Is Participatory Design Associated with the Effectiveness of Serious Digital Games for Healthy Lifestyle Promotion? A Meta-Analysis

Is Participatory Design Associated with the Effectiveness of Serious Digital Games for Healthy Lifestyle Promotion? A Meta-Analysis
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DOI:
10.2196/jmir.4444
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发表时间:
2016-04-01
影响因子:
7.4
通讯作者:
De Bourdeaudhuij, Ilse
De Bourdeaudhuij, Ilse
中科院分区:
医学2区
文献类型:
--
作者:
DeSmet, Ann;Thompson, Debbe;De Bourdeaudhuij, Ilse

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背景:严肃的数字游戏可以有效改变健康的生活方式,但其效果存在很大差异。用户参与游戏设计的程度可能会通过更好地适应用户偏好来提高游戏的有效性。参与式设计 (PD) 代表用户在游戏开发早期和整个游戏开发过程中作为信息提供者(即,要求用户提供输入和反馈)或共同设计者(即,用户作为设计中的平等合作伙伴)积极参与,与没有用户参与或有限的用户参与相反,它可能与更高的游戏有效性相关。 目的:本文报告了荟萃分析的结果,该荟萃分析检查了 PD 在严肃数字游戏促进健康生活方式的有效性中的调节作用。方法:在四个数据库中搜索了同行评审的论文2014 年 10 月之前出版或出版的英文版,采用(组)随机对照试验设计。有效性数据来自另一项荟萃分析,该分析评估了行为改变技术和游戏特征在严肃游戏有效性中的作用。结果:共纳入了 61 项研究中评估的 58 款游戏。正如之前报道的,严肃的数字游戏对健康的生活方式及其决定因素有积极的影响。出乎意料的是,整个游戏开发过程中的 PD(g=0.075,95% CI 0.017 至 0.133)与较低的游戏行为有效性相关(Q=6.74,P
Background: Serious digital games can be effective at changing healthy lifestyles, but large differences in their effectiveness exist. The extent of user involvement in game design may contribute to game effectiveness by creating a better fit with user preferences. Participatory design (PD), which represents active user involvement as informant (ie, users are asked for input and feedback) or codesigner (ie, users as equal partners in the design) early on and throughout the game development, may be associated with higher game effectiveness, as opposed to no user involvement or limited user involvement.Objective: This paper reports the results of a meta-analysis examining the moderating role of PD in the effectiveness of serious digital games for healthy lifestyle promotion.Methods: Four databases were searched for peer-reviewed papers in English that were published or in press before October 2014, using a (group-) randomized controlled trial design. Effectiveness data were derived from another meta-analysis assessing the role of behavior change techniques and game features in serious game effectiveness.Results: A total of 58 games evaluated in 61 studies were included. As previously reported, serious digital games had positive effects on healthy lifestyles and their determinants. Unexpectedly, PD (g=0.075, 95% CI 0.017 to 0.133) throughout game development was related to lower game effectiveness on behavior (Q=6.74, P