title: Acceptability and Applicability of an American Health Videogame with Story for Childhood Obesity Prevention Among Hong Kong Chinese Children.
abstract: OBJECTIVE
  Positive changes in diet have been observed in research carried out in the United States from the use of "Escape from Diab" (Diab), a health videogame designed to lower the risk of obesity and type 2 diabetes. Whether the American story and characters in Diab might be perceived by Hong Kong Chinese children as interesting has not been explored. This study assessed the acceptability and applicability of Diab among Hong Kong Chinese children, whether the Diab story was understood by them, and whether it had potential to influence them both during the game and afterward.
  
  
  METHODS
  Thirty-four students (21 males, 13 females) 9-12 years of age were included. Upon completion of all the Diab episodes, children completed an immersion scale with 18 items, as well as an individual interview with 10 open-ended questions.
  
  
  RESULTS
  Children achieved average immersion after playing Diab with the mean score at 39.1 (standard deviation = 9.0), higher than the median (36) of possible scores (range, 18-54). Four themes using framework analysis emerged from the interviews, including intuitive feelings about the interface, playing experience, perception of the effect of Diab on behavior change, and the applicability of Diab to Hong Kong children. The story and game developed for American children were found acceptable and applicable to Hong Kong Chinese children.
  
  
  CONCLUSIONS
  The combination of quantitative and qualitative methods confirmed the acceptability and applicability of Diab to Hong Kong Chinese children.
authors.affiliation: 1 Department of Physical Education, Faculty of Social Science, Hong Kong Baptist University , Hong Kong, China .
authors.forename: Jingjing
authors.initials: J
authors.lastname: Wang
authors.affiliation: 2 Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine , Houston, Texas.
authors.forename: Tom
authors.initials: T
authors.lastname: Baranowski
authors.affiliation: 1 Department of Physical Education, Faculty of Social Science, Hong Kong Baptist University , Hong Kong, China .
authors.forename: Patrick W C
authors.initials: PW
authors.lastname: Lau
authors.affiliation: 1 Department of Physical Education, Faculty of Social Science, Hong Kong Baptist University , Hong Kong, China .
authors.forename: Amanda Jane
authors.initials: AJ
authors.lastname: Pitkethly
authors.affiliation: 3 Archimage , Houston, Texas.
authors.forename: Richard
authors.initials: R
authors.lastname: Buday
mesh_terms: D044466:Asian People / Q000523:psychology*; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D000072001:Diet, Healthy / Q000523:psychology*; D005260:Female; D006723:Hong Kong; D006801:Humans; D008297:Male; D063766:Pediatric Obesity / Q000517:prevention & control*; D010549:Personal Satisfaction; D013334:Students; D018910:Video Games / Q000523:psychology*