142nd APHA Annual Meeting and Exposition

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Usability Testing of “The Secret of Seven Stones”, An Innovative Home-Based Online Game to Prevent HIV/STI and Pregnancy In Middle School Youth through Parent-Child Communication

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Ross Shegog, PhD , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Jeffery McLaughlin, B.A. , Radiant, Houston, TX
Christine Markham, PhD , University of Texas Prevention Research Center, University of Texas Health Science Center-Houston, Houston, TX
Jina Dcruz, MSW , Health Promotion and Behaviour Sciences, University of Texas School of Public Health, Houston, TX
Sara Dube, B.S. , Center for Health Promotion and Prevention Research, University of Texas Health Science Center, Houston, India
Diane Santa Maria, DrPH, MSN, RN , Department of Nursing Systems, University of Texas Health Science Center School of Nursing, Houston, TX
Melissa Peskin, PhD , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Chris Lahiri, BBA , Radiant, Houston, TX
J.Michael Wilkerson, PhD , Center for Health Promotion and Prevention Research, Division of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, India
Susan Tortolero, PhD , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Background: The application of technology for adolescent sexual health education is increasing, though few studies have examined the use of health games for HIV/STI and pregnancy prevention and less still that focus on parent-child communication. The Secret of Seven Stones (SSS) is a home-based online adventure game designed to transcend the “sex talk” to engage parents and youth (11-14 yrs.) in a developmentally appropriate HIV, STI, and pregnancy prevention educational experience.

Purpose: To describe game development, functionality, and prototype usability testing results.

Methods: A stepped development process (Intervention Mapping) guided the application of behavioral theory, empiric data, and qualitative (focus group and semi-structured interview) needs assessment from a collaborative parent-youth advisory group. Design documents and an SSS prototype level were developed. Usability tests were conducted using “talk aloud” and rating (survey) protocols with youth (n=6) under laboratory conditions to assess a range of usability parameters including user satisfaction, ease, comfort, credibility, understandability, and motivational appeal.

Results: The SSS game addresses over 1300 learning objectives in 15 behavioral domains (covering responsible decision making skills about friendships, dating relationships, and sex) to provide sexual health and life skills training, and improve parent-child communication, monitoring and connectedness. Youth rated the single level prototype as easy to use (67%-83%), comfortable to play (100%), satisfying (67%), understandable (67%), credible (50%-83%), and motivational (50%-83%). Testing identified important interface and functional design strategies to improve the player experience.  

Conclusions: Further development and feasibility testing is indicated for this innovative collaborative game-based approach to home-based sexual health education.

Learning Areas:

Administer health education strategies, interventions and programs
Communication and informatics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Describe the development of a home-based parent-mediated online game and its translation from theory to application. Explain the protocols for game usability prototype testing and interpretation of results. Discuss significance and utility of a home-based sexual health and life skills development program.

Keyword(s): Adolescents, Family Involvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am one of the Principal Investigators and primarily responsible for development of the system technology and program media. My scientific interests include the development of interactive media strategies for HIV/STD/pregnancy prevention in adolescents.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.