TY - JOUR AU - Mack, Isabelle AU - Reiband, Nadine AU - Etges, Carolin AU - Eichhorn, Sabrina AU - Schaeffeler, Norbert AU - Zurstiege, Guido AU - Gawrilow, Caterina AU - Weimer, Katja AU - Peeraully, Riyad AU - Teufel, Martin AU - Blumenstock, Gunnar AU - Giel, Katrin Elisabeth AU - Junne, Florian AU - Zipfel, Stephan PY - 2020 DA - 20/4/24 TI -儿童肥胖预防计划:评价严肃游戏预防和治疗儿童肥胖的聚类随机对照试验JO - J Med Internet Res SP - e15725 VL - 22 IS - 4kw -儿童KW -严肃游戏KW -营养KW -压力KW -能量密度AB -背景:健康游戏为治疗和预防儿童肥胖提供了机会。我们为儿童开发了一款动作控制的严肃游戏，解决了营养、体育活动和压力应对这三个核心问题。这是第一个广泛针对膳食能量密度原理(DED-P)与营养有关的严肃游戏。该游戏旨在为预防和治疗儿童肥胖提供额外的教育内容。目的:儿童肥胖预防研究旨在评估新开发的游戏，并评估儿童理解和应用DED-P的能力。方法:本聚类随机对照试验收集了82名9 - 12岁小学儿童及其父母在基线(T0)、研究开始后2周(T1)和4周随访(T2)时的数据。辍学率为3.6%。干预组(IG)在2周内玩游戏(2次不同的游戏模块)。游戏的一个部分是，当面对一对食物时，选择能量密度较低的食物。 This allows assessment of whether the children have understood the DED-P and whether they can apply it to unknown foods under time pressure. The control group (CG) received a brochure about the food pyramid concept and physical activity. The primary outcome was the gain in knowledge (nutrition and stress coping) and measured with a pretested questionnaire. The secondary outcomes were the maintenance of knowledge, application of the DED-P, feelings during game play, game acceptance, and behavioral measures (physical activity, media consumption, and dietary intake). Results: The knowledge score ranging from 0 to 100 increased from T0 (IG: 53 [SD 10], CG: 50 [SD 11]) to T1 (IG: 69 [SD 11], CG: 52 [SD 12]) in IG versus CG (P<.001). At T2, the knowledge score of IG remained at the same level as that of T1. Game data showed that after DED-P education, the classification under time pressure of unknown versus known food pairs according to their DED category was similar (hit rate around 70%). Overall, 95% of the children liked the game very much or much. No group changes were observed at the behavioral level. Conclusions: The Kids Obesity Prevention program sustainably increased knowledge in the areas of nutrition and stress coping, and children were able to apply the DED-P. Trial Registration: ClinicalTrials.gov NCT02551978; https://clinicaltrials.gov/ct2/show/NCT02551978 SN - 1438-8871 UR - //www.mybigtv.com/2020/4/e15725 UR - https://doi.org/10.2196/15725 UR - http://www.ncbi.nlm.nih.gov/pubmed/32329742 DO - 10.2196/15725 ID - info:doi/10.2196/15725 ER -