title: If We Build It, Will They Come? A Qualitative Study of Key Stakeholder Opinions on the Implementation of a Videogame Intervention for Risk Reduction in Adolescents.
abstract: OBJECTIVE
  Serious games are emerging as important tools that offer an innovative approach to teach adolescents behavioral skills to avoid risky situations. PlayForward: Elm City Stories, an interactive videogame targeting risk reduction, is currently undergoing evaluation. Collecting stakeholder data on its acceptability and real-life implementation strategies is critical for successful dissemination.
  
  
  METHODS
  We collected interview data from four stakeholder groups regarding incorporating PlayForward into settings with adolescents. Transcripts were coded, creating a comprehensive code structure for each stakeholder group.
  
  
  RESULTS
  We conducted 40 semi-structured interviews that included 14 adolescents (aged 12-15 years; 10 boys), eight parents/guardians (all women), 12 after-school/school coordinators (nine women), and 14 community partners (13 women). We identified four themes that reflected stakeholders' perceptions about how the videogame might be implemented in real-world settings. (1) Stakeholder groups expressed that the topics of sex, alcohol, and drugs were not being taught in an educational setting. (2) Stakeholder groups saw a videogame as a viable option to teach about sex, alcohol, and drugs. (3) Stakeholder groups thought that the videogame would fit well into other settings, such as after-school programs or community organizations. (4) Some stakeholder groups highlighted additional tools that could help with implementation, such as manuals, homework assignments, and group discussion questions.
  
  
  CONCLUSIONS
  Stakeholder groups supported the game as a delivery vehicle for targeted content, indicating high acceptability but highlighting additional tools that would aid in implementation.
authors.affiliation: 1 play2PREVENT Laboratory, Yale School of Medicine , New Haven, Connecticut.
authors.forename: Tyra M
authors.initials: TM
authors.lastname: Pendergrass
authors.affiliation: 1 play2PREVENT Laboratory, Yale School of Medicine , New Haven, Connecticut.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Hieftje
authors.affiliation: 1 play2PREVENT Laboratory, Yale School of Medicine , New Haven, Connecticut.|2 Department of Psychiatry, Yale School of Medicine , New Haven, Connecticut.|3 The Consultation Center, Yale University , New Haven, Connecticut.
authors.forename: Cindy A
authors.initials: CA
authors.lastname: Crusto
authors.affiliation: 1 play2PREVENT Laboratory, Yale School of Medicine , New Haven, Connecticut.
authors.forename: Erika
authors.initials: E
authors.lastname: Montanaro
authors.affiliation: 1 play2PREVENT Laboratory, Yale School of Medicine , New Haven, Connecticut.
authors.forename: Lynn E
authors.initials: LE
authors.lastname: Fiellin
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D003159:Community-Institutional Relations; D003258:Consumer Behavior; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D012736:Sex Education / Q000379:methods*; D019966:Substance-Related Disorders / Q000517:prevention & control*; D018910:Video Games / Q000523:psychology*