Effect of Game in Increasing Environmental Health Literacy
Conditions
Keywords
environmental health, game, air quality, STEM, health literacy
Brief summary
The goal of this clinical trial is to test a prototype of a new educational game about environmental health literacy with middle school age youth. The main questions it aims to answer are: * Does playing the game increase knowledge about environmental health? * Does playing the game improve environmental health literacy? * Does playing the game increase interest and confidence in science? Participants will be asked to: * Take a survey at the beginning of the study * Play the game for a minimum of 50 minutes * Take a survey at the end of the study
Detailed description
The proposed project will establish the technical merit and feasibility of producing and using a serious game to improve environmental health literacy among young people. A small evaluation is being conducted to assess the impact of the prototype game on environmental health knowledge, literacy, ability to understand mitigation, and impact on science interest and confidence. Participants will be middle school youth, typically ages 11-15, who are currently enrolled in middle school. Participants are being recruited by the projects education advisor (CA) and youth community board members (MI). Investigators will conduct an evaluation with 45 middle school age participants from communities disproportionately impacted by environmental risk. The goal is to test the usability and playability of the prototype and assess the games impact on outcomes. The participant will complete a short online pre-test assessment (environmental health knowledge), participate in either a 50 play session or a week long play period logging a minimum of 50 minutes. At the end of the play period the participant will complete a short post-test with similar questions to the pre-test plus additional questions about their usage, satisfaction with, and enjoyment of the game. During independent game use, the app will collect metrics on usage, player performance, and conditional knowledge including the ability to apply concepts in context. Participants will each receive a $100 gift card.
Interventions
OTHERSE3 Game
A prototype online game designed to increase environmental health literacy
Sponsors
National Institute of Environmental Health Sciences (NIEHS)
dfusion Inc
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
11 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
* In middle school. * Ability to use a mobile tablet. * Have access to wifi in location of intervention implementation. * Reside in the geographic areas of implementation: California, Michigan, Florida
Exclusion criteria
* Age not within middle school range.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Environmental Health Indoor Air Pollution Knowledge Score | Day 1 to Day 7 | Based on a scale created for this study the Environmental Health Indoor Air Pollution Knowledge Score is comprised of a series of questions about indoor environmental pollution. The scores from the question are summed to create a total score. The scale ranges from 0 to 17 with a higher score indicating greater knowledge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Environmental Health Mitigation Knowledge Score | Day 1 to Day 7 | Based on a scale created for this study the Environmental Mitigation Knowledge Score is comprised of a series of questions about what can mitigate indoor air pollution. The scores from the questions are summed to create a total score. The score range is 0 to 14 with higher scores indicating greater knowledge. |
| Change in Environmental Health Interest Score | Day 1 to Day 7 | Based on a scale created for this study the Environmental Health Interest Score is comprised of a series of questions to assess interest. The scores from the question are summed to create a total score. The score range is 4 to 24 with higher scores indicating greater environmental health literacy. |
| Change in Science Interest and Confidence Score | Day 1 to Day 7 | Based on a scale created for the Science Interest and Confidence Score is comprised of a series of questions about interest in science and perceived skill in science. The scores from the question are summed to create a total score. The score range is 1 to 5, with higher scores indicating more science interest and confidence. |
Countries
United States
Participant flow
Recruitment details
Recruitment took place during an approximately one-month period. Participants were recruited in one middle-school classroom (two classes) in San Jose, CA. Additional participants for across the country were recruited through referrals from teachers and other education advisors.
Pre-assignment details
This was a single arm study so participants were not assigned to a group. No recruited participants were excluded prior to participation.
Participants by arm
| Arm | Count |
|---|---|
| Single Arm, Intervention With SE3 Game This is a single arm study. This arm will receive the intervention. This intervention is a prototype of online game, about 50 minutes in duration. The online game provides gameplay that allows the user, with a gameplay narrative, to identify and remove sources of environmental hazards in the home environment. Participants play the prototype game for about 50 minutes at which time the intervention is complete.
SE3 Game: A prototype online game designed to increase environmental health literacy | 50 |
| Total | 50 |
Baseline characteristics
| Characteristic | Single Arm, Intervention With SE3 Game |
|---|---|
| Age, Continuous | 13.6 years |
| Ethnicity (NIH/OMB) Hispanic or Latino | 25 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 24 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 3 Participants |
| Race (NIH/OMB) Asian | 9 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants |
| Race (NIH/OMB) More than one race | 16 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants |
| Race (NIH/OMB) White | 17 Participants |
| Region of Enrollment United States | 50 participants |
| Sex/Gender, Customized Gender Female | 26 Participants |
| Sex/Gender, Customized Gender Male | 23 Participants |
| Sex/Gender, Customized Gender Non binary | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 50 |
| other Total, other adverse events | 0 / 50 |
| serious Total, serious adverse events | 0 / 50 |
Outcome results
Primary
Change in Environmental Health Indoor Air Pollution Knowledge Score
Based on a scale created for this study the Environmental Health Indoor Air Pollution Knowledge Score is comprised of a series of questions about indoor environmental pollution. The scores from the question are summed to create a total score. The scale ranges from 0 to 17 with a higher score indicating greater knowledge.
Time frame: Day 1 to Day 7
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Single Arm, Intervention With SE3 Game | Change in Environmental Health Indoor Air Pollution Knowledge Score | 1.38 score on a scale | Standard Deviation 4.67 |
p-value: 0.042t-test, 2 sided
Secondary
Change in Environmental Health Interest Score
Based on a scale created for this study the Environmental Health Interest Score is comprised of a series of questions to assess interest. The scores from the question are summed to create a total score. The score range is 4 to 24 with higher scores indicating greater environmental health literacy.
Time frame: Day 1 to Day 7
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Single Arm, Intervention With SE3 Game | Change in Environmental Health Interest Score | .932 score on a scale | Standard Deviation 2.59 |
p-value: 0.022t-test, 2 sided
Secondary
Change in Environmental Health Mitigation Knowledge Score
Based on a scale created for this study the Environmental Mitigation Knowledge Score is comprised of a series of questions about what can mitigate indoor air pollution. The scores from the questions are summed to create a total score. The score range is 0 to 14 with higher scores indicating greater knowledge.
Time frame: Day 1 to Day 7
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Single Arm, Intervention With SE3 Game | Change in Environmental Health Mitigation Knowledge Score | 4.85 score on a scale | Standard Deviation 1.75 |
p-value: 0.928t-test, 2 sided
Secondary
Change in Science Interest and Confidence Score
Based on a scale created for the Science Interest and Confidence Score is comprised of a series of questions about interest in science and perceived skill in science. The scores from the question are summed to create a total score. The score range is 1 to 5, with higher scores indicating more science interest and confidence.
Time frame: Day 1 to Day 7
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Single Arm, Intervention With SE3 Game | Change in Science Interest and Confidence Score | 1.64 score on a scale | Standard Deviation 3.57 |
p-value: 0.004t-test, 2 sided