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Description
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Serious games have been proven to be effective in health education, but little is known about their role in improving attitude, efficacy, and behavior. Funded by USAID, Go Nisha Go™, is a role-playing game that was designed to improve knowledge, attitude, efficacy, and behavior related to menstruation, contraception, consent, and marriage. To understand the effectiveness of the game in delivering its objective a two-arm RCT was conducted in three states of India - Jaipur(Rajasthan), Munger(Bihar), Delhi(Delhi). The research was supported by the USAID funded R4S project. Local and international IRB approval was obtained and study protocol was registered as a clinical trial with ICMR registry. The OE RCT study was registered under the Clinical Trial Registry India, ICMR (Indian Council of Medical Research). The trial registration number is ctri.nic.in: CTRI/2023/03/050447 A total of 1,993 girls in the 15-19 age group with access to smartphones were recruited through door-to-door household screening. Baseline values of all pertinent indicators were collected at time T1. Sampled girls were randomized into two groups. Over a period of 10 weeks, one arm was regularly encouraged to play the game (treatment arm) while the other arm (control arm) was not given any instructions. The same indicators were studied ten weeks later at time T2. The follow-up rate of the control arm was 95% while for the treatment arm was 93%. In-depth interviews were also done with sixty girls who played the entire game at T2 to understand the role of the game in shifts that were noticed. Data was compared between the arms and T1 and T2 to understand the effectiveness of the game. A per-protocol analysis was done on the collected data. 769/930 in the treatment and 22/950 in the control arm played the game at T2, showing maximum adherence to protocol and minimum contamination. The final effective sample size for analysis was 769, for the treatment arm and 928, for the control arm.
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Related Publication
| Saha A, Dixit A, Shankar L, Battala M, Khan N, Saggurti N, Ayyagari K, Raj A, Howard S. Study protocol for an individually randomized control trial for India's first roleplay-based mobile game for reproductive health for adolescent girls. Reprod Health. 2023 Sep 14;20(1):140. doi: 10.1186/s12978-023-01665-1. PMID: 37710347; PMCID: PMC10503021.https://link.springer.com/article/10.1186/s12978-023-01665-1 |
