ArticlePreventive medicine2014
A meta-analysis of serious digital games for healthy lifestyle promotion.
Article in Preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 132 papers, 13 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Gaming Applied to the Promotion of Active Aging
A Very Brief Intervention to Increase the Intention to Practice Physical Activity
Who cites it
132 citing papers in PubMed, 13 syntheses or guidelines pooled it.
- The use of games in the classroom to promote mental health knowledge and healthy attitudes in adolescents: a systematic review.Frontiers in psychiatry · 2025Pooled it
- Bridging smiles: AI-driven dental health awareness for the next gen-a systematic review.Frontiers in dental medicine · 2025Pooled it
- Pooled it
- Pooled it
- Virtual reality and behaviour management in paediatric dentistry: a systematic review.BMC oral health · 2023Pooled it
- The Influence of Serious Games in the Promotion of Healthy Diet and Physical Activity Health: A Systematic Review.Nutrients · 2023Pooled it
- Application of Serious Games in Health Care: Scoping Review and Bibliometric Analysis.Frontiers in public health · 2022Pooled it
- Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- Serious games for smoking prevention and cessation: A systematic review of game elements and game effects.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- The Effects of Foods Embedded in Entertainment Media on Children's Food Choices and Food Intake: A Systematic Review and Meta-Analyses.Nutrients · 2020Pooled it
- Serious games as an educational strategy to control childhood obesity: a systematic literature review1.Revista latino-americana de enfermagem · 2018Pooled it
- Efficacy of video game-based interventions for active aging. A systematic literature review and meta-analysis.PloS one · 2018Pooled it
- Is Participatory Design Associated with the Effectiveness of Serious Digital Games for Healthy Lifestyle Promotion? A Meta-Analysis.Journal of medical Internet research · 2016Pooled it
- A Metacognitive Intervention for Children and Adolescents in Neuropediatric Care (Mio-Training): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2026Trial
- Promoting Learning About Nutrition and Healthy Eating Behaviors in Chinese Children Through an Alternate Reality Game: A Pilot Study.Nutrients · 2025Trial
- Open pilot trial of an interactive digital application for campus sexual violence prevention.Journal of community psychology · 2023Trial
- IAmHero: Preliminary Findings of an Experimental Study to Evaluate the Statistical Significance of an Intervention for ADHD Conducted through the Use of Serious Games in Virtual Reality.International journal of environmental research and public health · 2023Trial
- Evaluating the Impact of Adaptive Personalized Goal Setting on Engagement Levels of Government Staff With a Gamified mHealth Tool: Results From a 2-Month Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
- Does Dynamic Tailoring of A Narrative-Driven Exergame Result in Higher User Engagement among Adolescents? Results from A Cluster-Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Trial
72 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
Several systematic reviews have described health-promoting effects of serious games but so far no meta-analysis has been reported. This paper presents a meta-analysis of 54 serious digital game studies for healthy lifestyle promotion, in which we investigated the overall effectiveness of serious digital games on healthy lifestyle promotion outcomes and the role of theoretically and clinically important moderators. Findings showed that serious games have small positive effects on healthy lifestyles (g=0.260, 95% CI 0.148; 0.373) and their determinants (g=0.334, 95% CI 0.260; 0.407), especially for knowledge. Effects on clinical outcomes were significant, but much smaller (g=0.079, 95% CI 0.038; 0.120). Long-term effects were maintained for all outcomes except for behavior. Serious games are best individually tailored to both socio-demographic and change need information, and benefit from a strong focus on game theories or a dual theoretical foundation in both behavioral prediction and game theories. They can be effective either as a stand-alone or multi-component programs, and appeal to populations regardless of age and gender. Given that effects of games remain heterogeneous, further explorations of which game features create larger effects are needed.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.