PMID- 33252348
OWN - NLM
STAT- MEDLINE
DCOM- 20210301
LR  - 20210301
IS  - 1438-8871 (Electronic)
IS  - 1439-4456 (Print)
IS  - 1438-8871 (Linking)
VI  - 22
IP  - 11
DP  - 2020 Nov 30
TI  - The Role of Enjoyment in a Serious Game for Binge Drinking Prevention: 
      Pretest-Posttest Quasi-Experimental Study.
PG  - e21652
LID - 10.2196/21652 [doi]
LID - e21652
AB  - 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 (beta=.30). Risky alcohol decisions (beta=-.22) and game time (beta=.18) 
      predicted enjoyment, which, in turn, predicted intention to drink less (beta=.21) 
      and drinking refusal self-efficacy (beta=.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.
CI  - (c)Traci Hong, Joshua Cabrera, Christopher E Beaudoin. Originally published in the 
      Journal of Medical Internet Research (http://www.jmir.org), 30.11.2020.
FAU - Hong, Traci
AU  - Hong T
AUID- ORCID: 0000-0001-9107-1880
AD  - College of Communication, Boston University, Boston, MA, United States.
FAU - Cabrera, Joshua
AU  - Cabrera J
AUID- ORCID: 0000-0002-1659-3985
AD  - MHMR Authority of Brazos Valley, Bryan, TX, United States.
FAU - Beaudoin, Christopher E
AU  - Beaudoin CE
AUID- ORCID: 0000-0003-0649-3347
AD  - College of Communication, Boston University, Boston, MA, United States.
LA  - eng
PT  - Journal Article
DEP - 20201130
PL  - Canada
TA  - J Med Internet Res
JT  - Journal of medical Internet research
JID - 100959882
SB  - IM
MH  - Adult
MH  - Binge Drinking/*prevention & control
MH  - Emotions
MH  - Female
MH  - Humans
MH  - Male
MH  - Non-Randomized Controlled Trials as Topic
MH  - Pleasure
MH  - Video Games/*psychology
MH  - Young Adult
PMC - PMC7735894
OTO - NOTNLM
OT  - alcohol prevention
OT  - binge drinking
OT  - serious game
COIS- Conflicts of Interest: None declared.
EDAT- 2020/12/01 06:00
MHDA- 2021/03/02 06:00
PMCR- 2020/11/30
CRDT- 2020/11/30 12:09
PHST- 2020/06/20 00:00 [received]
PHST- 2020/10/26 00:00 [accepted]
PHST- 2020/10/14 00:00 [revised]
PHST- 2020/11/30 12:09 [entrez]
PHST- 2020/12/01 06:00 [pubmed]
PHST- 2021/03/02 06:00 [medline]
PHST- 2020/11/30 00:00 [pmc-release]
AID - v22i11e21652 [pii]
AID - 10.2196/21652 [doi]
PST - epublish
SO  - J Med Internet Res. 2020 Nov 30;22(11):e21652. doi: 10.2196/21652.