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Games for Health with Tom Baranowski, Ph.D.
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Transcript of Games for Health with Tom Baranowski, Ph.D.
Pediatrics
NIDDK NATIONAL INSTITUTE OF
DIABETES AND
DIGESTIVE
AND KIDNEY DISEASES
NATIONAL INSTITUTE
OF HEALTH
Eunice Kennedy Shriver
NICH
D
HP Live - Webinar May 17, 2013 – 11:00 am CDT
Professor of Pediatrics (Behavioral Nutrition & PA)
USDA/ARS Children’s Nutrition Research Center
Baylor College of Medicine
Houston, Texas, 77030, USA
www.bcm.edu/cnrc/faculty/?PMID=9519
Games for Health
with
Tom Baranowski, PhD
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Chronic Illnesses/Obesity Treatment • Regimen Adherence has been low
– often 50% or less
Chronic Illnesses/Obesity Prevention
• Behavior Change has been small
– if at all
Need alternatives to usual approaches?
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Videogames (Serious VG/VG for Health)
• Have story and interactivity to
engage/immerse/transport players
• Can incorporate behavior change or health
change procedures
• Can incorporate feedback and rewards to
motivate change
• Has “fun” to maintain game play
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
“Playing for Real” (Baranowski et al AJPM 2008)
• All 28 games reviewed showed evidence of
change in the desired direction
• We have developed and evaluated several
games for health
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Diab Trailer
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Preliminary Process Model of
Behavior Change from Games
Demographics
Pregame Characteristics
Motivation to Play Video Game
Psy
ch
oso
cia
l V
ari
ab
les:
Motivation to Continue Playing Game
Exposure to Video Game
Immersion
Succ
ess
?
Fun
? Practical Knowledge of Behavior for Change
Behavior Change Skill Development
Behavioral Self Control Skill Development - Include Asking
Motivation to Change Behavior
Physical Resources
Barriers to Change
Behavior Change Attempts
Continued Behavior Change Attempts
Habit Success
Fun
?
Challenging Success
…Time…
Home Accessibility/Availability
Attention to Video Game Activities
Central Processing
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Model Incorporates Elements of:
• Self Determination Theory
• Elaboration Likelihood Model
• Social Cognitive Theory
• Transportation Theory (Immersion)
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Process Model of Possible Mechanisms for Children’s Dietary and Physical Activity Change in Video Games
Demographics
Pregame Characteristics
Motivation to Play Video Game
Psy
ch
oso
cial V
ari
ab
les:
Game Activities:
Motivation to Continue Playing Game
Exposure to Video Game
Immersion
Attention to Video Game Activities
Succ
ess
?
Fun
?
Practical Knowledge of Behavior for Change
Story -Modeling Behavior -Modeling Overcoming Barriers - Moral of Story
Behavior Change Skill Development
Behavioral Self Control Skill Development - Include Asking
Simulation with Feedback
Motivation to Change Behavior
Self Control Activities -Goal Setting • action • coping -Problem Solving -Automation
Physical Resources
Barriers to Change
Behavioral Innoculation Procedures
Behavior Change Attempts
Tailored Motivational Messages -Outcome Expectancy -Values/Reasons
Continued Behavior Change Attempts
Habit Success
Knowledge Games
Fun
? Challenging
Success
Central Processing
…Time…
Home Accessibility/Availability
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Squire’s Quest!
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Squire’s Quest! Evaluation Design
• 1600 4th grade students in 26 schools
• Cluster randomized trial
• Pre & post assessment
• Multiple 24hour recalls – FIRSSt
• Treatment: SQ!; no intervention control
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Squire’s Quest! Outcomes
• Increased FV intake by 0.9 servings
• Changes occurred at snacks (fruit), lunch (vegetable)
– Need more work on breakfast, dinner
• Attain recipe prep goals → more FV consumption
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
GEMS – Fun Food & Fitness
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Boy Scout 5-A-Day & FFL Badges
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Fit For Life Boy Scout Badge Program (R Jago et al Prev Med 2006)
• Meeting + internet based
– Skill building
– Comic character modeling + goal setting
• Spring intervention
– + 12 minutes LPA
– - 12 minutes SB
• Not fall intervention (?)
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Escape from Diab
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Nanoswarm: Invasion from Inner Space
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Diab/Nanoswarm Outcomes
• + 1.0/+0.67 FV serving at 2 months post
(p<0.000)
• + 7/0 min MVPA at immediate post (p=0.107)
• No differences in BMI or mediators
• No moderators
• 80-90% enjoyed playing Diab/Nano
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Active Video games – Wii Study
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Active Video Games – Wii Study Design
l Stratified by mother reported neighborhood safety (not working)
l 7 days accelerometer readings at 5 times
l Children keep Wii console if provide complete data
l No differences across groups or time
l 700+ media releases around the world
AV1 AV2
Mid Baseline (wk 1)
Wk 6 Wk 6
Post
R
E
C
R
U
I
T
M
E
N
T
Wk 1 Wk 1
Wk 1 Wk 1 Wk 6 Wk 6 IV1 IV2
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Parenting Game
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Innovative: V Parenting Game
• “Train” Parents → Effective V Parenting Practices
• Simulation with feed back → learn to fly planes
• Simulate interaction with child with feedback
– Child resistant to V intake
– Parent offered parenting practice options at interaction points
• 2 effective; 2 ineffective
• Keep selecting until select effective
• See child response
– Algorithm governs interaction
– Tailor child responses to child temperament
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Future Research Needs
• Just learning how to capitalize on VG
• Vary VG intervention procedures
• Vary story components to assess how story
influences immersion and attention to game
components
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Future Research Needs
• Fun = IM?
– Active involvement (interactivity)?
– Overcoming challenges
– Making choices
– Observing consequences without real threat
– Increasing difficulty
– Personally relevant story & characters in meaningful situations
• How can we maximize “fun” to maximize health behavior change?
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Games for Health Journal Research, Development and Clinical Applications
• Only journal devoted to Games for Health
• Editorial Board
– international
– health industry
– academic
– game industry
– Government
• June 2013: Volume 2, Issue 3 (6 issues/year)
– Special issue devoted to Games and Childhood Obesity
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Recent Topics
• Reviews of the effectiveness of games for health
• Innovative game components, e.g. computational intelligence
• Business models for G4H
• Exergame effectiveness among seniors, physically challenged
• Games to enhance mental health
• Game design issues to enhance health behavior change
• Health professional training games
Games for Health
HP Live – Webinar
May 17, 2013 – 11:00am CDT
Dêkuji! (Czech) DANKE! (German)
MUITO OBRIGADO! (Portuguese)
M GOI! (Chinese, Cantonese)
ARIGATŌ! (Japanese)
MERCI BEAUCOUP! (French) MUCHAS GRACIAS! (Spanish)
SERDECZNIE DZIĘKUJĘ! (Polish)
SHUKRAN! (Arabic, Middle East)
TACK SÅMYCKET! (Swedish) TAKK! (Norwegian)
EFcHARISTo! (Greek)
Xie Xie! (Chinese, Mandarin)
Dank u wel (Dutch)
Khawp Khun maxh! (Thai) Grazie! (Italian)