Educational video game for juvenile diabetes: Results of a controlled trial
Educational video game for juvenile diabetes: Results of a controlled trial
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DOI：
10.3109/14639239709089835
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发表时间：
1997-01-01
期刊：
影响因子：
--
通讯作者：
Pasta, DJ
中科院分区：
文献类型：
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作者：
Brown, SJ;Lieberman, DA;Pasta, DJ
Packy & Marlon（R）是一款旨在改善儿童和青少年糖尿病患者自我护理的互动视频游戏，在一项为期六个月的随机对照试验中进行了评估。在游戏中，玩家扮演动画角色，通过监测血糖，注射胰岛素和选择食物来管理糖尿病，同时开始拯救糖尿病夏令营，防止老鼠偷走糖尿病用品。研究参与者是来自两个独立糖尿病诊所的8至16岁的患者。每个参与者在初次就诊时接受超级任天堂（R）视频游戏系统，并被随机分配接受Packy & Marlon（治疗组，N = 31）或不含糖尿病相关内容的娱乐视频游戏（对照组，N = 28）。参与者接受了采访，一位家长在基线、三个月和六个月时填写了问卷。这项研究的结果表明，精心设计的教育视频游戏可以有效地干预。与对照组相比，治疗组在糖尿病相关的自我效能（p = 0.07）、与父母就糖尿病进行沟通（p = 0.025）和自我护理行为（P = 0.003）方面有所改善，计划外紧急就诊减少（p = 0.08）。在糖尿病知识或糖化血红蛋白（HbA（1e））水平方面，两组之间没有显著差异。由于参与这项研究的患者一般都是控制良好的患者，他们接受了良好的医疗护理，未来的研究将涉及那些血糖控制不佳的青少年。
Packy & Marlon(R), an interactive video game designed to improve self-care among children and adolescents with diabetes, was evaluated in a six-month randomized controlled trial. In the game, players take the role of animated characters who manage their diabetes by monitoring blood glucose, taking insulin injections, and choosing foods, while setting out to save a diabetes summer camp from marauding rats and mice who have stolen the diabetes supplies. Study participants were patients aged 8 to 16 from two separate diabetes clinics. Each participant received a Super Nintendo(R) video game system at an initial clinic visit and was randomly assigned to receive either Packy & Marlon (treatment group, N = 31) or an entertainment video game containing no diabetes-related content (control group, N = 28). Participants were interviewed and a parent filled out questionnaire at baseline, three months, and six months. The findings in this study indicate that well-designed, educational video games can be effective interventions. There was improvement in the treatment group relative to the control group in terms of diabetes-related self-efficacy (p = 0.07), communication with parents about diabetes (p = 0.025), and serf-care behaviours (P = 0.003), and a decrease in unscheduled urgent doctor visits (p = 0.08). There were no significant differences between the groups in knowledge about diabetes or in glycated haemoglobin (HbA(1e)) levels. Since participants in the study were in general well-controlled patients who were receiving excellent medical care, future research is contemplated involving youngsters who are not under good glycaemic control.