title: Can a Simulation Game Change Cystic Fibrosis Patients' Attitudes Toward Treatment Adherence?
abstract: OBJECTIVE
  The authors hypothesized that playing a simulation game designed according to Multiple Identification Theory (MIT) would improve attitudes toward treatment adherence among adolescent cystic fibrosis (CF) patients.
  
  
  METHODS
  Study participants (n=16) were recruited from a large Midwestern children's hospital. As part of a within-group pilot study, they played "My Life with CF," an MIT simulation game. Their attitudes toward treatment adherence and general decision-making were assessed prior to playing the game. They were measured again immediately post-play and 1 month afterward.
  
  
  RESULTS
  Statistically significant differences (P<0.05) were found immediately post-treatment on questionnaires concerning participants' holding present versus future-centered orientations and their attitudes toward adherence. One month post-treatment, significant differences were found regarding participants' attitudes toward adherence and whether luck or effort determines what happens to them in life. Effect sizes for all these differences ranged from large (r(2)=0.31) to very large (r(2)=0.94).
  
  
  CONCLUSIONS
  The MIT-based "My Life with CF" game was effective at changing adolescent CF patients' attitudes toward adherence.
authors.affiliation: 1 Department of Gastroenterology, Children's Mercy Hospitals and Clinics , Kansas City, Missouri.
authors.forename: Kathy M
authors.initials: KM
authors.lastname: Christenson
authors.affiliation: 2 Department of Psychology, The University of Kansas , Lawrence, Kansas.
authors.forename: Alexander J
authors.initials: AJ
authors.lastname: Williams
authors.affiliation: 3 Department of Psychology, Metropolitan Community College-Maple Woods , Kansas City, Missouri.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Williams
authors.affiliation: 4 Kansas City, Missouri.
authors.forename: Gabriel A
authors.initials: GA
authors.lastname: Hawkins
authors.affiliation: 5 Metropolitan Community College-Maple Woods , Kansas City, Missouri.
authors.forename: D Brianna R
authors.initials: DB
authors.lastname: Boothe
authors.affiliation: 5 Metropolitan Community College-Maple Woods , Kansas City, Missouri.
authors.forename: Katelyn M
authors.initials: KM
authors.lastname: Sampson