Fostering Engagement in Health Behavior Change: Iterative Development of an Interactive Narrative Environment to Enhance Adolescent Preventive Health Services.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York, NY : Elsevier, c1991-
    • Subject Terms:
      Adolescent Health Services* ; Health Behavior* ; Preventive Health Services*; Adolescent Behavior/*psychology ; Video Games/*psychology; Adolescent ; Humans ; Narration
    • Abstract:
      Purpose: Accidents and unintentional injuries account for the greatest number of adolescent deaths, often involving use of alcohol and other substances. This article describes the iterative design and development of Interactive Narrative System for Patient-Individualized Reflective Exploration (INSPIRE), a narrative-centered behavior change environment for adolescents focused on reducing alcohol use. INSPIRE is designed to serve as an extension to clinical preventive care, engaging adolescents in a theoretically grounded intervention for health behavior change by leveraging 3D game engine and interactive narrative technologies.
      Methods: Adolescents were engaged in all aspects of the iterative, multiyear development process of INSPIRE through over 20 focus groups and iterative pilot testing involving more than 145 adolescents. Qualitative findings from focus groups are reported, as well as quantitative findings from small-scale pilot sessions investigating adolescent engagement with a prototype version of INSPIRE using a combination of questionnaire and interaction trace log data.
      Results: Adolescents reported that they found INSPIRE to be engaging, believable, and relevant to their lives. The majority of participants indicated that the narrative's protagonist character was like them (84%) and that the narrative featured virtual characters that they could relate to (79%). In the interactive narrative, the goals most frequently chosen by adolescents were "stay in control" (60%) and "do not get in trouble" (55%).
      Conclusions: With a strong theoretical framework (social-cognitive behavior change theory) and technology advances (narrative-centered learning environments), the field is well positioned to design health behavior change systems that can realize significant impacts on behavior change for adolescent preventive health.
      (Copyright © 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
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    • Grant Information:
      R01 CA247705 United States CA NCI NIH HHS
    • Contributed Indexing:
      Keywords: Adolescent risk behavior; Alcohol use; Games for health; Health behavior change; Health information technology; Interactive narrative technologies; Narrative-centered behavior change environments; Prevention; Self-efficacy; Social-cognitive theory
    • Publication Date:
      Date Created: 20200729 Date Completed: 20210615 Latest Revision: 20221019
    • Publication Date:
      20240829
    • Accession Number:
      PMC9575382
    • Accession Number:
      10.1016/j.jadohealth.2020.04.022
    • Accession Number:
      32718513