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Integrating health behaviour theory and design elements in serious games


Cheek, C and Fleming, T and Lucassen, MFG and Bridgman, H and Stasiak, K and Shepherd, M and Orpin, P, Integrating health behaviour theory and design elements in serious games, JMIR Mental Health, 2, (2) Article e11. ISSN 2368-7959 (2015) [Refereed Article]


Copyright Statement

Copyright 2015 The Author/s

DOI: doi:10.2196/mental.4133


Background: Internet interventions for improving health and well-being have the potential to reach many people and fill gaps in service provision. Serious gaming interfaces provide opportunities to optimize user adherence and impact. Health interventions based in theory and evidence and tailored to psychological constructs have been found to be more effective to promote behavior change. Defining the design elements which engage users and help them to meet their goals can contribute to better informed serious games.

Objective: To elucidate design elements important in SPARX, a serious game for adolescents with depression, from a user-centered perspective.

Methods: We proposed a model based on an established theory of health behavior change and practical features of serious game design to organize ideas and rationale. We analyzed data from 5 studies comprising a total of 22 focus groups and 66 semistructured interviews conducted with youth and families in New Zealand and Australia who had viewed or used SPARX. User perceptions of the game were applied to this framework.

Results: A coherent framework was established using the three constructs of self-determination theory (SDT), autonomy, competence, and relatedness, to organize user perceptions and design elements within four areas important in design: computer game, accessibility, working alliance, and learning in immersion. User perceptions mapped well to the framework, which may assist developers in understanding the context of user needs. By mapping these elements against the constructs of SDT, we were able to propose a sound theoretical base for the model.

Conclusions: This studyís method allowed for the articulation of design elements in a serious game from a user-centered perspective within a coherent overarching framework. The framework can be used to deliberately incorporate serious game design elements that support a userís sense of autonomy, competence, and relatedness, key constructs which have been found to mediate motivation at all stages of the change process. The resulting model introduces promising avenues for future exploration. Involving users in program design remains an imperative if serious games are to be fit for purpose.

Item Details

Item Type:Refereed Article
Keywords:cognitive behaviour therapy, etherapy, youth, serious game, Self-determination theory
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Cheek, C (Dr Colleen Cheek)
UTAS Author:Bridgman, H (Dr Heather Bridgman)
UTAS Author:Orpin, P (Dr Peter Orpin)
ID Code:99986
Year Published:2015
Deposited By:UTAS Centre for Rural Health
Deposited On:2015-04-22
Last Modified:2017-11-06
Downloads:326 View Download Statistics

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