Escaping through exergames: Presence, enjoyment, and mood experience in predicting children's attitude toward exergames

Exergaming has been discussed as a possible strategy to encourage children to engage in physical activity. This study explores presence as a mechanism through which exergames may be associated with positive mood experiences and game enjoyment among children. Structural equation modeling using survey data from children aged 912 in Singapore revealed that presence was positively correlated with mood experience and game enjoyment, while game enjoyment and mood experience were positively correlated with attitude toward exergaming. Attitude toward exergaming was positively correlated with preference for future game play. In addition, mood experience was found to be a partial mediator of the relationship between presence and game enjoyment. Conclusions regarding the impact of exergames on children and practical implications for digital health interventions and exergame design were discussed. Mood and game enjoyment are distinct constructs.Presence influence game enjoyment directly.Presence also influences enjoyment indirectly by fostering positive mood changes.Through presence, exergames is a source of escape for children to manage stress.

[1]  H. Kaiser.  The Application of Electronic Computers to Factor Analysis , 1960 .

[2]  Thomas W. Malone,et al.  Toward a Theory of Intrinsically Motivating Instruction , 1981, Cogn. Sci..

[3]  Christoph Klimmt,et al.  Telepresence and media entertainment , 2010 .

[4]  Luc Geurts,et al.  Digital games for physical therapy: fulfilling the need for calibration and adaptation , 2011, Tangible and Embedded Interaction.

[5]  Ralph Maddison,et al.  Couch potatoes to jumping beans: A pilot study of the effect of active video games on physical activity in children , 2008, The international journal of behavioral nutrition and physical activity.

[6]  I. Ajzen.  The theory of planned behavior , 1991 .

[7]  John C Mathers,et al.  Tracking of obesity-related behaviours from childhood to adulthood: A systematic review. , 2011, Maturitas.

[8]  Thomas G. Plante,et al.  Does Exercising with Another Enhance the Stress-Reducing Benefits of Exercise? , 2001 .

[9]  D. Zillmann.  . MOOD MANAGEMENT: USING ENTERTAINMENT TO FULL ADVANTAGE , 2015 .

[10]  Christoph Klimmt,et al.  Explaining the enjoyment of playing video games: the role of competition , 2003, ICEC.

[11]  P. Bentler,et al.  Significance Tests and Goodness of Fit in the Analysis of Covariance Structures , 1980 .

[12]  Sandra L. Calvert,et al.  Adolescent Exergame Play for Weight Loss and Psychosocial Improvement: A Controlled Physical Activity Intervention , 2012, Obesity (Silver Spring, Md.).

[13]  Ian Bogost,et al.  Persuasive Games: The Expressive Power of Videogames , 2007 .

[14]  Andrew K. Przybylski,et al.  The Motivational Pull of Video Games: A Self-Determination Theory Approach , 2006 .

[15]  R. Cattell.  The Scree Test For The Number Of Factors. , 1966, Multivariate behavioral research.

[16]  W. Wood.  Attitude change: persuasion and social influence. , 2000, Annual review of psychology.

[17]  F. Floyd,et al.  Factor analysis in the development and refinement of clinical assessment instruments. , 1995 .

[18]  Roy F. Baumeister,et al.  Escaping the self : alcoholism, spirituality, masochism, and other flights from the burden of selfhood , 1991 .

[19]  Markus Makkonen,et al.  Explaining the Usage Intentions of Exergames , 2014, ICIS.

[20]  Sheila A. Arens,et al.  Stopping Childhood Obesity before it Begins , 2012 .

[21]  May O. Lwin,et al.  The efficacy of exergames-incorporated physical education lessons in influencing drivers of physical activity: A comparison of children and pre-adolescents , 2012 .

[22]  Felicity West,et al.  Do parents of obese children use ineffective parenting strategies? , 2013, Journal of child health care : for professionals working with children in the hospital and community.

[23]  Andy P. Field,et al.  Discovering Statistics Using SPSS , 2000 .

[24]  D Colella,et al.  Physical self‐perception and motor performance in normal‐weight, overweight and obese children , 2011, Scandinavian journal of medicine & science in sports.

[25]  Corey P. Carbonara,et al.  Spatial Presence and Perceived Reality as Predictors of Motion-Based Video Game Enjoyment , 2011, PRESENCE: Teleoperators and Virtual Environments.

[26]  Begoña Gros,et al.  Digital Games in Education , 2007 .

[27]  Paul Skalski,et al.  The Role of Presence in the Experience of Electronic Games , 2004 .

[28]  E. Biddiss,et al.  Active video games to promote physical activity in children and youth: a systematic review. , 2010, Archives of pediatrics & adolescent medicine.

[29]  M. Brussoni,et al.  The perils of overprotective parenting: fathers' perspectives explored. , 2013, Child: care, health and development.

[30]  P. Zeitler,et al.  Exercise for the treatment of childhood obesity – is it simply too much to ask? , 2009, Acta paediatrica.

[31]  Peta Wyeth,et al.  GameFlow: a model for evaluating player enjoyment in games , 2005, CIE.

[32]  Bradford W. Landry,et al.  Theme Issue: Exercise and Sports Physical Activity in Children and Adolescents , 2012 .

[33]  E. Katz,et al.  ON THE USE OF THE MASS MEDIA AS “ESCAPE”: CLARIFICATION OF A CONCEPT , 1962 .

[34]  De Liu,et al.  The Effects of Trust and Enjoyment on Intention to Play Online Games , 2007 .

[35]  M. Browne,et al.  Alternative Ways of Assessing Model Fit , 1992 .

[36]  E. Klinger,et al.  Consequences of commitment to and disengagement from incentives. , 1975 .

[37]  Philip Hingston,et al.  Considerations for the design of exergames , 2007, GRAPHITE '07.

[38]  I. Ajzen,et al.  The Influence of Attitudes on Behavior , 2005 .

[39]  A. Kristen,et al.  What Attracts Children , 2006 .

[40]  S. Virtanen,et al.  Use of information and communication technology and prevalence of overweight and obesity among adolescents , 2005, International Journal of Obesity.

[41]  Christine McCauley Ohannessian,et al.  Media Use and Adolescent Psychological Adjustment: An Examination of Gender Differences , 2009, Journal of child and family studies.

[42]  A. Comrey.  Factor-analytic methods of scale development in personality and clinical psychology. , 1988, Journal of consulting and clinical psychology.

[43]  R. Fazio.  How do attitudes guide behavior , 1986 .

[44]  Jason W. Osborne,et al.  Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. , 2005 .

[45]  Gordon Calleja,et al.  Digital Games and Escapism , 2010, Games Cult..

[46]  Karen Winters,et al.  Stemming the tide of childhood obesity in an underserved urban African American population: a pilot study. , 2009, The ABNF journal : official journal of the Association of Black Nursing Faculty in Higher Education, Inc.

[47]  Hayeon Song,et al.  The effects of competition and competitiveness upon intrinsic motivation in exergames , 2013, Comput. Hum. Behav..

[48]  S. Heine,et al.  Watching Your Troubles Away: Television Viewing as a Stimulus for Subjective Self-Awareness , 2003, Personality & social psychology bulletin.

[49]  E. Diener,et al.  The independence of positive and negative affect. , 1984, Journal of personality and social psychology.

[50]  Karla R. Hamlen.  Children's choices and strategies in video games , 2011, Comput. Hum. Behav..

[51]  Kevin Wise,et al.  Enjoyment of Advergames and Brand Attitudes , 2008 .

[52]  Kim Hyo Jung,et al.  Effects of Exergaming and Message Framing in School Environments on Physical Activity Attitudes and Intentions of Children and Adolescents , 2016, Journal of health communication.

[53]  T. C. Nicholas Graham,et al.  Exploring Haptic Feedback in Exergames , 2011, INTERACT.

[54]  Jung-Hye Kwon,et al.  The Effects of Escape from Self and Interpersonal Relationship on the Pathological Use of Internet Games , 2011, Community Mental Health Journal.

[55]  Gareth Stratton,et al.  The effect of exergaming on vascular function in children. , 2013, The Journal of pediatrics.

[56]  Shelly Chaiken,et al.  Cognitive theories of persuasion , 1984 .

[57]  M Thomasgard,et al.  Parental overprotection and its relation to perceived child vulnerability. , 1997, The American journal of orthopsychiatry.

[58]  Haichun Sun,et al.  Impact of exergames on physical activity and motivation in elementary school students: A follow-up study , 2013 .

[59]  Ming-Chi Lee,et al.  Understanding the behavioural intention to play online games: An extension of the theory of planned behaviour , 2009, Online Inf. Rev..

[60]  Samantha G Fawkner,et al.  Adolescent girls' energy expenditure during dance simulation active computer gaming , 2010, Journal of sports sciences.

[61]  Matthew Lombard,et al.  Social and Spatial Presence: An Application to Optimize Human-Computer Interaction , 2010, PsychNology J..

[62]  Matthew Lombard,et al.  At the Heart of It All: The Concept of Presence , 2006 .

[63]  Haichun Sun,et al.  Exergaming Impact on Physical Activity and Interest in Elementary School Children , 2012, Research quarterly for exercise and sport.

[64]  Thomas E. Ruggiero.  Uses and Gratifications Theory in the 21st Century , 2000 .

[65]  Miguel de Aguilera,et al.  Video games and education: (Education in the Face of a “Parallel School”) , 2003, CIE.

[66]  May O Lwin,et al.  Can Exergames Impart Health Messages? Game Play, Framing, and Drivers of Physical Activity Among Children , 2014, Journal of health communication.

[67]  Ralph Maddison,et al.  Use of active video games to increase physical activity in children: a (virtual) reality? , 2010, Pediatric exercise science.

[68]  Sandra L. Calvert,et al.  Adolescent Exergame Play for Weight Loss and Psychosocial Improvement: A Controlled Physical Activity Intervention , 2012, Obesity.

[69]  James Paul Gee,et al.  What video games have to teach us about learning and literacy , 2007, CIE.

[70]  A. Daley.  Can Exergaming Contribute to Improving Physical Activity Levels and Health Outcomes in Children? , 2009, Pediatrics.

[71]  Sandra L. Calvert,et al.  Exergames for Physical Education Courses: Physical, Social, and Cognitive Benefits. , 2011, Child development perspectives.

[72]  J. Hussey,et al.  Energy expended playing Xbox Kinect™ and Wii™ games: a preliminary study comparing single and multiplayer modes. , 2012, Physiotherapy.

[73]  P. Bentler,et al.  Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives , 1999 .

[74]  K. Kallinen,et al.  Phasic Emotional Reactions to Video Game Events: A Psychophysiological Investigation , 2006 .

[75]  Zan Gao,et al.  Are field‐based exergames useful in preventing childhood obesity? A systematic review , 2014, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[76]  Vassiliki Derri,et al.  The Differences between Less Fit and Overweight Children on Enjoyment of Exergames, Other Physical Activity and Sedentary Behaviours , 2014 .

[77]  Kristopher J Preacher,et al.  Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models , 2008, Behavior research methods.

[78]  Amanda Clarke,et al.  Physical activity attitudes, intentions and behaviour among 18–25 year olds: A mixed method study , 2012, BMC Public Health.

[79]  B. Byrne.  Book Review: Structural Equation Modeling with EQS and EQS/Windows: Basic Concepts, Applications, and Programming , 1994 .

[80]  D. O'Gorman,et al.  Active commuting to school: How far is too far? , 2008, The international journal of behavioral nutrition and physical activity.

[81]  Jussi Holopainen,et al.  The Psychophysiology of Video Gaming: Phasic Emotional Responses to Game Events , 2005, DiGRA Conference.

[82]  Tiffany A. Whittaker,et al.  Scale Development Research , 2006 .

[83]  Edwin H. Blake,et al.  Learning, Experience, and Cognitive Factors in the Presence Experiences of Gamers: An Exploratory Relational Study , 2006, PRESENCE: Teleoperators and Virtual Environments.

[84]  B. Muthén,et al.  Assessing Reliability and Stability in Panel Models , 1977 .

[85]  Reinout W. Wiers,et al.  Online Gaming Addiction? Motives Predict Addictive Play Behavior in Massively Multiplayer Online Role-Playing Games , 2012, Cyberpsychology Behav. Soc. Netw..

[86]  Timothy C. Brock,et al.  The Power of Fiction: Determinants and Boundaries , 2003 .

[87]  Mark Newton,et al.  Short-Term Psychological Effects of Interactive Video Game Technology Exercise on Mood and Attention , 2008, J. Educ. Technol. Soc..