Games for Health with Tom Baranowski, Ph.D.

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Games for Health with Tom Baranowski, Ph.D.

  1. 1. PediatricsNIDDKNATIONAL INSTITUTE OFDIABETES ANDDIGESTIVEAND KIDNEY DISEASESNATIONAL INSTITUTEOF HEALTHEunice Kennedy ShriverNICHDHP Live - Webinar May 17, 2013 – 11:00 am CDTProfessor of Pediatrics (Behavioral Nutrition & PA)USDA/ARS Children’s Nutrition Research CenterBaylor College of MedicineHouston, Texas, 77030, USAwww.bcm.edu/cnrc/faculty/?PMID=9519Games for HealthwithTom Baranowski, PhD
  2. 2. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTChronic Illnesses/Obesity Treatment• Regimen Adherence has been low– often 50% or lessChronic Illnesses/Obesity Prevention• Behavior Change has been small– if at allNeed alternatives to usual approaches?
  3. 3. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTVideogames (Serious VG/VG for Health)• Have story and interactivity toengage/immerse/transport players• Can incorporate behavior change or healthchange procedures• Can incorporate feedback and rewards tomotivate change• Has “fun” to maintain game play
  4. 4. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDT“Playing for Real” (Baranowski et al AJPM 2008)• All 28 games reviewed showed evidence ofchange in the desired direction• We have developed and evaluated severalgames for health
  5. 5. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTDiab Trailer
  6. 6. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTPreliminary Process Model ofBehavior Change from GamesDemographicsPregameCharacteristicsMotivationto PlayVideoGamePsychosocialVariables:Motivation toContinue PlayingGameExposureto VideoGameImmersionSuccess?Fun?PracticalKnowledgeof Behaviorfor ChangeBehaviorChangeSkillDevelopmentBehavioralSelf ControlSkillDevelopment- Include AskingMotivationto ChangeBehaviorPhysicalResourcesBarriers toChangeBehaviorChangeAttemptsContinuedBehaviorChangeAttemptsHabitSuccessFun?ChallengingSuccess…Time…HomeAccessibility/AvailabilityAttentionto VideoGameActivitiesCentralProcessing
  7. 7. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTModel Incorporates Elements of:• Self Determination Theory• Elaboration Likelihood Model• Social Cognitive Theory• Transportation Theory (Immersion)
  8. 8. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTProcess Model of Possible Mechanisms forChildren’s Dietary and Physical Activity Change inVideo GamesDemographicsPregameCharacteristicsMotivationto PlayVideoGamePsychosocialVariables:Game Activities:Motivation toContinue PlayingGameExposureto VideoGameImmersionAttentionto VideoGameActivitiesSuccess?Fun?PracticalKnowledgeof Behaviorfor ChangeStory-ModelingBehavior-ModelingOvercomingBarriers- Moral of StoryBehaviorChangeSkillDevelopmentBehavioralSelf ControlSkillDevelopment- Include AskingSimulationwith FeedbackMotivationto ChangeBehaviorSelf ControlActivities-Goal Setting• action• coping-ProblemSolving-AutomationPhysicalResourcesBarriers toChangeBehavioralInnoculationProceduresBehaviorChangeAttemptsTailored MotivationalMessages-Outcome Expectancy-Values/ReasonsContinuedBehaviorChangeAttemptsHabitSuccessKnowledgeGamesFun? ChallengingSuccessCentralProcessing…Time…HomeAccessibility/Availability
  9. 9. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTSquire’s Quest!
  10. 10. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTSquire’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
  11. 11. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTSquire’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
  12. 12. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTGEMS – Fun Food & Fitness
  13. 13. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTBoy Scout 5-A-Day & FFL Badges
  14. 14. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTFit 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 (?)
  15. 15. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTEscape from Diab
  16. 16. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTNanoswarm: Invasion from Inner Space
  17. 17. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTDiab/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
  18. 18. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTActive Video games – Wii Study
  19. 19. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTActive Video Games – Wii Study Designl Stratified by mother reported neighborhood safety (notworking)l 7 days accelerometer readings at 5 timesl Children keep Wii console if provide complete datal No differences across groups or timel 700+ media releases around the worldAV1 AV2MidBaseline (wk 1)Wk 6 Wk 6PostRECRUITMENTWk 1 Wk 1Wk 1 Wk 1Wk 6 Wk 6IV1 IV2
  20. 20. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTParenting Game
  21. 21. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTInnovative: V Parenting Game• “Train” Parents → Effective V ParentingPractices• Simulation with feed back → learn to fly planes• Simulate interaction with child with feedback– Child resistant to V intake– Parent offered parenting practice options atinteraction points• 2 effective; 2 ineffective• Keep selecting until select effective• See child response– Algorithm governs interaction– Tailor child responses to child temperament
  22. 22. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTFuture Research Needs• Just learning how to capitalize on VG• Vary VG intervention procedures• Vary story components to assess how storyinfluences immersion and attention to gamecomponents
  23. 23. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTFuture Research Needs• Fun = IM?– Active involvement (interactivity)?– Overcoming challenges– Making choices– Observing consequences without real threat– Increasing difficulty– Personally relevant story & characters inmeaningful situations• How can we maximize “fun” to maximizehealth behavior change?
  24. 24. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTGames for Health JournalResearch, 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 andChildhood Obesity
  25. 25. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTRecent Topics• Reviews of the effectiveness of games forhealth• 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 behaviorchange• Health professional training games
  26. 26. Games for HealthHP Live – WebinarMay 17, 2013 – 11:00am CDTDêkuji! (Czech)DANKE! (German)MUITO OBRIGADO! (Portuguese)M G̀ÒI! (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)

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