2769688 DOI: 10.1177/193229680700100617

Abstract

BACKGROUND: Type 2 diabetes has increased in prevalence among youth, paralleling the increase in pediatric obesity. Helping youth achieve energy balance by changing diet and physical activity behaviors should decrease the risk for type 2 diabetes and obesity. Goal setting and goal review are critical components of behavior change. Theory-informed video games that emphasize development and refinement of goal setting and goal review skills provide a method for achieving energy balance in an informative, entertaining format. This article reports alpha-testing results of early versions of theory-informed goal setting and reviews components of two diabetes and obesity prevention video games for preadolescents.

METHOD: Two episodes each of two video games were alpha tested with 9- to 11-year-old youth from multiple ethnic groups. Alpha testing included observed game play followed by a scripted interview. The staff was trained in observation and interview techniques prior to data collection.

RESULTS: Although some difficulties were encountered, alpha testers generally understood goal setting and review components and comprehended they were setting personal goals. Although goal setting and review involved multiple steps, youth were generally able to complete them quickly, with minimal difficulty. Few technical issues arose; however, several usability and comprehension problems were identified.

CONCLUSIONS: Theory-informed video games may be an effective medium for promoting youth diabetes and obesity prevention. Alpha testing helps identify problems likely to have a negative effect on functionality, usability, and comprehension during development, thereby providing an opportunity to correct these issues prior to final production.

Keywords: adolescents; alpha testing; diabetes prevention; obesity prevention; video game

References

  1. Diabetes Care. 2005 Mar;28(3):760 - PubMed
  2. Ann Behav Med. 2006 Jun;31(3):205-23 - PubMed
  3. Prev Med. 2002 Mar;34(3):353-63 - PubMed
  4. J Pediatr. 2000 May;136(5):664-72 - PubMed
  5. Stud Health Technol Inform. 2004;107(Pt 2):855-9 - PubMed
  6. J Am Diet Assoc. 2002 Nov;102(11):1621-30 - PubMed
  7. Int J Obes (Lond). 2005 Jun;29(6):557-64 - PubMed
  8. Health Educ Res. 2007 Apr;22(2):155-65 - PubMed
  9. Diabetes Res Clin Pract. 2007 Jun;76(3):317-26 - PubMed
  10. Am Psychol. 2000 Jan;55(1):68-78 - PubMed
  11. J Nutr Educ Behav. 2003 Jul-Aug;35(4):170-5 - PubMed
  12. J Pers Soc Psychol. 2001 Nov;81(5):946-60 - PubMed
  13. Am J Prev Med. 2003 Jan;24(1):52-61 - PubMed
  14. Eur J Clin Nutr. 2008 Jul;62(7):834-41 - PubMed
  15. Health Educ Behav. 2000 Feb;27(1):96-111 - PubMed
  16. Am J Prev Med. 2002 Aug;23(2 Suppl):5-14 - PubMed
  17. Med Sci Sports Exerc. 2000 May;32(5):963-75 - PubMed
  18. Prev Med. 2006 Mar;42(3):181-7 - PubMed
  19. BMC Med Inform Decis Mak. 2005 Dec 01;5:37 - PubMed
  20. Health Educ Q. 1992 Fall;19(3):295-313 - PubMed
  21. Med Inform (Lond). 1997 Jan-Mar;22(1):77-89 - PubMed
  22. Am J Clin Nutr. 2006 Aug;84(2):274-88 - PubMed
  23. Contemp Educ Psychol. 2000 Jan;25(1):82-91 - PubMed
  24. Prev Med. 1999 Jun;28(6):608-15 - PubMed
  25. JAMA. 2006 Apr 5;295(13):1549-55 - PubMed
  26. J Dent Educ. 2003 Nov;67(11):1209-20 - PubMed
  27. Clin Invest Med. 2006 Oct;29(5):293-7 - PubMed
  28. J Am Coll Nutr. 1997 Jun;16(3):216-23 - PubMed
  29. Child Care Health Dev. 2003 Sep;29(5):373-5 - PubMed
  30. Int J Obes Relat Metab Disord. 1999 Mar;23 Suppl 2:S52-7 - PubMed
  31. Health Psychol. 2000 Jan;19(1S):64-9 - PubMed
  32. J Sch Health. 1989 Apr;59(4):153-5 - PubMed
  33. J Pers Soc Psychol. 2001 Dec;81(6):1014-27 - PubMed
  34. Pediatr Clin North Am. 2001 Aug;48(4):931-53 - PubMed
  35. Health Educ Q. 1984 Spring;11(1):1-47 - PubMed
  36. J Am Diet Assoc. 2005 May;105(5 Suppl 1):S98-103 - PubMed
  37. J Am Diet Assoc. 2003 Oct;103(10):1326-31 - PubMed

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