title: Story Immersion May Be Effective in Promoting Diet and Physical Activity in Chinese Children.
abstract: To evaluate the effect of playing a health video game embedded with story immersion, Escape from Diab (Diab), on children's diet and physical activity (PA) and to explore whether children immersed in Diab had greater positive outcomes.
  
  
  
  Two groups, nonrandomized; 3 outcome assessments: at baseline, immediately after the game (post 1), and 8-10 weeks after the game (post 2).
  
  
  
  A total of 179 Chinese children aged 8-12 years.
  
  
  
  The treatment group played Diab; the control group received no intervention.
  
  
  
  Motivation; self-efficacy; preference for fruit, vegetables, water, and PA; as well as PA behavior.
  
  
  
  Adjusted changes to post 1 and post 2 by ANCOVA controlling for demographic and baseline variables.
  
  
  
  Children who played Diab had increased intrinsic motivation for fruit and water, self-efficacy for PA, and self-reported PA scores at post 1 (all P < .05). Children with higher immersion scores (above the median) had increased intrinsic motivation for fruit and water, and autonomous and controlled motivation for PA at post 1 (all P < .05). However, these were not significant at post 2.
  
  
  
  Diab provides a promising innovative medium for promoting Chinese children's psychological correlates of diet and PA and PA behavior. However, its maintenance of effectiveness needs to be enhanced and mechanisms of change need to be investigated more thoroughly.
authors.affiliation: Department of Physical Education, Faculty of Social Sciences, Hong Kong Baptist University, Hong Kong, China.
authors.forename: Jing Jing
authors.initials: JJ
authors.lastname: Wang
authors.affiliation: Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
authors.forename: Tom
authors.initials: T
authors.lastname: Baranowski
authors.affiliation: Department of Physical Education, Faculty of Social Sciences, Hong Kong Baptist University, Hong Kong, China. Electronic address: wclau@hkbu.edu.hk.
authors.forename: Patrick W C
authors.initials: PWC
authors.lastname: Lau
authors.affiliation: Archimage, Houston, TX.
authors.forename: Richard
authors.initials: R
authors.lastname: Buday
authors.affiliation: Department of Physical Education, Faculty of Social Sciences, Hong Kong Baptist University, Hong Kong, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Gao
mesh_terms: D001213:Asian; D002648:Child; D002652:Child Behavior / Q000208:ethnology; D002664:Child Nutritional Physiological Phenomena / Q000208:ethnology; D002681:China / Q000208:ethnology; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000517:prevention & control; D000072001:Diet, Healthy / Q000208:ethnology / Q000523:psychology; D004324:Drama; D015444:Exercise / Q000523:psychology; D005260:Female; D005518:Food Preferences / Q000208:ethnology; D000068957:Games, Recreational / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D008297:Male; D008960:Models, Psychological; D010349:Patient Compliance / Q000208:ethnology / Q000523:psychology; D063766:Pediatric Obesity / Q000208:ethnology / Q000517:prevention & control; D012574:Schools; D020377:Self Efficacy; D013781:Texas; D014504:Urban Health / Q000208:ethnology
keywords: child; diabetes; fruit; obesity; self-efficacy; story immersion; vegetable; video game; water