Quit for Life: The Video Game

Ronald P. Vullo, Ph.D., Stephen Jacobs, M.A., Kathryn T. Vullo, Ph.D.
Golisano College of Computing and Information Sciences
Rochester Institute of Technology
152 Lomb Memorial Drive, Rochester, NY 14623

Abstract

Quit for Life Book Cover

This poster presents a comparative survey of existing smoking cessation games the authors conducted in preparation to design a “Game for Health” based on their successful workbook Quit for Life: A Clinical Guide to Smoking Cessation. By incorporating game-play, intelligent feedback, and rewards into the self-monitoring approach employed by the book, the authors anticipate being able to increase access and efficacy of the system.


Identified Games

Click the column titles to sort the table.

Game Type Platform Target Audience Play Style Organization
cessation nation Cessation Nation Milestone Tracker Android General Audience Not really a game, though it includes a distraction game. Ron Horner
Choices Screen Capture Choices: What Would I Do? (series) Education Online (Flash) Teens, Young Adults Text Adventure Partnership for a Drug-Free America
Community Clash Screenh Capture Community Clash Education Online (JavaScript) General Audience Card game style guessing. "MeYou Health
DSI Screen Capture DSI: Drug Scene Investigators Education Online (Flash) Pre-Teens, Teens Simulated library and cases to solve. InDepthLearning with Grant from National Institute of Drug Abuse
Goal Post Goal Post Milestone Tracker Online (Web) General Audience Not really a game; facilitates sharing milestones via facebook. Goalpost.it
Khemia Khemia Distraction Online (Unity) General Audience Pattern Unlocking (2 styles: Fast and Strategic) Vermont Quit Network
Kongregate Quit Smoking Kongregate Quit Smoking Distraction Online (Flash) General Audience Brickout with Lungs instead of brick wall and cigarette instead of paddle Kongregate.com
Lit 2 Quit! Lit 2 Quit!
(Under development/testing)
Smoking Replacement Smart Phones General Audience Uses the smart phone's microphone to listen to "puffing" and give players a cigarette-free way to satisfy their desire to smoke. The app's two modes are designed to mimic the stimulant and relaxant effects of smoking. Dr. Charles Kinzer, Teachers College, Columbia University
My Stop Smoking Coach Cover My Stop Smoking Coach with Allen Carr Education Nintendo DS Adults, Young Adults 15 mini-games aimed at nicotine addiction education. Reward system using a "Path to Freedom meter" to measure progress, and calendar of daily benefits from life without cigarettes. Ubisoft Quebec
Nicoderm CQ NicoDerm CQ Distraction Online (Flash) General Audience Mini-Arcade Style (Games have nothing to do with quitting but are offered as a distraction for when a cigarette is wanted.) GlaxoSmithKline
quitsmokinggames.com quitsmokinggames.com Collection Distraction Online (Flash) General Audience Shooting and Jigsaw Puzzle games (i.e. shoot at cigarette with e-cigarette) http://www.quitsmokinggames.com/
quittingsmokingtimeline.com quittingsmokingtimeline.com Distraction Online (Flash) General Audience Asteroids, but with cigarettes The Visability Group Incorporated
Rex Ronan Cover Rex Ronan:Experimental Surgeon Distraction Super Nintendo, Windows 95 General Audience Side-Scrolling Arcade Sculptured Software
Sara's Quest Cover Sara's Quest Education Online (Flash, Text) Pre-Teens, Teens Q&A National Institute on Drug Abuse (NIDA)
Smoke Attack Screen Capture Smoke Attack Distraction PC (Windows 95-98, Windows XP) General Audience Arcade Action Blackpencil Entertainment AG with the Swiss Federal Office of Public Health
Space Wrtangler Screen Capture Space Wranglers Education Online (Flash) Teens Multiple choice questions presented as asteroids - players shoot the asteroid with the correct answer. National Institute on Drug Abuse (NIDA)
Stop Sunny Smoking Stop Sunny Smoking Education Online (Flash) Pre-Teen Kick the soccer ball to stop the falling cigarettes. Sunderland AFC Foundation
WallyBear Cover Art Wally Bear and the NO! Gang Education Nintendo Entertainment System (cartridge) Children, Pre-Teens, Teens Side-Scrolling Arcade American Game Cartridges, Inc. in cooperation with the American Medical Association and the National Clearinghouse for Alcohol and Drug Information. (released 1992)

Summary

As healthcare undergoes significant technology-driven change “Games for Health” are increasing in use and are receiving greater attention from the NSF, NIH, and the international medical community. Early efforts are delivering on the promise of great potential to significantly improve well-being, particularly by employing behavior modification techniques to encourage the adoption of healthier lifestyle choices and habits1. For the past 15 years the Quit for Life system has been used to help patients quit smoking. With the ubiquitous computing now afforded by devices such as iPads and smart phones the authors believe it is possible to make the workbook’s content easier, more effective, and fun. The authors have surveyed the existing smoking cessation software offerings to assess their use of game-play, and compare the various software packages’ reward techniques, and patient-monitoring approaches with those employed in the original Quit for Life workbook. In addition, the various platforms and platform-specific features of these software packages were compared.

The vast majority of smoking cessation games fall into two categories: Educational games designed to discourage smoking, and distraction games to take the player’s mind off of their cravings. In the latter category one wonders if those games which incorporate smoking metaphors might actually be counter-productive in this goal. Several of the packages identified are not really games, however they do show up in searches for smoking cessation games and are likely to be found by smokers looking to quit, so they are included here. Of all the games identified, Goal Post is the only one which incorporates the type of behavior modification techniques employed by Quit for Life. Goal Post is not a game itself however, but merely incorporates a distraction game.

The authors believe that by creating a fun and intelligent game based on their successful monitoring and feedback systems will encourage more patients to successfully quit smoking and that there is a lack of such games at this time.

References

  1. Furguson, Bill Ph.D. The Emergence of Games for Health, Games for Health Journal: Research, Development, and Clinical Applications;Vol. 1,No. 1: 1-2 (2012).
  2. Read, J. Leighton, Stephen M. Shortell; Interactive Games to Promote Behavior Change in Prevention and Treatment JAMA. 305(16):1704-1705 (2011).
  3. Vullo, Kathryn T. Ph.D, Ronald P. Vullo, Ph.D. Quit for Life: A Clinical Guide to Smoking Cessation (2003).
  4. http://communityclash.meyouhealth.com
  5. http://dsipilot.org
  6. http://en.wikipedia.org/wiki/File:Wbandtng.jpg
  7. http://en.wikipedia.org/wiki/Wally_Bear_and_the_NO!_Gang
  8. http://goalpost.it
  9. http://healthgamesresearch.org/games/space-wranglers
  10. http://lit2quit.wordpress.com/about/
  11. http://teens.drugabuse.gov/sarasquest/index.php
  12. http://www.burlingtonfreepress.com/article/20100820/NEWS02/100819036/Vermont-smokers-play-end-game
  13. http://www.healthgamesresearch.org/
  14. http://www.kongregate.com/games/deleongames/quit-smoking
  15. http://www.nicodermcq.com
  16. http://www.quitsmokinggames.com
  17. http://www.safceducation.com/games/smokinggame.htm
  18. http://www.socialimpactgames.com/modules.php?op=modload&name=News&file=article&sid=203
  19. http://www.ubi.com/US/Games/Info.aspx?pId=7150
  20. http://www.vtquitnetwork.org/game/
  21. https://play.google.com/store/apps/details?id=com.horner.ronald.cessationnation&hl=en
  22. https://www2.mdanderson.org/sapp/aspire/