An Interactive Video Game for HIV Prevention in At-Risk Adolescents
用于预防高危青少年艾滋病毒的互动视频游戏
基本信息
- 批准号:8318135
- 负责人:
- 金额:$ 73.41万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2009
- 资助国家:美国
- 起止时间:2009-08-10 至 2014-07-31
- 项目状态:已结题
- 来源:
- 关键词:AIDS preventionAIDS/HIV problemAcquired Immunodeficiency SyndromeAddressAdolescentAffectAgeAlcohol consumptionAlcoholsAnusArtificial IntelligenceAttitudeBehaviorBehavioralCellular PhoneCharacteristicsChoice BehaviorCognitiveComputer softwareControl GroupsCountryCoupledDeveloping CountriesDevelopmentDiseaseEducationEducational InterventionEducational process of instructingElectronicsElementsEnrollmentEnvironmentEpidemicEthnic OriginExperimental GamesFoundationsGenderGoalsHIVHIV InfectionsHealth PromotionHealth behaviorHealth behavior changeHispanicsHome environmentHousingIndividualInfectionInternationalInternetInterventionKnowledgeLeadLearningLifeMeasuresMediationMinorityMinority GroupsModelingNot Hispanic or LatinoOutcomePersonal Digital AssistantPharmaceutical PreparationsPlayPopulations at RiskPrevalencePreventionPrevention strategyPreventive InterventionPrimary PreventionPsychologyPublic HealthRaceRandomizedRandomized Clinical TrialsResearchRiskRisk BehaviorsRisk ReductionRisk Reduction BehaviorRisk-TakingRoleSchoolsSecondary PreventionSelf EfficacySeriesSex BehaviorSocial InteractionSoftware ToolsTechnologyTestingTimeTravelVaginaVideo GamesYouthafter-school programage groupalcohol riskavoid sexbehavior changebehavior influencecohortdesignexperienceexternalizing behaviorhigh riskimprovedmeetingsmemberneurobehavioralpositive youth developmentpreventprimary outcomeprogramspublic health relevanceresponsesecondary outcomesexskillsskills trainingsocialsocial cognitive theorysocial skillstheoriestooltransmission processvirtual
项目摘要
DESCRIPTION (provided by applicant): Video games are ubiquitous, can improve health behavior, but have not been evaluated as a tool to promote protection from HIV transmission in minority early adolescents. A major challenge in HIV prevention for minority adolescents is capturing individuals in their environment - meeting individuals "where they live". The current application combines proven HIV prevention strategies and an interactive video game platform that incorporates virtual environments and intelligent conversant virtual characters to address this challenge. Research demonstrates that adolescents who acquire new knowledge, skills and attitudes in a video game, and practice these skills in the game, are more likely to behave similarly in real life. Therefore, the goal of this application is to adapt existing software to develop and refine an interactive video game designed to decrease HIV risk by teaching minority adolescents sex, drug and alcohol negotiation and refusal skills. The game will be adapted with input from minority adolescents, and collaborators with expertise in positive youth development, social cognitive theory and self-efficacy, prospect theory and message framing, software and artificial intelligence development, and commercial game design. We will evaluate the efficacy of the game by conducting a randomized clinical trial in 330 minority youths, ages 9-14 years, attending an after-school and/or weekend youth program, who will be randomly assigned to play the interactive HIV prevention video game, "Retro-Warriors", or to play a commercial "off-the-shelf" video game. Subjects will play two sessions/week of their assigned game for four weeks. The primary outcome will be initiation of sexual activity, defined as the initiation of either vaginal or anal intercourse. Secondary outcomes include HIV risk behavior knowledge, social competency, self-efficacy, drug/alcohol use behaviors and overall risk-taking behaviors. We hypothesize that the experimental group will have lower rates of initiation of sexual activity and have higher knowledge scores at 1, 6, 12, and 24 months compared with the control group. We will also explore if selected baseline characteristics are associated with an improved response to the negotiation skills training intervention embedded in the interactive video game. Unique features of this intervention will include the use of virtual characters or avatars who can verbally respond to and interact with the player, a realistic virtual urban setting, the use of sex, drug/alcohol "risk challenges" that the subjects can practice repeatedly, the use of message framing according to prospect theory, a fun and engaging intervention that encourages repeated involvement, and the ability to track the players' choices and behaviors in the game. The successful implementation of this application will represent a paradigm shift, providing evidence for the role of interactive games as HIV/AIDS prevention in minority adolescents. Video game technology has the potential to expand the available vehicles for HIV prevention to the increasing number of electronic gaming platforms including the internet, personal digital assistants, and cell phones, thereby creating a new avenue for public health interventions.
PUBLIC HEALTH RELEVANCE: This research is designed to develop and test a video game that will teach minority adolescents how to avoid sex, drug and alcohol risk behaviors that can lead to HIV infection. The research goes beyond the use of a game for education and proposes to create an interactive world in which the game players can engage in "role-playing" to learn to avoid risky behaviors. This application has far-reaching implications including the potential for this technology to "travel" with the player, i.e., the player ultimately can do sessions from home, on a console, a cell phone, or a personal digital assistant. There are international implications given that access to the internet is growing in developing countries and these technologies could be transferred to adolescents in countries experiencing a growing HIV epidemic but who have limited access to targeted risk reduction strategies. If successful, the results of this research will be video game technology that can improve individual and public health and decrease HIV transmission.
描述(由申请人提供):视频游戏无处不在,可以改善健康行为,但尚未被评估为促进少数族裔早期青少年免受艾滋病毒传播的工具。少数族裔青少年预防艾滋病毒的一个主要挑战是捕捉他们环境中的个体——在“他们居住的地方”与个体会面。当前的应用程序结合了经过验证的艾滋病毒预防策略和交互式视频游戏平台,该平台结合了虚拟环境和智能熟悉的虚拟角色来应对这一挑战。研究表明,在电子游戏中获得新知识、技能和态度,并在游戏中练习这些技能的青少年更有可能在现实生活中表现出类似的行为。因此,该应用程序的目标是改编现有软件来开发和完善交互式视频游戏,旨在通过教授少数族裔青少年性、毒品和酒精谈判和拒绝技巧来降低艾滋病毒风险。该游戏将根据少数族裔青少年以及在积极青年发展、社会认知理论和自我效能、前景理论和信息框架、软件和人工智能开发以及商业游戏设计方面拥有专业知识的合作者的意见进行改编。我们将通过对 330 名 9-14 岁少数民族青少年进行随机临床试验来评估该游戏的功效,这些青少年参加课后和/或周末青少年计划,他们将被随机分配玩互动艾滋病毒预防视频游戏、“复古勇士”,或者玩商业“现成”视频游戏。受试者将每周玩两次分配给他们的游戏,持续四个星期。主要结果是性活动的开始,定义为阴道性交或肛门性交的开始。次要结果包括艾滋病毒风险行为知识、社交能力、自我效能、药物/酒精使用行为和总体冒险行为。我们假设与对照组相比,实验组在 1、6、12 和 24 个月时的性活动起始率较低,知识得分较高。我们还将探讨所选的基线特征是否与对交互式视频游戏中嵌入的谈判技能培训干预的改进反应相关。这种干预的独特之处包括使用可以对玩家进行口头回应并与玩家互动的虚拟角色或化身、逼真的虚拟城市环境、使用受试者可以反复练习的性、毒品/酒精“风险挑战”,根据前景理论使用消息框架,鼓励重复参与的有趣且引人入胜的干预,以及跟踪玩家在游戏中的选择和行为的能力。该应用程序的成功实施将代表一种范式转变,为互动游戏在少数民族青少年预防艾滋病毒/艾滋病方面的作用提供证据。视频游戏技术有可能将艾滋病毒预防的可用工具扩展到越来越多的电子游戏平台,包括互联网、个人数字助理和手机,从而为公共卫生干预措施创造一条新途径。
公共健康相关性:本研究旨在开发和测试一款视频游戏,该游戏将教导少数族裔青少年如何避免可能导致艾滋病毒感染的性、毒品和酒精风险行为。该研究超越了将游戏用于教育的目的,并提出创建一个互动世界,让游戏玩家可以参与“角色扮演”来学习避免危险行为。该应用具有深远的影响,包括该技术有可能与玩家一起“旅行”,即玩家最终可以在家中通过游戏机、手机或个人数字助理进行游戏。鉴于发展中国家的互联网普及率不断提高,这些技术可以转让给艾滋病毒流行日益严重的国家的青少年,但他们获得有针对性的风险降低战略的机会有限,因此具有国际影响。如果成功,这项研究的结果将是视频游戏技术,可以改善个人和公共健康并减少艾滋病毒传播。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Lynn Elizabeth Fiellin其他文献
Lynn Elizabeth Fiellin的其他文献
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{{ truncateString('Lynn Elizabeth Fiellin', 18)}}的其他基金
A digital intervention to prevent the initiation of opioid misuse in adolescents in school-based health centers
防止学校保健中心青少年滥用阿片类药物的数字干预措施
- 批准号:
10023176 - 财政年份:2019
- 资助金额:
$ 73.41万 - 项目类别:
A digital intervention to prevent the initiation of opioid misuse in adolescents in school-based health centers
防止学校保健中心青少年滥用阿片类药物的数字干预措施
- 批准号:
10408897 - 财政年份:2019
- 资助金额:
$ 73.41万 - 项目类别:
An Accessible Digital Intervention to Promote HIV Testing/Counseling and Prevention Among Adolescents
促进青少年艾滋病毒检测/咨询和预防的便捷数字干预措施
- 批准号:
9405690 - 财政年份:2016
- 资助金额:
$ 73.41万 - 项目类别:
Intervention to encourage HIV Testing and Counseling among Adolescents
鼓励青少年进行艾滋病毒检测和咨询的干预措施
- 批准号:
9146463 - 财政年份:2016
- 资助金额:
$ 73.41万 - 项目类别:
An Accessible Digital Intervention to Promote HIV Testing/Counseling and Prevention Among Adolescents
促进青少年艾滋病毒检测/咨询和预防的便捷数字干预措施
- 批准号:
9537625 - 财政年份:2016
- 资助金额:
$ 73.41万 - 项目类别:
Reducing Heavy Drinking to Optimize HIV/AIDS Treatment and Prevention
减少酗酒以优化艾滋病毒/艾滋病的治疗和预防
- 批准号:
7807380 - 财政年份:2009
- 资助金额:
$ 73.41万 - 项目类别:
Reducing Heavy Drinking to Optimize HIV/AIDS Treatment and Prevention
减少酗酒以优化艾滋病毒/艾滋病的治疗和预防
- 批准号:
8516410 - 财政年份:2009
- 资助金额:
$ 73.41万 - 项目类别:
Reducing Heavy Drinking to Optimize HIV/AIDS Treatment and Prevention
减少酗酒以优化艾滋病毒/艾滋病的治疗和预防
- 批准号:
7943140 - 财政年份:2009
- 资助金额:
$ 73.41万 - 项目类别:
An Interactive Video Game for HIV Prevention in At-Risk Adolescents
用于预防高危青少年艾滋病毒的互动视频游戏
- 批准号:
7908714 - 财政年份:2009
- 资助金额:
$ 73.41万 - 项目类别:
An Interactive Video Game for HIV Prevention in At-Risk Adolescents
用于预防高危青少年艾滋病毒的互动视频游戏
- 批准号:
7749889 - 财政年份:2009
- 资助金额:
$ 73.41万 - 项目类别:
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