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. 2021 Sep 1;9(3):e26824. doi: 10.2196/26824

Table 1.

Brief description of The Secret Trail of Moon (TSTM) characteristics (based on Baranowski [30]).

TSTM Characteristics Description
General characteristics

Health topics Attention-deficit/hyperactivity disorder (ADHD) and attention-deficit disorder (ADD)

Targeted age groups Individuals aged 12-22 years

Other targeted group characteristics Exclusion criteria: epilepsy and dizziness (severe)

Short description of the game idea A VRa serious video game aimed at cognitive training related to various cognitive abilities and core ADHD symptoms

Target players Individual

Guiding knowledge, behavior change theory models, or conceptual frameworks The Thomas Brown model of executive functions and the Barkley Behavioral Inhibition Model

Intended health behavior changes Improvements in attention-deficit/hyperactivity disorder symptomatology

Knowledge elements to be learned Cognitive abilities

Behavior change procedures or therapeutic procedures used Feedback and monitoring, the achievement of goals and planning, the shaping of knowledge, repetition, natural consequences, rewards, and regulation and identity techniques

Clinical or parental support needed Clinical support

Data are shared with parent or clinician Yes

Type of game Adventure and puzzles
Story

Synopsis A kid appears suddenly in a cave and is greeted by a curious black fox that talks. While traveling together, they eventually meet a scurrying raccoon, and together they form the MOONb team. Through their adventures in the woods, they will learn about an impending war between two animal factions that want to fill the power vacuum that the King of the Forest—Cernuous—left when he vanished. Wanting to unite all animals again, they set out on a quest to find Cernuous and put an end to the war that threatens the coexistence and nature of the forest itself.

How the story relates to targeted behavior change This is a VR adventure experience that is augmented by some specifically designed mechanics. The main goal of the game is to find the King of the Forest throughout several chapters by following the main storyline of the MOON team while resolving problems (game mechanics) in the forest.
Game components

Player’s game goals and objectives Cognitive training by using game mechanics

Rules Restricted cognitive training (25 minutes per session and per day) and exploring the forest (10 minutes)

Game mechanics Smasher (minigame for sustained attention and impulse control), Enigma (minigame for working memory), Kuburi (minigame for visuospatial ability), Teka Teki (minigame for planning), and chess (minigame for reasoning)

Procedures to generalize or transfer outside of the game Help enhance metacognitive thinking strategies through game play, clinical support, and VR immersion
Virtual environment

Setting In the forest, there are ruins of ancient civilizations that praised chess.
Avatar

Characteristics The MOONb team consists of the player as well as Movi (raccoon) and One (fox), who will help and accompany the player throughout the game.

Abilities Characters will help regulate behavior and be a role model for the player

Game platform(s) needed to play the game PlayStation 4 VR (Sony Group Corporation)

Sensors used PlayStation 4 VR sensor (Sony Group Corporation)

Estimated play time 6-8 hours

aVR: virtual reality.

bMOON: Movi and One.