Kharrazi Hadi, Lu Amy Shirong, Gharghabi Fardad, Coleman Whitney
School of Informatics, Indiana University, Indianapolis, Indiana.
Games Health J. 2012 Apr 18;1(2):153-64. doi: 10.1089/g4h.2012.0011.
Health game research has flourished over the last decade. The number of peer-reviewed scientific publications has surged as the clinical application of health games has diversified. In response to this growth, several past literature reviews have assessed the effectiveness of health games in specific clinical subdomains. The past literature reviews, however, have not provided a general scope of health games independent of clinical context. The present systematic review identified 149 publications. All sources were published before 2011 in a peer-reviewed venue. To be included in this review, publications were required (1) to be an original research, (2) to focus on health, (3) to utilize a sound research design, (4) to report quantitative health outcomes, and (5) to target healthcare receivers. Initial findings showed certain trends in health game publications: Focus on younger male demographics, relatively low number of study participants, increased number of controlled trials, short duration of intervention periods, short duration and frequency of user-game interaction, dominance of exercise and rehab games, lack of underlying theoretical frameworks, and concentration on clinical contexts such as physical activity and nutrition. The review concludes that future research should (1) widen the demographics to include females and elderly, (2) increase the number of participants in controlled trials, (3) lengthen both the intervention period and user-game interaction duration, and (4) expand the application of health games in new clinical contexts.
在过去十年中，健康游戏研究蓬勃发展。随着健康游戏临床应用的多样化，经过同行评审的科学出版物数量激增。针对这一增长，过去的几篇文献综述评估了健康游戏在特定临床子领域的有效性。然而，过去的文献综述并未提供独立于临床背景的健康游戏的总体范围。本系统综述共识别出149篇出版物。所有来源均在2011年之前发表于同行评审的期刊。要纳入本综述，出版物需满足以下条件：（1）为原创研究；（2）关注健康；（3）采用合理的研究设计；（4）报告定量健康结果；（5）以医疗保健接受者为目标人群。初步研究结果显示了健康游戏出版物的某些趋势：关注年轻男性人群、研究参与者数量相对较少、对照试验数量增加、干预期持续时间较短、用户与游戏交互的持续时间和频率较短、运动和康复游戏占主导、缺乏潜在理论框架，以及集中于身体活动和营养等临床背景。该综述得出结论，未来的研究应：（1）扩大人群范围以纳入女性和老年人；（2）增加对照试验中的参与者数量；（3）延长干预期和用户与游戏交互的持续时间；（4）将健康游戏的应用扩展到新的临床背景中。
