Video games for Obesity & Diabetes Prevention: Efficacy Trial

针对肥胖的视频游戏

基本信息

批准号：
8689003
负责人：
Tom Baranowski
金额：
$ 58.35万
依托单位：
BAYLOR COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-10 至 2017-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8689003
关键词：
12 year old Adult Age Applications Grants Attention Behavior Behavioral Body mass index Characteristics Child Childhood Complex Computers Control Groups Diabetes Mellitus Diabetes prevention Diet Dietary intake Electronic Mail Energy Intake Ethnic group Evaluation Family Fasting Future Gender Glucose Goals Health Promotion Health behavior change Incidence Insulin Intake Internet Intervention Learning Life Style Light Measures Mediating Mediation Minority Groups Modeling Motivation Newsletter Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Overweight Parents Phase Physical activity Pilot Projects Play Prevalence Prevention program Primary Prevention Procedures Process Public Health Randomized Randomized Clinical Trials Recommendation Research Review Literature Risk Risk Behaviors Sampling Secondary to Self Determination Side Telephone Testing Time Transportation Treatment Efficacy Video Games Water Water consumption Work Youth age related base behavior change brief intervention cost design diabetes prevention program diabetes risk drinking efficacy evaluation efficacy testing efficacy trial energy balance ethnic minority population fasting glucose fruits and vegetables high risk innovation interest knowledge base nano obesity prevention obesity risk pilot trial preference prevent prevention efficacy trial primary outcome programs sedentary social cognitive theory success sweetened beverage theories web site

项目摘要

DESCRIPTION (provided by applicant): While the Diabetes Prevention Program demonstrated that relatively small changes in diet and physical activity could substantially reduce the incidence of diabetes among high risk adults, few programs have influenced obesity or diabetes risks among children. With the increasing rates of child obesity and diabetes, innovative programs are needed that capture children's attention and permit behavior change messages to get through. Serious video games with their immersive stories offer one such promising alternative. "Escape from Diab" and "Nanoswarm: Invasion from Inner Space" are two video games guided in their design by four behavior change theories that were targeted at increasing fruit, vegetable and water intakes, and lowering sedentary behaviors, and have been shown to change these children's diet and physical activity practices in a pilot study with a relatively low risk sample. In light of this preliminary success, it is important to test the efficacy of these interventions on diabetes risks (i.e. fasting insulin) with higher risk children (which should increase the effect) and with a larger sample to learn how the games change behaviors using mediating variable analyses. A study with 444 high risk (85 percentile<BMI<99 percentile) 10 to 12 year old children is proposed. Children will be randomly assigned to treatment or control groups. The control group will receive an intervention involving knowledge based diet, physical activity, obesity and diabetes video games and web sites on the internet. Video games are a promising low cost approach to intervention since the games have already been developed, and can be broadly disseminated by simply reproducing and distributing their DVDs. No study has appeared that tested the effects of theory based video games on diet and physical activity that was adequately powered to investigate mediating variables. Conducting the mediating variable analyses will inform the design of future video games and enhance their ability to promote health behavior change. While using video games for health promotion is controversial, this study will establish where video games efficaciously change diabetes risks (especially insulin, diet and physical activity) among children.

描述（由申请人提供）：虽然糖尿病预防计划表明，饮食和体育锻炼的相对较小的变化可以大大减少高风险成年人中糖尿病的发生率，但很少有计划影响儿童肥胖或糖尿病风险。随着儿童肥胖和糖尿病的增加，需要创新的计划来吸引儿童的注意力并允许行为改变信息。带有沉浸式故事的认真视频游戏为一个有希望的选择提供了一种。 “逃离糖尿病”和“纳米温度：内部空间的入侵”是两个视频游戏，其设计是通过四种行为改变理论引导的，这些视频是针对增加水果，蔬菜和水的摄入量，并降低久坐的行为，并已证明在使用相对低风险样本的飞行员研究中改变了这些儿童饮食和体育锻炼实践。鉴于这一初步成功，重要的是要测试这些干预措施对糖尿病风险（即禁食胰岛素）具有较高风险的儿童（应该增加效果）以及更大的样本以了解游戏如何使用中介变量分析来改变行为的方法。提出了一项具有444个高风险的研究（85％<bmi <99％）10至12岁的孩子。儿童将被随机分配到治疗或对照组。对照组将获得涉及基于知识的饮食，体育锻炼，肥胖和糖尿病的视频游戏和网站的干预措施。视频游戏是一种有希望的低成本干预方法，因为游戏已经开发，并且可以通过简单地复制和分发其DVD来广泛传播。似乎没有研究测试了基于理论的视频游戏对饮食和体育锻炼的影响，该饮食和体育活动有足够的动力来研究中介变量。进行中介变量分析将为未来视频游戏的设计提供信息，并增强其促进健康行为改变的能力。尽管使用视频游戏进行健康促进是有争议的，但这项研究将在儿童中有效地改变糖尿病风险（尤其是胰岛素，饮食和体育锻炼）。