目的 分析数字游戏在青少年危险性行为干预中的应用，为降低青少年危险性行为提供参考。方法 从PubMed、Web of Science、Cochrane Library、Scopus、Embase、中国生物医学数据库、中国知网、万方数据库和维普中，检索建库至2024年2月发表的应用数字游戏干预青少年危险性行为的相关文献。结果 最终纳入10篇英文文献，涉及3 063名10～24岁青少年，发表时间为2013-2023年。数字游戏的开发和设计多基于认知行为理论和真实性决策情境及对话，游戏参与者分为单方和多方，主要采用虚拟角色扮演、互动叙事、冒险挑战等形式，在内容上存在一定差异。数字游戏干预具有较好的可行性和可接受性，可提高青少年的性健康知识与态度、自我效能和风险感知，降低危险性行为的发生。结论 数字游戏在干预青少年危险性行为方面具有显著优势，可为防控青少年危险性行为提供新途径。
Application of digital games for interventions to reduce risky sexual behavior among adolescents:a systematic review
Objective To analyze the application of digital games for interventions to reduce risky sexual behavior among adoles-cents,so as to provide a reference for reducing adolescent risky sexual behavior.Methods The study used PubMed,Web of Sci-ence,Cochrane Library,Scopus,Embase,China Biomedical Database,CNKI,Wanfang Database and VIP to carry out a literature search of the application of digital games for interventions aimed at reducing risky sexual behavior among adolescents covering the time period up until February 2024.Results A total of 10 English articles were included,involving a total of 3 063 adolescents aged 10-24 years old.The publication time spanned from 2013 to 2023.The development and design of the digital games were mostly based on cognitive behavior theory and authentic decision-making situations and dialogues.The game participants were divid-ed into single-party and multi-party categories,mainly using virtual role-playing,interactive narrative,and adventure challenges,and there were some differences in content.Digital game intervention had good feasibility and acceptability,which could improve adolescents'sexual health knowledge,attitudes,self-efficacy,and risk perception,so as to reduce the occurrence of risky behavior.Conclusion As an intervention aimed at reducing risky sexual behavior in adolescents,digital show has significant advantages and can serve as a new prevention and control strategy.
Video gamesUnsafe sexInterventionReview literature as topicAdolescent
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