Gamification for Behavior Change: Lessons from Developing a Social, Multiuser, Web-Tablet Based Prevention Game for Youths

Interest is growing in gamification, the use of game techniques and mechanics to engage and motivate. Future predictions suggest that this interest will continue to grow especially in the use of games to change individual behavior. However, applying gamification concepts and principles is challenging. Despite the growing interest, few gamification efforts have documented the challenges associated with the game development and application process. This article illustrates how gamification concepts and principles were applied to the development of an online, multiuser, substance abuse, and relationship violence prevention game for youths. We discuss challenges encountered during the efforts to develop and test a prototype version of the game and then present concrete and practical strategies for addressing these challenges. This article provides guidance for other researchers and practitioners who may want to gamify human service processes and use gamification techniques within a behavior change framework.

[1]  Leicha A. Bragg,et al.  MERGA 2003 : Mathematics education research : innovation, networking, opportunity : proceedings of the 26th annual conference of the Mathematics Education Research Group of Australasia, held at Deakin University, Geelong, 6th-10th July 2003 , 2003 .

[2]  E. von Hippel,et al.  Innovation Effort as 'Productive Consumption:' The Power of Participation Benefits to Amplify Innovation , 2013 .

[3]  W. Velicer,et al.  The Transtheoretical Model of Health Behavior Change , 1997, American journal of health promotion : AJHP.

[4]  K. L'Engle,et al.  Socialization Influences on Early Adolescents' Cognitive Susceptibility and Transition to Sexual Intercourse , 2008 .

[5]  S. Hartley Kiva.org: Crowd-Sourced Microfinance and Cooperation in Group Lending , 2010 .

[6]  Bruce G. Taylor,et al.  Shifting boundaries: Final report on an experimental evaluation of a youth dating violence prevention program in New York City middle schools: (725392011-001) , 2011 .

[7]  McGuire Wj Transferring research findings on persuasion to improve drug abuse prevention programs. , 1995 .

[8]  Dick Schoech,et al.  Human Services Technology: Understanding, Designing, and Implementing Computer and Internet Applications in the Social Services , 1999 .

[9]  Elias Kalapanidas,et al.  Serious games as additional psychological support: a review of the literature , 2011 .

[10]  K. Bauman,et al.  Assessing the Effects of the Dating Violence Prevention Program “Safe Dates” Using Random CoefficientRegression Modeling , 2005, Prevention Science.

[11]  B. B. Brown,et al.  Peer groups and peer cultures. , 1990 .

[12]  Suzanne Austin Boren,et al.  Videogames and Health Improvement: A Literature Review of Randomized Controlled Trials. , 2012, Games for health journal.

[13]  David Lenihan Health Games: A Key Component for the Evolution of Wellness Programs. , 2012, Games for health journal.

[14]  David J. Shernoff,et al.  Activities, engagement, and emotion in after-school programs (and elsewhere). , 2005, New directions for youth development.

[15]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[16]  D. McCaffrey,et al.  Impact of a school-based dating violence prevention program among Latino teens: randomized controlled effectiveness trial. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[17]  R. Croyle,et al.  Theory at a glance: a guide for health promotion practice (Second edition). , 2005 .

[18]  Ernest E. Sullivent,et al.  Age of Alcohol Use Initiation, Suicidal Behavior, and Peer and Dating Violence Victimization and Perpetration Among High-Risk, Seventh-Grade Adolescents , 2008, Pediatrics.

[19]  G. Botvin,et al.  School-based smoking prevention: the teacher training process. , 1989, Preventive medicine.

[20]  J L Collins,et al.  Youth Risk Behavior Surveillance--United States, 1997. State and Local YRBSS Coordinators. , 1998, The Journal of school health.

[21]  P. Devine,et al.  Advances in Experimental Social Psychology : Volume 47 , 2013 .

[22]  G. Elliott,et al.  At the Threshold: The Developing Adolescent , 1990 .

[23]  Tom Baranowski,et al.  Let's get technical! Gaming and technology for weight control and health promotion in children. , 2012, Childhood obesity.

[24]  Lennart E. Nacke,et al.  Gamification: Towards a Definition. , 2011 .

[25]  Javier F. Boyas,et al.  Predictors of Frequency of Sexual Health Communication: Perceptions from Early Adolescent Youth in Rural Arkansas , 2012 .

[26]  M. Hecht,et al.  keepin' it R.E.A.L.: A Drug Resistance Curriculum Tailored to the Strengths and Needs of Pre-Adolescents of the Southwest , 2003, Journal of drug education.

[27]  S. Schinke,et al.  Longitudinal outcomes of an alcohol abuse prevention program for urban adolescents. , 2010, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[28]  Barbara L. Fredrickson,et al.  Positive Emotions Broaden and Build , 2012 .

[29]  D. Paperny A New Model for Adolescent Preventive Services. , 2004, The Permanente journal.

[30]  J. Kotter Leading change: why transformation efforts fail , 2009, IEEE Engineering Management Review.

[31]  C. Lindquist,et al.  A critical review of interventions for the primary prevention of perpetration of partner violence , 2006 .

[32]  William Sack,et al.  At the Threshold: The Developing Adolescent , 1992 .

[33]  K. Scott,et al.  Dating violence prevention with at-risk youth: a controlled outcome evaluation. , 2003, Journal of consulting and clinical psychology.

[34]  Leicha A. Bragg Children's perspectives on mathematics and game playing , 2003 .

[35]  Mark P. Zanna,et al.  Advances in Experimental Social Psychology , 1986, Advances in Experimental Social Psychology.

[36]  Jane Bozarth An Interview with Sebastian Deterding , 2011, ELERN.

[37]  E. Deci,et al.  Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. , 2000, The American psychologist.

[38]  V. Rideout,et al.  Generation M2: Media in the Lives of 8- to 18-Year-Olds , 2010 .

[39]  K. Glanz,et al.  An Ecological Perspective on Health Promotion Programs , 1988, Health education quarterly.

[40]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[41]  Joseph Gonzalez-Heydrich,et al.  "RAGE-Control": A Game to Build Emotional Strength. , 2013, Games for health journal.

[42]  Minsuk K. Shim,et al.  Middle School Improvement and Reform: Development and Validation of a School-Level Assessment of Climate, Cultural Pluralism, and School Safety , 2003 .

[43]  Connie Lim,et al.  Youth risk behavior surveillance - United States, 2009. , 2010, Morbidity and mortality weekly report. Surveillance summaries.

[44]  Changyong Feng,et al.  Predicting sexual risk behaviors among adolescent and young women using a prospective diary method. , 2008, Research in nursing & health.

[45]  Dick Schoech,et al.  Grounding Online Prevention Interventions in Theory: Guidelines from a Review of Selected Theories and Research , 2008 .

[46]  G. Botvin,et al.  Preventing adolescent drug abuse through a multimodal cognitive-behavioral approach: results of a 3-year study. , 1990, Journal of consulting and clinical psychology.

[47]  Dong-Hee Shin,et al.  Why do people play social network games? , 2011, Comput. Hum. Behav..

[48]  Yameng Lee,et al.  Using Computer Games to Learn Fractions , 2011 .

[49]  Leicha A. Bragg Students’ conflicting attitudes towards games as a vehicle for learning mathematics: A methodological dilemma , 2007 .

[50]  Lennart E. Nacke,et al.  Gamification : Toward a Definition , 2022 .

[51]  M. Zimmerman,et al.  Relationship between alcohol use and violent behavior among urban African American youths from adolescence to emerging adulthood: a longitudinal study. , 2009, American journal of public health.

[52]  Ramon Caminal The Design and Efficiency of Loyalty Rewards , 2009 .

[53]  B. Black,et al.  Programs to reduce teen dating violence and sexual assault : perspectives on what works , 2009 .

[54]  K. Bauman,et al.  The Safe Dates Project: theoretical basis, evaluation design, and selected baseline findings. , 1996, American journal of preventive medicine.