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Game Based Behavior Change Methods in Healthcare: The Case of Obesity

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Part of the book series: Health Informatics ((HI))

Abstract

Obesity, especially in children and adolescents, continues to be a major public health problem. Race, ethnicity, socio-cultural and economical barriers play a significant role towards this problem. Parental awareness is dependent on the above factors and has been shown to help reduce the risks and barriers associated with obesity. Targeted interventions become necessary to improve awareness in the affected population. In this chapter we look specifically at game-based interventions that are targeted and promote behavior change by increasing awareness. Awareness can be broken down into three parameters: attitudes, knowledge and acceptance. Those developing interventions have to be cognizant of these three parameters, include ways to measure and track these during the intervention, and adapt according to these measures. Games naturally align to the above metrics and have been successfully designed in several other areas such as education, training, simulation and national security. Healthcare promises to present a timely opportunity to apply game-based learning methods and build serious games that improve outcomes. While there are several areas in healthcare that can significantly benefit from game-based interventions, the focus here is obesity among the infant and adolescent population. This chapter provides the theoretical constructs, design strategies, and several case studies that have made a significant impact in this area.

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References

  • Amico KR, Toro-Alfonso J, Fisher JD. An empirical test of the information, motivation and behavioral skills model of antiretroviral therapy adherence. AIDS Care. 2005;17(6):661–73.

    Article  CAS  PubMed  Google Scholar 

  • Amresh A, Small L. Make your garden grow: designing a physical activity estimation improvement game. In: Serious Games and Applications for Health (SeGAH), 2014 IEEE 3rd international conference. IEEE; 2014. p. 1–6.

    Google Scholar 

  • Amresh A, Clarke D, Beckwith D. GameScapes and SimApps: new techniques for integrating rich narratives with game mechanics. In: Proceedings of the European conference on games based learning, vol. 1; 2014. p. 18–25.

    Google Scholar 

  • Amresh A, Sinha M, Birr R, Salla R. Interactive cause and effect comic-book storytelling for improving nutrition outcomes in children. In: Proceedings of the 5th international conference on Digital Health. ACM; 2015. p. 9–14.

    Google Scholar 

  • Bandura A. Analysis of modeling processes. Sch Psychol Dig. 1975;4:4–10.

    Google Scholar 

  • Bandura A. Social learning theory. Prentice Hall: Englewood Cliffs; 1977.

    Google Scholar 

  • Bandura A. Social cognitive theory of mass communication. In: Media effects: advances in theory and research. 2nd ed. Mahwah: Lawrence Erlbaum Associates Publishers; 2002. p. 121–53.

    Google Scholar 

  • Bandura A, Huston AC. Identification as a process of incidental learning. J Abnorm Soc Psychol. 1961;63:311–8.

    Article  CAS  PubMed  Google Scholar 

  • Baranowski T, Buday R, Thompson D, Lyons EJ, Lu AS, Baranowski J. Developing games for health behavior change: getting started. Games Health J. 2013;2(4):183–90.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bartle R. Early MUD history. 1999. http://mud.co.uk/richard/hcds.htm. Accessed 15 June 2016.

  • Beck K, Beedle M, Van Bennekum A, Cockburn A, Cunningham W, Fowler M, Grenning J, Highsmith J, Hunt A, Jeffries R, Kern J. Manifesto for agile software development. 2001. http://agilemanifesto.org. Accessed 24 June 2016.

  • Blake, M.B., Cleary, K., Ranjan, S., Ibanez, L., and Gary, K. Use case driven component specification: a medical applications perspective to product line development. In: ACM symposium for applied computing, Santa Fe, NM; 2005.

    Google Scholar 

  • Brener ND, Eaton DK, Lowry R, McManus T. The association between weight perception and BMI among high school students. Obes Res. 2004;12(11):1866–74.

    Article  PubMed  Google Scholar 

  • Butryn ML, Phelan S, Hill JO, Wing RR. Consistent self-monitoring of weight: a key component of successful weight loss maintenance. Obesity. 2007;15(12):3091–6.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. Youth risk behavior surveillance—United States 2011. 2012. http://www.cdc.gov.ezproxy1.lib.asu.edu/mmwr/pdf/ss/ss6104.pdf

  • Cousineau TM, et al. Teaching adolescents about changing bodies: randomized controlled trial of an internet puberty education and body dissatisfaction prevention program. Body Image. 2010;7(4):296–300.

    Article  PubMed  PubMed Central  Google Scholar 

  • Deci EL. Effects of externally mediated rewards on intrinsic motivation. J Pers Soc Psychol. 1971;18(1):105–15. doi:10.1037/h0030644.

    Article  Google Scholar 

  • Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York: Plenum; 1985.

    Book  Google Scholar 

  • Deci EL, Ryan RM. Self-determination theory: a macrotheory of human motivation, development, and health. Can Psychol. 2008;49(3):182–5. doi:10.1037/a0012801.

    Article  Google Scholar 

  • Dennison L, Morrison L, Conway G, Yardley L. Opportunities and challenges for smartphone applications in supporting health behavior change: qualitative study. J Med Internet Res. 2013;15(4):e86.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fisher JD, Fisher WA, Bryan AD, Misovich SJ. Information-motivation-behavioral skills model-based HIV risk behavior change intervention for inner-city high school youth. Health Psychol. 2002;21(2):177–86.

    Article  PubMed  Google Scholar 

  • Fisher JD, Fisher WA, Harman JJ. The information-motivation-behavioral skills model: a general social psychological approach to understanding and promoting health behavior. In: Suls J, Wallston K, editors. Social psychological foundations of health and illness. London: Blackwell; 2003. p. 82–106. doi:10.1002/9780470753552.ch4.

    Chapter  Google Scholar 

  • Fox J, Bailenson JN. Virtual self-modeling: the effects of vicarious reinforcement and identification on exercise behaviors. Media Psychol. 2009;12:1–25. http://vhil.stanford.edu/pubs/2009/fox-mp-selfmodeling.pdf

    Article  Google Scholar 

  • Health Games Research Database. 2016. http://www.healthgamesresearch.org/db. Accessed 15 June 2016.

  • Hekler EB, Buman MP, Haskell WL, Rosenberger M, King AC. Validity of android-based mobile phones as assessment devices of physical activity. In: mHealth Summit, Washington, DC; 2010.

    Google Scholar 

  • Kong JSL, Kwok RCW, Fang Y. The effects of peer intrinsic and extrinsic motivation on MMOG game-based collaborative learning. Inform Manage. 2012;49(1):1–9.

    Article  Google Scholar 

  • Koster R. Theory of fun for game design. Sebastopol: O’Reilly Media Inc.; 2013.

    Google Scholar 

  • Kumar J. Gamification at work: designing engaging business software. In: International conference of design, user experience, and usability. Berlin: Springer; 2013. p. 528–37.

    Google Scholar 

  • Lalloo C, Jibb LA, Rivera J, Agarwal A, Stinson JN. “There’s a Pain App for That”: review of patient-targeted smartphone applications for pain management. Clin J Pain. 2015;31:557–63.

    Article  PubMed  Google Scholar 

  • LeRouge C, Ma J, Sneha S, Tolle K. User profiles and personas in the design and development of consumer health technologies. Int J Med Inform. 2013;82(11):e251–68.

    Article  PubMed  Google Scholar 

  • Li AC, Kannry JL, Kushniruk A, Chrimes D, McGinn TG, Edonyabo D, Mann DM. Integrating usability testing and think-aloud protocol analysis with “near-live” clinical simulations in evaluating clinical decision support. Int J Med Inform. 2012;81(11):761–72.

    Article  PubMed  Google Scholar 

  • Lindley LC, Zhou W, Mack JW, Li X. Pediatric hospice and palliative care: designing a mobile app for clinical practice. J Comput Inform Nurs. 2014;32(7):299–302.

    Article  Google Scholar 

  • Locke EA, Latham GP. Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. Am Psychol. 2002;57:705–17.

    Article  PubMed  Google Scholar 

  • Maximova K, McGrath JJ, Barnett T, O'Loughlin J, Paradis G, Lambert M. Do you see what I see? Weight status misperception and exposure to obesity among children and adolescents. Int J Obes. 2008;32:1008–15.

    Article  CAS  Google Scholar 

  • McCallum S. Gamification and serious games for personalized health. Stud Health Technol Inform. 2012;177:85–96.

    PubMed  Google Scholar 

  • MindHabits Game. 2016. http://www.mindhabits.com/. Accessed 15 June 2016.

  • Mosa ASM, Yoo I, Sheets L. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak. 2012;12:67.

    Article  PubMed  PubMed Central  Google Scholar 

  • Narayan KMV, Boyle JP, Thompson TJ, et al. Lifetime risk for diabetes mellitus in the United States. JAMA. 2003;290(14):1884–90. PMID: 14532317.

    Article  CAS  PubMed  Google Scholar 

  • Ogden CL, Carroll MD, Lawman HG, Fryar CD, Kruszon-Moran D, Kit BK, Flegal KM. Trends in obesity prevalence among children and adolescents in the United States, 1988–1994 through 2013–2014. JAMA. 2016;315(21):2292–9.

    Article  CAS  PubMed  Google Scholar 

  • Overweight and Obesity. Centers for disease control and prevention. 2013. http://cdc.gov/nccdphp/dnpa/obesity/childhood/consequences.htm. Accessed Jan 2013.

  • Owen JE, Jaworski BK, Kuhn E, Makin-Byrd KN, Ramsey KM, Hoffman JE. mHealth in the wild: using novel data to examine the reach, use, and impact of PTSD coach. JMIR Ment Health. 2015;2(1):e7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Patwardhan M, Stoll R, Hamel DB, Amresh A, Gary KA, Pina A. Designing a mobile application to support the indicated prevention and early intervention of childhood anxiety. In: Proceedings of the conference on Wireless Health. ACM; 2015. p. 8.

    Google Scholar 

  • Perrotta C, Featherstone G, Aston H, Houghton E. Game-based learning: latest evidence and future directions. Slough: NFER; 2013.

    Google Scholar 

  • Powell LM, Slater S, Mirtcheva D, et al. Food store availability and neighborhood characteristics in the United States. Prev Med. 2007;44(3):189–95. PMID: 16997358.

    Article  PubMed  Google Scholar 

  • Ricciardelli LA, Yager Z. Adolescence and body image: from development to preventing dissatisfaction. Abingdon: Routledge; 2016.

    Google Scholar 

  • Ryan RM, Rigby CS, Przybylski A. The motivational pull of video games: a self-determination theory approach. Motiv Emot. 2006;30(4):344–60.

    Article  Google Scholar 

  • Salmon J, Brown H, Hume C. Effects of strategies to promote children’s physical activity on potential mediators. Int J Obes (Lond). 2009;33(Suppl 1):S66–73.

    Article  Google Scholar 

  • Schwaber K, Beedle M. Agile software development with scrum. Upper Saddle River: Pearson; 2001.

    Google Scholar 

  • Small L, Melnyk BM, Strasser A. Preventing obesity in young children: where theory meets practice. Adv Nurse Pract. 2007;15(3):35–40.

    PubMed  Google Scholar 

  • Standley R, Sullivan V, Wardle J. Self-perceived weight in adolescents: over-estimation or under-estimation? Body Image. 2009;6(1):56–9.

    Article  PubMed  Google Scholar 

  • Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001.

    Article  PubMed  Google Scholar 

  • Unger JB, Reynolds K, Shakib S, et al. Acculturation, physical activity, and fast-food consumption among Asian-American and Hispanic Adolescents. J Community Health. 2004;29(6):467–81. PMID: 15587346.

    Article  PubMed  Google Scholar 

  • Vredenburg K, Mao JY, Smith PW, Carey T. A survey of user-centered design practice. In: Proceedings of the SIGCHI conference on Human factors in computing systems. ACM; 2002. p. 471–8.

    Google Scholar 

  • Wang Y, Liang H, Chen X. Measured body mass index, body weight perception, dissatisfaction and control practices in urban, low-income African American adolescents. BMC Public Health. 2009;9:183. doi:10.1186/1471-2458-9-183.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wang J, Wang Y, Wei C, Yao N, Yuan A, Shan Y, Yuan C. Smartphone interventions for long-term health management of chronic diseases: an integrative review. Telemed J E Health. 2014;20(6):570–83.

    Article  PubMed  Google Scholar 

  • Yan AF, Zhang G, Wang MQ, Stoesen CA, Harris BM. Weight perception and weight control practice in a multiethnic sample of US adolescents. South Med J. 2009;102(4):354–60.

    Article  PubMed  Google Scholar 

  • Yee N, Bailenson JN. The Proteus effect: self transformations in virtual reality. Hum Commun Res. 2007;33:271–90. http://www.virtualtrainingpartners.com/pdfs/2007-Bailenso.pdf

    Article  Google Scholar 

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Correspondence to Ashish Amresh Ph.D. .

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Amresh, A., Lyles, A., Gary, K. (2017). Game Based Behavior Change Methods in Healthcare: The Case of Obesity . In: Patel, V., Arocha, J., Ancker, J. (eds) Cognitive Informatics in Health and Biomedicine. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-51732-2_16

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  • DOI: https://doi.org/10.1007/978-3-319-51732-2_16

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