享受在预防 binge drinking 的严肃游戏中的作用：预-后测试准实验研究。

The Role of Enjoyment in a Serious Game for Binge Drinking Prevention: Pretest-Posttest Quasi-Experimental Study.

机构信息

College of Communication, Boston University, Boston, MA, United States.

MHMR Authority of Brazos Valley, Bryan, TX, United States.

出版信息

J Med Internet Res. 2020 Nov 30;22(11):e21652. doi: 10.2196/21652.

DOI:10.2196/21652

PMID:33252348

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7735894/

Abstract

BACKGROUND

Although binge drinking peaks at age 21 to 25 years, there is limited research on the effects of serious games in this population, as well as on the process by which playing serious games impacts alcohol-related outcomes. Designed with both health behavioral theory and game theory, One Shot is an online serious game that aims to prevent binge drinking.

OBJECTIVE

This study utilized a conceptual model for serious video game processes. Using One Shot, the model assessed the following process stages: (1) Alcohol Use Disorders Identification Test-Concise (AUDIT-C); (2) in-game factors of game time and risky alcohol decisions; (3) game enjoyment; and (4) postgame outcomes of intention to drink less and drinking refusal self-efficacy.

METHODS

In a one-group pretest-posttest quasi-experimental design, a sample (N=550) of young adults (age 21-25 years) who reported recent binge drinking played the One Shot game. Intention to drink less and drinking refusal self-efficacy were measured at pregame and postgame, with their effects lagged in statistical analysis. Participants were presented with various scenarios in the game that pertained to risky alcohol decisions, which, along with game time, were unobtrusively recorded by the server. A structural equation model (SEM) was used to test the conceptual model, with assessments made to determine if enjoyment mediated the effects of game time and risky alcohol decisions on the 2 postgame alcohol-related outcomes.

RESULTS

A well-fitting SEM demonstrated support for the multistep model, with AUDIT-C predicting risky alcohol decisions (β=.30). Risky alcohol decisions (β=-.22) and game time (β=.18) predicted enjoyment, which, in turn, predicted intention to drink less (β=.21) and drinking refusal self-efficacy (β=.16). Enjoyment significantly (P<.001) mediated the effects of game time and risky alcohol decision on intention to drink less and drinking refusal self-efficacy.

CONCLUSIONS

The results support a conceptual model in which staggered individual and in-game factors influence alcohol-related outcomes. Enjoyment is important for participants' intentions to drink less and beliefs that they can refuse alcohol.

摘要

背景

尽管狂欢性饮酒在 21 至 25 岁达到高峰，但针对该人群的严肃游戏效果，以及玩严肃游戏影响酒精相关结果的过程，相关研究仍十分有限。One Shot 是一款在线严肃游戏，它结合了健康行为理论和博弈论设计而成，旨在预防狂欢性饮酒。

目的

本研究采用了严肃视频游戏过程的概念模型。使用 One Shot，该模型评估了以下过程阶段：（1）酒精使用障碍识别测试简明版（AUDIT-C）；（2）游戏中的游戏时间和冒险性饮酒决策因素；（3）游戏享受度；（4）游戏后少饮酒的意愿和拒绝饮酒的自我效能感的结果。

方法

采用单组前后测准实验设计，对一组（N=550）报告近期狂欢性饮酒的年轻人进行研究。在游戏前和游戏后测量少饮酒的意愿和拒绝饮酒的自我效能感，在统计分析中对其效果进行滞后评估。参与者在游戏中会遇到各种与冒险性饮酒决策有关的场景，服务器会通过这些场景记录参与者的游戏时间和冒险性饮酒决策，记录过程中不会对参与者造成干扰。采用结构方程模型（SEM）检验概念模型，评估享受度是否在游戏时间和冒险性饮酒决策对 2 个游戏后酒精相关结果的影响中起到中介作用。

结果

拟合度良好的 SEM 模型支持多步骤模型，AUDIT-C 预测冒险性饮酒决策（β=.30）。冒险性饮酒决策（β=-.22）和游戏时间（β=.18）预测享受度，而享受度反过来又预测少饮酒的意愿（β=.21）和拒绝饮酒的自我效能感（β=.16）。享受度显著（P<.001）中介了游戏时间和冒险性饮酒决策对少饮酒的意愿和拒绝饮酒的自我效能感的影响。