Kürzi, An Interactive Media Device and Curriculum Encouraging Healthy Decision Making in Youth

摘要/摘要 美国的成年人（美国）在工业化国家中慢性病负担率最高， 肥胖导致的死亡可以通过选择更健康的生活方式来预防。美国成年人有生活 预期寿命为78.6年，比所有其他工业国家的平均水平低2.1年，而非西班牙裔 美国黑人的预期寿命更短，为75.3岁。供应商对黑人和西班牙裔的偏见 在研究中有充分的记录表明，少数民族患者不太可能接受 适当的治疗。医疗保健中的种族不平等已被证明有助于缩短寿命， 为了所有美国人的利益，需要改善健康教育， 医疗系统必须多样化，以更好地平等地为所有病人服务。为了使医疗保健系统多样化，儿童应该 当他们考虑职业角色时，在青春期就被介绍给可能的职业道路。研究 显示，学生从6日至8日年级接触到学习，通过使用互动数字媒体 (IDM)游戏展示了不同种族/民族、性别和学习的知识的显著增长 残疾。我们建议开发一种低成本的独立设备，具有基本的生命体征传感器和交互式 游戏，以证明通过饮食和体育活动做出健康决定的重要性， 使用基于输入的玩家生命体征表现更好的化身。基于头像的游戏Kürzi将包括 Kürzi生物的医生访问和以不同医疗保健专业为特色的活动。Kürzi装置是 配合根据国家健康教育标准定制的课程，供受过培训的教师指导 学生通过四个不同的课程。八个不同的中学教室将被评估使用 形成性评估，以确定Kürzi IDM是否提高了有关健康决策的知识， 医疗保健职业。此外，将有四个小组，每个小组两个教室，每个教室2 x 2， 该设计将用于将Kürzi产品的任何影响与新课程隔离开来。结束时 课程，将要求教师通过与课程有关的开放式问题提供反馈。

Summary/Abstract Adults in the United States (U.S.) have the highest rates among industrial nations of chronic disease burden and obesity leading to deaths that could be prevented with healthier lifestyle choices. U.S. adults have a life expectancy of 78.6 years, 2.1 years lower than the average of all other industrial nations, while Non-Hispanic Black Americans have an even shorter life expectancy at 75.3 years. Provider bias against Black and Hispanic patients has been well documented in research contributing to minority patients being less likely to receive adequate treatment. Racial inequalities in healthcare have been proven to contribute to shorter lifespans for minorities in the U.S. Health education needs to be improved for the benefit of all Americans, and the healthcare system must be diversified to better serve all patients equally. To diversify the healthcare system, children should be introduced to possible career paths in adolescence when they are considering career roles. Studies have shown that students from 6th through 8th grade exposed to learning through the use of interactive digital media (IDM) games demonstrate significant gains in knowledge across different races/ethnicities, genders, and learning disabilities. We propose to develop a low-cost standalone device with basic vital sign sensors and interactive games to demonstrate the importance of making healthy decisions in relation to diet and physical activity via the use of an avatar that performs better based on input player vital signs. The avatar-based game, Kürzi, will include doctor visits for the Kürzi creature and events that feature different healthcare professions. The Kürzi device is paired with a tailored curriculum based on the National Health Education Standards for trained teachers to guide students through four different lessons. Eight different middle school classrooms will be evaluated using formative assessment to determine if the Kürzi IDM improves knowledge about healthy decision making and healthcare careers. Additionally, there will be four groups of two classrooms each in a 2 x 2 between-subjects design that will be used to isolate any effect of the Kürzi product from the new curriculum. At the end of the curriculum, teachers will be asked for feedback through open-ended questions related to the curriculum.