A Meta-analysis of Narrative Game-based Interventions for Promoting Healthy Behaviors

References

• Apperley, T. H. (2006). Genre and game studies: Toward a critical approach to video game genres. Simulation & Gaming, 37, 6–23. doi:10.1177/1046878105282278
   Google Scholar
• Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Upper Saddle River, NJ: Prentice-Hall, Inc.
   Google Scholar
• Baranowski, M. T., Lu, P. A. S., Buday, R., Lyons, E. J., Schell, J., & Russoniello, C. (2013). Stories in games for health: more pros or cons?Games for Health Journal, 2, 256–263. doi:10.1089/g4h.2013.0052
   PubMed Web of Science ®Google Scholar
• Baranowski, T., Blumberg, F., Buday, R., DeSmet, A., Fiellin, L. E., & Mellecker, R. (2016). Games for health for children—Current status and needed research. Games for Health Journal, 5, 1–12. doi:10.1089/g4h.2015.0026
   PubMed Web of Science ®Google Scholar
• Baranowski, T., Buday, R., Thompson, D. I., & Baranowski, J. (2008). Playing for real: Video games and stories for health-related behavior change. American Journal of Preventive Medicine, 34, 74–82. doi:10.1016/j.amepre.2007.09.027
   PubMed Web of Science ®Google Scholar
• *Baranowski, T., Baranowski, J., Thompson, D., Buday, R., Jago, R., Griffith, M. J., … Watson, K. B. (2011). Video game play, child diet, and physical activity behavior change: A randomized clinical trial. American Journal of Preventive Medicine, 40, 33–38. doi:10.1016/j.amepre.2010.09.029
   PubMed Web of Science ®Google Scholar
• Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Chichester, UK: John Wiley & Sons.
   Google Scholar
• Braddock, K., & Dillard, J. P. (2016). Meta-analytic evidence for the persuasive effect of narratives on beliefs, attitudes, intentions, and behaviors. Communication Monographs, 83, 446–467. doi:10.1080/03637751.2015.1128555
   Web of Science ®Google Scholar
• Buday, R. (2015). Games for health: An opinion. Games for Health Journal, 4, 38–42. doi:10.1089/g4h.2014.0083
   PubMed Web of Science ®Google Scholar
• Buttelmann, F., & Karbach, J. (2017). Development and plasticity of cognitive flexibility in early and middle childhood. Frontiers in Psychology, 8, 1–6. doi:10.3389/fpsyg.2017.01040
   PubMed Web of Science ®Google Scholar
• Callan, M. J., Kim, H., & Matthews, W. J. (2015). Age differences in social comparison tendency and personal relative deprivation. Personality and Individual Differences, 87, 196–199. doi:10.1016/j.paid.2015.08.003
   Web of Science ®Google Scholar
• *Champlin, S., & James, J. (2017). Breaking health insurance knowledge barriers through games: Pilot test of Health Care America. JMIR Serious Games, 5, 1–13. doi:10.2196/games.7818
   Web of Science ®Google Scholar
• Carlquist, J. (2002). Playing the story: Computer games as a narrative genre. Human IT, 6, 7–53.
   Google Scholar
• Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
   Google Scholar
• De Graaf, A., Hoeken, H., Sanders, J., & Beentjes, J. W. (2012). Identification as a mechanism of narrative persuasion. Communication Research, 39, 802–823. doi:10.1177/0093650211408594
   Web of Science ®Google Scholar
• Delwiche, A. (2006). Massively multiplayer online games (MMOs) in the new media classroom. Educational Technology & Society, 9, 160–172.
   Web of Science ®Google Scholar
• DeSmet, A., Shegog, R., Van Ryckeghem, D., Crombez, G., & De Bourdeaudhuij, I. (2015). A systematic review and meta-analysis of interventions for sexual health promotion involving serious digital games. Games for Health Journal, 4, 78–90. doi:10.1089/g4h.2014.0110
   PubMed Web of Science ®Google Scholar
• DeSmet, A., Van Ryckeghem, D., Compernolle, S., Baranowski, T., Thompson, D., Crombez, G., … Vandebosch, H. (2014). A meta-analysis of serious digital games for healthy lifestyle promotion. Preventive Medicine, 69, 95–107. doi:10.1016/j.ypmed.2014.08.026
   PubMed Web of Science ®Google Scholar
• *Epstein, J., Thomson, N. R., Collins, K. K., & Pancella, T. (2009). A longitudinal comparison of two versions of an interactive multimedia substance abuse education program. Journal of Child & Adolescent Substance Abuse, 18, 302–321. doi:10.1080/10678280902973286
   Web of Science ®Google Scholar
• *Direito, A., Jiang, Y., Whittaker, R., & Maddison, R. (2015). Smartphone apps to improve fitness and increase physical activity among young people: Protocol of the Apps for IMproving FITness (AIMFIT) randomized controlled trial. BMC Public Health, 15, 635–647. doi:10.1186/s12889-015-1968-y
   PubMedGoogle Scholar
• Fishbein, M. F., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Psychology Press.
   Google Scholar
• Garris, R., Ahlers, R., & Driskell, J. (2002). Games, motivation, and learning: A research and practice model. Simulation & Gaming, 33, 441–467. doi:10.1177/1046878102238607
   Google Scholar
• Green, M. C., & Brock, T. C. (2000). The role of transportation in the persuasiveness of public narratives. Journal of Personality and Social Psychology, 79, 701–721. doi:10.1037/0022-3514.79.5.701
   PubMed Web of Science ®Google Scholar
• Green, M. C., & Clark, J. L. (2013). Transportation into narrative worlds: Implications for entertainment media influences on tobacco use. Addiction, 108, 477–484. doi:10.1111/j.1360-0443.2012.04088.x
   PubMed Web of Science ®Google Scholar
• Gutierrez, B., Kaatz, A., Chu, S., Ramirez, D., Samson-Samuel, C., & Carnes, M. (2014). “Fair Play”: A videogame designed to address implicit race bias through active perspective taking. Games for Health Journal, 3, 371–378. doi:10.1089/g4h.2013.0071
   PubMed Web of Science ®Google Scholar
• *Hwang, J., & Lu, A. S. (2018). Narrative and active video game in separate and additive effects of physical activity and cognitive function among young adults. Scientific Reports, 8, 11020. doi:10.1038/s41598-018-29274-0
   PubMed Web of Science ®Google Scholar
• Ibanez Bueno, J., Chabert, G., & Allain, S. (2014). Serious games: New media in a public institution? Revista Latina De Comunicación Social, 69, 125–134. doi:10.4185/RLCS-2014-1004en
   Google Scholar
• Johnson-Glenberg, M. C., Savio-Ramos, C., & Henry, H. (2014). *“Alien Health”: A nutrition instruction exergame using the kinect sensor. Games for Health Journal, 3, 241–251. doi:10.1089/g4h.2013.0094
   PubMed Web of Science ®Google Scholar
• *Johnston, J. D., Massey, A. P., & Marker-Hoffman, R. L. (2012). Using an alternate reality game to increase physical activity and decrease obesity risk of college students. Journal of Diabetes Science and Technology, 6, 828–838. doi:10.1177/193229681200600414
   PubMedGoogle Scholar
• Jones, B. A. (2014). *Incentivizing children’s fruit and vegetable consumption: Evaluation and modification of the food dudes program for sustainable use in U. S. elementary schools (Doctoral dissertation). Utah State University. Retrieved from https://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=4708&context=etd
   Google Scholar
• Joyner, D., Wengreen, H. J., Aguilar, S. S., Spruance, L. A., Morrill, B. A., & Madden, G. J. (2017). *The FIT Game III: Reducing the operating expenses of a game-based approach to increasing healthy eating in elementary schools. Games for Health Journal, 6, 111–118. doi:10.1089/g4h.2016.0096
   PubMed Web of Science ®Google Scholar
• *Jozkowski, K. N., & Ekbia, H. R. (2015). “Campus craft”: A game for sexual assault prevention in universities. Games for Health Journal, 4, 95–106. doi:10.1089/g4h.2014.0056
   PubMed Web of Science ®Google Scholar
• Kim, S., Zhou, C., Carcioppolo, N., & Ewing, C. (2018). Rethinking the role of engagement and enjoyment: The effect of a digital health game on indoor tanning attitude and intention. Paper presented at the Kentucky Conference on Health Communication (KCHC), Lexington, Kentucky, April, 12-14.
   Google Scholar
• Lee, H., Fawcett, J., & DeMarco, R. (2016). Storytelling/narrative theory to address health communication with minority populations. Applied Nursing Research, 30, 58–60. doi:10.1016/j.apnr.2015.09.004
   PubMed Web of Science ®Google Scholar
• Lieberman, D. A. (2001). Management of chronic pediatric diseases with interactive health games: Theory and research findings. Journal of Ambulatory Care Management, 24, 26–38. doi:10.1097/00004479-200101000-00004
   PubMedGoogle Scholar
• Lieberman, D. A. (2013). Designing digital games, social media, and mobile technologies to motivate and support health behavior change. In R. E. Rice & C. K. Atkin (Eds.), Public communication campaigns (4th ed., pp. 273–288). Los Angeles, CA: Sage.
   Google Scholar
• Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks, CA: Sage.
   Google Scholar
• Lu, A. S., Baranowski, T., Hong, S. L., Buday, R., Thompson, D., Beltran, A., … Chen, T. A. (2016). *The narrative impact of active video games on physical activity among children: A feasibility study. Journal of Medical Internet Research, 18, 1–10. doi:10.2196/jmir.6538
   Web of Science ®Google Scholar
• *Lu, A. S., Thompson, D., Baranowski, J., Buday, R., & Baranowski, T. (2012). Story immersion in a health videogame for childhood obesity prevention. Games for Health Journal, 1, 37–44. doi:10.1089/g4h.2011.0011
   PubMed Web of Science ®Google Scholar
• *Mohan, D., Farris, C., Fischhoff, B., Rosengart, M. R., Angus, D. C., Yealy, D. M., … Barnato, A. E. (2017). Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: Randomized controlled trial. BMJ, 359, 1–12. doi:10.1136/bmj.j5416
   Google Scholar
• *Mohan, D., Fischhoff, B., Angus, D. C., Rosengart, M. R., Wallace, D. J., Yealy, D. M., … Barnato, A. E. (2018). Serious games may improve physician heuristics in trauma triage. Proceedings of the National Academy of Sciences, 115, 9204–9209. doi:10.1073/pnas.1805450115
   PubMed Web of Science ®Google Scholar
• Moyer-Gusé, E. (2008). Toward a theory of entertainment persuasion: Explaining the persuasive effects of entertainment-education messages. Communication Theory, 18, 407–425. doi:10.1111/j.1468-2885.2008.00328.x
   Web of Science ®Google Scholar
• Noar, S. M., Pierce, L. B., & Black, H. G. (2010). Can computer-mediated interventions change theoretical mediators of safer sex? A meta-analysis. Human Communication Research, 36, 261–297. doi:10.1111/j.1468-2958.2010.01376.x
   Web of Science ®Google Scholar
• O’Connor, E., Longman, H., White, K. M., & Obst, P. (2015). Sense of community, social identity and social support among players of Massively Multiplayer Online Games (MMOGs). A Qualitative Analysis. Journal of Community & Applied Social Psychology, 25, 459–473. doi:10.1002/casp.2224
   Web of Science ®Google Scholar
• *Peng, W. (2009). Design and evaluation of a computer game to promote a healthy diet for young adults. Health Communication, 24, 115–127. doi:10.1080/10410230802676490
   PubMed Web of Science ®Google Scholar
• Peng, W., Lin, J. H., Pfeiffer, K. A., & Winn, B. (2012). Need satisfaction supportive game features as motivational determinants: An experimental study of a self-determination theory guided exergame. Media Psychology, 15, 175–196. doi:10.1080/15213269.2012.673850
   Web of Science ®Google Scholar
• Rangelov, N., Suggs, L. S., Occa, A., Radchuk, O., & Schmeil, A. (2017). Online games to improve children’s knowledge of nutrition and physical activity guidelines–A pilot study. Global Journal of Health Science, 9, 134–141. doi:10.5539/gjhs.v9n4p134
   Google Scholar
• *References marked with an asterisk indicate studies included in the meta-analysis.
   Google Scholar
• Riedl, M. O., & Stern, A. (2006, December). Believable agents and intelligent story adaptation for interactive storytelling. In International Conference on Technologies for Interactive Digital Storytelling and Entertainment, Darmstadt, Germany (pp. 1–12).
   Google Scholar
• Rosenthal, R. (1991). Meta-analytic procedures for social research. (Rev.ed.). Newbury Park, CA: Sage.
   Google Scholar
• Ryan, R. M., & Deci, E. L. (2000). Self-Determination Theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. doi:10.1037/0003-066X.55.1.68
   PubMed Web of Science ®Google Scholar
• Ryan, R. M., Rigby, C. S., & Przybylski, A. (2006). The motivational pull of video games: A self-determination theory approach. Motivation and Emotion, 30, 344–360. doi:10.1007/s11031-006-9051-8
   Web of Science ®Google Scholar
• *Schotland, M., & Littman, K. (2012). Using a computer game to teach young children about their brains. Games for Health Journal, 1, 442–448. doi:10.1089/g4h.2012.0039
   PubMed Web of Science ®Google Scholar
• Schwarz, A., Mertens, L., Simons, M., Spook, J. E., Thompson, D., Cardon, G., … DeSmet, A. (2019). Which game narratives do adolescents of different gameplay and sociodemographic backgrounds prefer? A mixed-methods analysis. Games for Health Journal, 8, 195–204. doi:10.1089/g4h.2017.0178
   PubMed Web of Science ®Google Scholar
• Shegog, R., Markham, C., Peskin, M., Dancel, M., Coton, C., & Tortolero, S. (2007). “It’s your game”: An innovative multimedia virtual world to prevent HIV/STI and pregnancy in middle school youth. Studies in Health Technology and Informatics, 129(Pt 2), 983–987.
   PubMedGoogle Scholar
• *Sherrick, B. I. (2015). Immersive mediation: The roles of flow and narrative engagement in a persuasive health game (Doctoral dissertation). Pennsylvania State University. Retrieved from https://etda.libraries.psu.edu/files/final_submissions/10591
   Google Scholar
• Slater, M. D., & Rouner, D. (2002). Entertainment-education and elaboration likelihood: Understanding the processing of narrative persuasion. Communication Theory, 12, 173–191. doi:10.1111/j.1468-2885.2002.tb00265.x
   Web of Science ®Google Scholar
• *Wang, J. J., Baranowski, T., Lau, P. W., Buday, R., & Gao, Y. (2017). Story immersion may be effective in promoting diet and physical activity in Chinese children. Journal of Nutrition Education and Behavior, 49, 321–329. doi:10.1016/j.jneb.2017.01.001
   PubMed Web of Science ®Google Scholar
• Weisberg, D. S., Ilgaz, H., Hirsh-Pasek, K., Golinkoff, R., Nicolopoulou, A., & Dickinson, D. K. (2015). Shovels and swords: How realistic and fantastical themes affect children’s word learning. Cognitive Development, 35, 1–14. doi:10.1016/j.cogdev.2014.11.001
   Web of Science ®Google Scholar
• Wendel, V., & Konert, J. (2016). Multiplayer serious games. In R. G. W. Doner & J. Wiemeyer (Eds.), Serious Games: Foundations, concepts and practise (pp. 211–242). Gewerbestrasse, Switzerland: Springer International Publishing.
   Google Scholar
• Winskell, K., Sabben, G., Akelo, V., Ondeng’e, K., Obong’o, C., Stephenson, R., … Mudhune, V. (2018). *A smartphone game-based intervention (Tumaini) to prevent HIV among young Africans: Pilot randomized controlled trial. JMIR mHealth and uHealth, 6, 1–15. doi:10.2196/10482
   Web of Science ®Google Scholar
• *Wolf-Fordham, S. B., Twyman, J. S., & Hamad, C. D. (2007). Educating first responders to provide emergency services to individuals with disabilities. Disaster Medicine & Public Health Preparedness, 8, 533–540. doi:10.1017/dmp.2014.129
   Google Scholar
• *Zhou, C. (2018). Examining the effects of narrative-based interactivity and its two types for serious digital games (Doctoral dissertation). University of Miami.
   Google Scholar