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. 2018 Feb 1;7(1):51–66. doi: 10.1089/g4h.2017.0002

Table 5.

Characteristics of a Videogame for Health: Land of Secret Gardens

Health topic(s) HPV vaccination
Targeted age group(s) 11–12 years of age
Other targeted group characteristics Boys and girls
Short description of game idea The game is designed to entertain children so that they are more receptive to learning about HPV and the benefits of vaccination.
Target player Individual
Guiding knowledge or behavior change theory(ies), models, or conceptual framework(s) Health Belief Model; Self-Determination Theory
Intended health behavior changes Decisional balance; communication
Knowledge element(s) to be learned Facts about HPV and HPV vaccination; Dispelling myths about how vaccines are made
Behavior change procedure(s) (taken from Michie inventory) or therapeutic procedure(s) employed Information about general and individual consequences; normative information about others' behavior; anticipate future rewards
Clinical or parental support needed? (please specify) Parents can play with child as an observer but not required
Data shared with parent or clinician No
Type of game: (check all that apply) Strategy; Casual Play; Educational
Story (if any)
 Synopsis (including story arc) A back-story about a secret garden was developed as a metaphor for a preteen's body and keeping it healthy. The goal is to plant a lush secret garden and protect the seedlings by treating them when they sprout with a potion to keep them healthy as they mature. Points to buy seeds and create the potion are earned by playing mini-games. Throughout the process of play, players are exposed to messaging about HPV and the benefits of the vaccine.
 How the story relates to targeted behavior change Land of Secret Gardens is a metaphor about keeping oneself healthy by vaccination against viruses that can cause infection and disease
Game components
 Player's game goal/objective(s) Level up by planting and tending to a flourishing secret garden—protect the seedlings before they mature.
 Rules Players must earn points by playing mini-games to purchase seeds for their garden and ingredients to create a vaccine to protect seedlings. Embedded within the game are HPV messages. Points earned in the game are exchanged for seeds and ingredients to create a vaccine.
 Game mechanic(s) Feedback loops; encourage discovery/exploration; resource management; levels; points; badges
 Procedures to generalize or transfer what's learned in the game to outside the game Players are encouraged to discuss the game with their parents
Virtual environment
 Setting (describe) Third-Person Point of View
Avatar
 Characteristics Static cartoon picture
 Abilities None
 Game platform(s) needed to play the game Smartphone, tablet, computer
 Sensors used Touch and keypad
 Estimated play time Unlimited; players can keep playing until they are satisfied with their garden.