Table 1.

Theory or theoretical construct quotations.

Frames	Quotations
Health belief model	“In this age group, I think—and I’ve not done work with this age group, its speculation—but based on different behavioral change theories, you know, breaking down some of those barriers, 'Where can they get the vaccine?'; 'Is there a cost attached to it?'; 'What are the benefits to them, specifically?'; 'What are the benefits to their relationships, that they care about?'; 'What are the potential side effects to the vaccine' and being able to sort of weigh those against the majority of the benefits that they would experience”
	“To implement your program more than anything. But if you're talking, that's not, that's not really a theory so if you're really talking about actual theories, I mean I would say more the Health Belief Model. Cause I know it was developed to...to explain vaccinations”
	“Well, health belief model is the one that’s used a lot in sexual health because it looks at perceived susceptibility of a disease or other threat and then kind of cues to action and perceived benefits”
	“I mean cause like for example, you know, you could say well people may not know where to go to get the HPV vaccination. They may think that they may have to go to the health department, they may not have health insurance... it could be a situation they could get it for free like those sorts of things. So, applying each individual... concept of the Health Belief Model, I think would be, would be really good. I think there is a very tangible, applicable, applicable way to do it”
Self-efficacy	“But you know the game while it can make them behave in a certain way, which is cool, because that is one of the advantages of the game, but it can translate to reality, we only really are targeting the cognitive things, so even when I do it I’m not only playing the game but I’m potentially changing my cognition, my behavioral capability, my self-efficacy, my knowledge and maybe that’s going to change my intention of behavior”
	“That’s a lot more interesting, and from a theory perspective, I can bide with that that’s building self-efficacy because you’re engaging in the behavior, even if it’s simulated.”
	“So, you’ve, you know you’re going to have to apply methods that will boost that self-efficacy. So, you are probably going to be using things like persuasion, modelling, um successive approximation to a goal maybe. So that makes me think about simulations, when you’re thinking about the group because they could take an avatar and take them through what they think is a risk reduction behavior and see the results or not.”
Risk perception	“You know so I think, things about genital warts, probably would be much more realistic, um, you know, improving risk perception and severity, you know, that’s where a game I think will have um, a big impact, because its um, especially if it was the simulation where um, you know like that whatever plague is that they spread in World of Warcraft, similar to that, like how easy it is to be unaffected, that content takes only one time, you know colleges full of all kinds of risk behaviors as people figure out their identity and those coupled with drinking and things like that, and the fact that this is an STD does not necessarily get protection from using condoms”
	“Well I mean if it’s risk perception is one. Low levels of risk perception is one of the determinants that are negatively influencing vaccine uptake. Then I think messages and of things like you know, 'Anyone can get it,' and maybe characters that have similar attitude of, 'Yeah I’m not— that’s not going to happen to me,' and you know it spreads the misconceptions that then are addressed and I think that those kinds of things can help. Also, you know increasing information about risk, about the common-ness of the infection”