scholarly journals Using the Behaviour Change Wheel Program Planning Model to Design Games for Health: Development Study (Preprint)

2021 ◽  
Author(s):  
Michael C Robertson ◽  
Tom Baranowski ◽  
Debbe Thompson ◽  
Karen M Basen-Engquist ◽  
Maria Chang Swartz ◽  
...  
Keyword(s):  
Behavior Change ◽  
Older Women ◽  
Behaviour Change ◽  
Game Design ◽  
Program Planning ◽  
Planning Model ◽  
Game Mechanics ◽  
Behaviour Change Wheel ◽  
Games For Health ◽  
Player Experiences

BACKGROUND Games for health are a promising approach to health promotion. Their success depends on achieving both experiential (game) and instrumental (health) objectives. There is little to guide game for health (G4H) designers in integrating the science of behavior change with the art of game design. OBJECTIVE The aim of this study is to extend the Behaviour Change Wheel program planning model to develop Challenges for Healthy Aging: Leveraging Limits for Engaging Networked Game-Based Exercise (CHALLENGE), a G4H centered on increasing physical activity in insufficiently active older women. METHODS We present and apply the G4H Mechanics, Experiences, and Change (MECHA) process, which supplements the Behaviour Change Wheel program planning model. The additional steps are centered on identifying target G4H player experiences and corresponding game mechanics to help game designers integrate design elements and G4H objectives into behavioral interventions. RESULTS We identified a target behavior of increasing moderate-intensity walking among insufficiently active older women and key psychosocial determinants of this behavior from self-determination theory (eg, autonomy). We used MECHA to map these constructs to intervention functions (eg, persuasion) and G4H target player experiences (eg, captivation). Next, we identified behavior change techniques (eg, framing or reframing) and specific game mechanics (eg, transforming) to help realize intervention functions and elicit targeted player experiences. CONCLUSIONS MECHA can help researchers map specific linkages between distal intervention objectives and more proximal game design mechanics in games for health. This can facilitate G4H program planning, evaluation, and clearer scientific communication.

scholarly journals Extending the Behavior Change Wheel Program Planning Model to Design Games for Health (Preprint)

10.2196/29964 ◽  
2021 ◽  
Author(s):  
Michael Christopher Robertson ◽  
Tom Baranowski ◽  
Debbe Thompson ◽  
Karen M. Basen-Engquist ◽  
Maria Chang Swartz ◽  
...  
Keyword(s):  
Behavior Change ◽  
Program Planning ◽  
Planning Model ◽  
Behavior Change Wheel ◽  
Games For Health

scholarly journals Designing tabletop board game elements and gamification interventions for health behavior change: a realist review and proposed framework. (Preprint)

2020 ◽  
Author(s):  
Daniel S. Epstein ◽  
Adam Zemski ◽  
Joanne Enticott ◽  
Christopher Barton
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Game Design ◽  
Design Thinking ◽  
Realist Review ◽  
Health Behavior Change ◽  
Design Elements ◽  
Game Mechanics ◽  
Change Behavior ◽  
Game Elements

UNSTRUCTURED Introduction Games, when used as interventional tools, can influence behavior change by incentivizing, reinforcing, educating, providing feedback loops, prompting, persuading or providing meaning, fun and community. However, not all game elements will appeal to consumers equally, and different elements might work for different people and in different contexts. Methods A realist review was conducted to inform program theory in the development of tabletop games for health behavior change. Context, mechanisms used to change behavior and outcomes of included studies were reviewed through a realist lens. Results 31 articles met eligibility criteria and were included in the review. Several design methods were identified that enhanced efficacy of games to change behavior. These included design by local teams, pilot testing, clearly defined targets of behavior change, conscious attention to all aspects of game design including game mechanics, dynamics, aesthetics, and the elicitation of emotions. Delivery with other mediums, leveraging behavioral insights, prior training for delivery and repeated play were also important. Some design elements that were found to reduce efficacy included limited re-playability or lack of ‘fun’ for immersive engagement. Discussion Game design needs to consider all aspects of the context and the mechanisms to achieve the desired behavior change outcomes. Careful design thinking should include consideration of the game mechanics, dynamics, aesthetics, emotions and contexts of the game and the players. People who know the players and the contexts well should design the games or have significant input. Testing in real-world settings is likely to lead to better outcomes. Careful selection and purposeful design of the behavior change mechanisms at play is essential. Fun and enjoyment of the player should be considered, as without engagement there will be no desired intervention effect.

scholarly journals Analysis of the Behavioral Change and Utility Features of Electronic Activity Monitors

Technologies ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 75
Author(s):  
Zakkoyya H. Lewis ◽  
Maddison Cannon ◽  
Grace Rubio ◽  
Maria C. Swartz ◽  
Elizabeth J. Lyons
Keyword(s):  
Behavior Change ◽  
Behavioral Change ◽  
Program Planning ◽  
Research Needs ◽  
Behavior Change Techniques ◽  
Activity Monitors ◽  
Behaviour Change Wheel ◽  
Electronic Activity ◽  
And Training ◽  
Selection Of

The aim of this study was to perform a content analysis of electronic activity monitors that also evaluates utility features, code behavior change techniques included in the monitoring systems, and align the results with intervention functions of the Behaviour Change Wheel program planning model to facilitate informed device selection. Devices were coded for the implemented behavior change techniques and device features. Three trained coders each wore a monitor for at least 1 week from December 2019–April 2020. Apple Watch Nike, Fitbit Versa 2, Fitbit Charge 3, Fitbit Ionic—Adidas Edition, Garmin Vivomove HR, Garmin Vivosmart 4, Amazfit Bip, Galaxy Watch Active, and Withings Steel HR were reviewed. The monitors all paired with a phone/tablet, tracked exercise sessions, and were wrist-worn. On average, the monitors implemented 27 behavior change techniques each. Fitbit devices implemented the most behavior change techniques, including techniques related to the intervention functions: education, enablement, environmental restructuring, coercion, incentivization, modeling, and persuasion. Garmin devices implemented the second highest number of behavior change techniques, including techniques related to enablement, environmental restructuring, and training. Researchers can use these results to guide selection of electronic activity monitors based on their research needs.

scholarly journals Using Contemporary Behavior Change Science to Design and Implement an Effective Nutritional Intervention Within Professional Rugby League

2018 ◽  
Vol 28 (5) ◽  
pp. 553-557 ◽  
Author(s):  
Nessan Costello ◽  
Jim McKenna ◽  
Louise Sutton ◽  
Kevin Deighton ◽  
Ben Jones
Keyword(s):  
Behavior Change ◽  
Energy Intake ◽  
Body Mass ◽  
Behaviour Change ◽  
High Performance ◽  
Dietary Intervention ◽  
Nutritional Intervention ◽  
Rugby League ◽  
Sport Nutrition ◽  
Behaviour Change Wheel

Designing and implementing successful dietary intervention is integral to the role of sport nutrition professionals as they attempt to positively change the dietary behavior of athletes. High-performance sport is a time-pressured environment where immediate results can often supersede pursuit of the most effective evidence-based practice. However, efficacious dietary intervention necessitates comprehensive, systematic, and theoretical behavioral design and implementation, if the habitual dietary behaviors of athletes are to be positively changed. Therefore, this case study demonstrates how the Behaviour Change Wheel was used to design and implement an effective nutritional intervention within a professional rugby league. The eight-step intervention targeted athlete consumption of a high-quality dietary intake of 25.1 MJ each day to achieve an overall body mass increase of 5 kg across a 12-week intervention period. The capability, opportunity, motivation, and behavior model and affordability, practicability, effectiveness/cost-effectiveness, acceptability, safety, and equity criteria were used to identify population-specific intervention functions, policy categories, behavior change techniques, and modes of intervention delivery. The resulting intervention was successful, increasing the average daily energy intake of the athlete to 24.5 MJ, which corresponded in a 6.2 kg body mass gain. Despite consuming 0.6 MJ less per day than targeted, secondary outcome measures of diet quality, strength, body composition, and immune function all substantially improved, supporting sufficient energy intake and the overall efficacy of a behavioral approach. Ultimately, the Behaviour Change Wheel provides sport nutrition professionals with an effective and practical stepwise method to design and implement effective nutritional interventions for use within high-performance sport.

Development of Serious Games for Behaviour Change: A Practical Methodology (Preprint)

2020 ◽  
Author(s):  
Carlos Alberto Catalina Ortega ◽  
Svjetlana Kolić-Vehovec ◽  
Barbara Rončević Zubković ◽  
Sanja Smojver-Ažić ◽  
Tamara Martinac Dorčić
Keyword(s):  
Behaviour Change ◽  
Game Design ◽  
Serious Games ◽  
Behavioural Change ◽  
Intervention Mapping ◽  
Psychological Perspective ◽  
Game Development ◽  
Development Methodology ◽  
Intervention Mapping Protocol ◽  
Post Test

UNSTRUCTURED Objectives: The main purpose of the paper is to define a new methodology that allows the design of Serious Games that promote a behavioural change. The methodology is based on the Intervention Mapping Protocol (IMP) to define all the information and interventions and Applied Behaviour Analysis (ABA) to promote the behaviour change. Materials and methods: The methodology is based on the experience of game designers and psychologies within the eConfidence H2020 research project in which a new methodology was designed and implemented in two serious games. The game development methodology is described in six steps to be followed, with the psychological perspective integrated with the game design. Both games were tested in 10 schools with a pre and post-test for the data analysis. Results: Both games developed within the methodology present relevant findings on the change of behaviour of the users. Additionally, the proposed metric integrated allows a database improvement of the games to get better results. Conclusion: New methodology for design and study effectiveness of Serious Games that promote behavioural changes, was designed and integrated into two serious games that demonstrate changes in the users. The methodology could help other teams in the work of design and assess the effectiveness of a Serious Game for behavioural change.

A Video Game for Brazilian T1D Children about Knowledge of Disease and Self-care: A Methodological Study

2021 ◽  
pp. 193229682110175
Author(s):  
Valéria de Cássia Sparapani ◽  
Sidney Fels ◽  
Noreen Kamal ◽  
Rebecca Ortiz La Banca ◽  
Lucila Castanheira Nascimento
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Video Game ◽  
Game Design ◽  
Health Behavior Change ◽  
Self Management ◽  
Learning Needs ◽  
Methodological Study ◽  
Video Game Design ◽  
Management Behaviors

Background: Video games are interactive technologies able to support children in health promotion, behavior changes, and chronic disease self-management. The use of health behavior change determinants in video game design can increase its effectiveness. This study describes the process of designing a video game for Brazilian children with T1D clarifying the use of health behavior change determinants that may influence self-management behaviors. Methods: This was a methodological study based on health behavior change theories and the user-centered design approach. The results of a qualitative study conducted with children aged 7 to 12 years identified learning needs about knowledge on diabetes and self-care tasks which contribute to inappropriate behaviors. A Behavioral Diagnosis presented health behavior change determinants, capable of influencing children’s learning needs and behaviors, that were considered to design The Heroes of Diabetes—the power of knowledge. Results: The results presented the process of designing 4 mini games with its description and theory foundation to reach children’s lack of understanding about T1D, insulin’s role, SMBG requirements, food groups and physical activity’s role in glycemic control. Knowledge, goal settings, extrinsic and intrinsic motivation determinants were related with video games design features. Conclusions: The findings support the use of health behavior change determinants into video game design as a guide to achieve children learning needs and that might influence self-management behaviors.

scholarly journals Improving centre-based group exercise participation of older adults using the behaviour change wheel

2021 ◽  
Vol 10 (1) ◽  
pp. e001078
Author(s):  
Boon Chong Kwok ◽  
Wai Pong Wong ◽  
Louisa Remedios
Keyword(s):  
Older Adults ◽  
Behaviour Change ◽  
Participation Rate ◽  
Community Dwelling ◽  
Participation Rates ◽  
Group Exercise ◽  
Exercise Participation ◽  
Behaviour Change Wheel ◽  
Wheel Model ◽  
Community Dwelling Older Adults

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed.

scholarly journals An organisational participatory research study of the feasibility of the behaviour change wheel to support clinical teams implementing new models of care

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Eleanor R Bull ◽  
Joanne K Hart ◽  
Juliette Swift ◽  
Kirstie Baxter ◽  
Neil McLauchlan ◽  
...  
Keyword(s):  
Participatory Research ◽  
Behaviour Change ◽  
Research Study ◽  
Models Of Care ◽  
Behaviour Change Wheel ◽  
New Models

‘No one ever asked us’: a feasibility study assessing the co-creation of a physical activity programme with adolescent girls

2019 ◽  
Vol 27 (3) ◽  
pp. 34-43
Author(s):  
Méabh Corr ◽  
Elaine Murtagh
Keyword(s):  
Physical Activity ◽  
Data Collection ◽  
Behaviour Change ◽  
Adolescent Girls ◽  
Retention Rate ◽  
Controlled Trial ◽  
Activity Level ◽  
Health Concern ◽  
Post Intervention ◽  
Behaviour Change Wheel

Background: Globally, the poor activity level of adolescent girls is a public health concern. Little research has involved adolescents in the design of interventions. This study assessed the feasibility of involving girls in the co-creation of an activity programme. Methods: Thirty-one students (15–17 years old) were recruited from a post-primary school. The Behaviour Change Wheel guided intervention design, providing insights into participants’ capability, opportunity and motivation for change. Step counts and self-reported physical activity levels were recorded pre- and post-intervention. Feasibility benchmarks assessed recruitment, data collection, acceptability and adherence. Results: Activity and educational sessions were delivered for six weeks during physical education class. Average attendance was 87% (benchmark = 80%). Eligibility was 61% (benchmark = 60%). There was a 100% retention rate (benchmark = 90%). All participants ( n = 31) completed baseline measures and 71% ( n = 22) completed post-measures. 54% ( n = 17) of students completed pedometer measurements, with 32% ( n = 10) having complete data. Average daily steps were 13,121 pre-intervention and 14,128 post-intervention ( p > 0.05). Data collection was feasible, receiving a mean score > 4/5 (benchmark > 3.5/5). Conclusions: The Behaviour Change Wheel can be used to co-create an activity programme with adolescent girls. Predetermined benchmarks, except for pedometer recordings, were reached or exceeded, providing evidence for the need of a randomised controlled trial to test effectiveness.

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