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National Institutes of Health: National Cancer Institute: Division of Cancer Control and Population Sciences
Grant Details

Grant Number: 1R21CA158917-01A1 Interpret this number
Primary Investigator: Lu, Amy
Organization: Northwestern University
Project Title: The Narrative Impact of Active Video Games on Physical Activity
Fiscal Year: 2012
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DESCRIPTION (provided by applicant): Project Summary Physical activity (PA) is key to both preventing childhood obesity and reducing an individual's risk for certain types of cancer. While conventional PA interventions (e.g., exercise, health clubs) face problems of sustained motivation and adherence to fitness or training programs, active video games (AVGs) offer an innovative alternative for PA promotion due to their promising motivational properties. Although studies suggest that AVGs allow players to achieve the recommended levels of PA, children's motivation to play AVGs often decreases quickly. To reduce this decline, our study introduces an innovative motivating factor: a narrative. A narrative or storyline effectively draws on the human need for narrative closure (i.e., the need to find out how the story will end). A well-constructed narrative has a significant impact on cognition, affect, and health behavior. However, narrative elements are seldom incorporated into AVGs. An AVG with a storyline should encourage children to engage in more PA through increased motivation and extended play. Consequently, AVGs with compelling narratives should increase players' activity energy expenditure (AEE), PA level, and heart rate. Moreover, AVGs with narratives are likely to be more interactive, immersive, and engaging, and thereby elicit cognitive, affective, and behavioral experiences that differ both quantitatively and qualitatively from those elicited by nonnarrative AVGs. The proposed study explores both the novel addition of a compelling narrative to AVGs and its psychological and behavioral consequences on PA. It proposes to create corresponding narrative and nonnarrative cutscenes of comparable duration interspersed in an existing AVG; 40 children aged 8 to 11 will play narrative or nonnarrative versions of the games by watching corresponding cutscenes (i.e., brief, animated clips played in video games) and playing the game. Their cognitive and affective evaluation, motivation to play the games, duration of play, activity energy expenditure (AEE), PA level, and heart rate will be measured for the narrative and nonnarrative versions of the AVG. This study is a first step in a series of rigorous systematic inquiries into the behavioral potentials of narratives via AVGs for combating childhood obesity. The exploration of a narrative's motivating capacity in AVGs will inspire novel AVG designs and introduce a new dimension of PA facilitation among children with immersive and involving games, which may then be translated into school- or family-based health media interventions. Such inquiries would help to create innovative and effective media products to be applied to various health interventions. PUBLIC HEALTH RELEVANCE: Project Narrative/Statement of Public Health Significance This study has the potential for a significant public health impact due to the pervasiveness of video game consoles, which are present in nearly 90% of the homes and 50% of the bedrooms of US children. Narratives possess unique motivational properties that may not only make AVGs more interactive, immersive, and engaging but also elicit greater cognitive, affective, and behavioral responses than nonnarrative AVGs. Successful completion of this study will provide the empirical basis for novel design inspirations for AVGs that, when combined with involving narratives, can be directly translated into school- or community-based media interventions as a practical, cost-effective, and broadly available method for reducing childhood obesity.

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Story Immersion In A Health Videogame For Childhood Obesity Prevention
Authors: Lu A.S. , Thompson D. , Baranowski J. , Buday R. , Baranowski T. .
Source: Games For Health Journal, 2012-02-15 00:00:00.0; 1(1), p. 37-44.
PMID: 24066276
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A Systematic Review Of Health Videogames On Childhood Obesity Prevention And Intervention
Authors: Lu A.S. , Kharrazi H. , Gharghabi F. , Thompson D. .
Source: Games For Health Journal, 2013 Jun; 2(3), p. 131-141.
PMID: 24353906
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A Scoping Review Of Health Game Research: Past, Present, And Future
Authors: Kharrazi H. , Lu A.S. , Gharghabi F. , Coleman W. .
Source: Games For Health Journal, 2012-04-18 00:00:00.0; 1(2), .
PMID: 24416638
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Story Immersion Of Videogames For Youth Health Promotion: A Review Of Literature
Authors: Lu A.S. , Baranowski T. , Thompson D. , Buday R. .
Source: Games For Health Journal, 2012 Jun; 1(3), p. 199-204.
PMID: 24416639
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Developing Games For Health Behavior Change: Getting Started
Authors: Baranowski T. , Buday R. , Thompson D. , Lyons E.J. , Lu A.S. , Baranowski J. .
Source: Games For Health Journal, 2013 Aug; 2(4), p. 183-190.
PMID: 24443708
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Are Active Video Games Useful To Combat Obesity?
Authors: Baranowski T. .
Source: The American Journal Of Clinical Nutrition, 2015 Jun; 101(6), p. 1107-8.
PMID: 25809852
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Narrative In Exergames: Thoughts On Procedure, Mechanism, And Others
Authors: Lu A.S. .
Source: Games For Health Journal, 2015 Feb; 4(1), p. 19-24.
PMID: 26181676
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Efficient And Effective Change Principles In Active Videogames
Authors: Straker L.M. , Fenner A.A. , Howie E.K. , Feltz D.L. , Gray C.M. , Lu A.S. , Mueller F.F. , Simons M. , Barnett L.M. .
Source: Games For Health Journal, 2015 Feb; 4(1), p. 43-52.
PMID: 26181680
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How Effective Are Active Videogames Among The Young And The Old? Adding Meta-analyses To Two Recent Systematic Reviews
Authors: van 't Riet J. , Crutzen R. , Lu A.S. .
Source: Games For Health Journal, 2014 Oct; 3(5), p. 311-8.
PMID: 26192486
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Stories In Games For Health: More Pros Or Cons?
Authors: Baranowski M.T. , Lu A.S. , Buday R. , Lyons E.J. , Schell J. , Russoniello C. .
Source: Games For Health Journal, 2013 Oct; 2(5), p. 256-63.
PMID: 26196925
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Games For Health For Children-current Status And Needed Research
Authors: Baranowski T. , Blumberg F. , Buday R. , DeSmet A. , Fiellin L.E. , Green C.S. , Kato P.M. , Lu A.S. , Maloney A.E. , Mellecker R. , et al. .
Source: Games For Health Journal, 2016 Feb; 5(1), p. 1-12.
PMID: 26262772
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Children's Cognitive And Affective Responses About A Narrative Versus A Non-narrative Cartoon Designed For An Active Videogame
Authors: Fernandes Davies V. , Mafra R. , Beltran A. , Baranowski T. , Lu A.S. .
Source: Games For Health Journal, 2016 Apr; 5(2), p. 114-9.
PMID: 26881473
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Testing The Effects Of Narrative And Play On Physical Activity Among Breast Cancer Survivors Using Mobile Apps: Study Protocol For A Randomized Controlled Trial
Authors: Lyons E.J. , Baranowski T. , Basen-Engquist K.M. , Lewis Z.H. , Swartz M.C. , Jennings K. , Volpi E. .
Source: Bmc Cancer, 2016; 16, p. 202.
PMID: 26960972
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