{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T18:38:54Z","timestamp":1770835134954,"version":"3.50.1"},"publisher-location":"New York, NY, USA","reference-count":53,"publisher":"ACM","license":[{"start":{"date-parts":[[2012,5,29]],"date-time":"2012-05-29T00:00:00Z","timestamp":1338249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.acm.org\/publications\/policies\/copyright_policy#Background"}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2012,5,29]]},"DOI":"10.1145\/2282338.2282351","type":"proceedings-article","created":{"date-parts":[[2012,6,15]],"date-time":"2012-06-15T15:32:03Z","timestamp":1339774323000},"page":"41-48","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":34,"title":["Using an interactive visual novel to promote patient empowerment through engagement"],"prefix":"10.1145","author":[{"given":"Langxuan","family":"Yin","sequence":"first","affiliation":[{"name":"Northeastern University, Boston, MA"}]},{"given":"Lazlo","family":"Ring","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, MA"}]},{"given":"Timothy","family":"Bickmore","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, MA"}]}],"member":"320","published-online":{"date-parts":[[2012,5,29]]},"reference":[{"key":"e_1_3_2_1_1_1","unstructured":"Boston Medical Center Patient Rights and Responsibilities. http:\/\/www.bmc.org\/Documents\/bmc-PatientRights-english.pdf  Boston Medical Center Patient Rights and Responsibilities. http:\/\/www.bmc.org\/Documents\/bmc-PatientRights-english.pdf"},{"key":"e_1_3_2_1_2_1","unstructured":"Escape From Diab. http:\/\/www.escapefromdiab.com\/  Escape From Diab. http:\/\/www.escapefromdiab.com\/"},{"key":"e_1_3_2_1_3_1","unstructured":"The Portopia Serial Murder Case. http:\/\/en.wikipedia.org\/wiki\/The_Portopia_Serial_Murder_Case  The Portopia Serial Murder Case. http:\/\/en.wikipedia.org\/wiki\/The_Portopia_Serial_Murder_Case"},{"key":"e_1_3_2_1_4_1","unstructured":"Replay: Finding Zoe. http:\/\/www.metrac.org\/replay\/index.html  Replay: Finding Zoe. http:\/\/www.metrac.org\/replay\/index.html"},{"key":"e_1_3_2_1_5_1","doi-asserted-by":"crossref","unstructured":"M. Alegr\u00eda A. Polo S. Gao L. Santana D. Rothstein A. Jimenez M. Hunter F. Mendieta V. Oddo S. Normand: Evaluation of a patient activation and empowerment intervention in mental health care. Medical care 46 247 (2008)  M. Alegr\u00eda A. Polo S. Gao L. Santana D. Rothstein A. Jimenez M. Hunter F. Mendieta V. Oddo S. Normand: Evaluation of a patient activation and empowerment intervention in mental health care. Medical care 46 247 (2008)","DOI":"10.1097\/MLR.0b013e318158af52"},{"key":"e_1_3_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.7.943"},{"key":"e_1_3_2_1_7_1","doi-asserted-by":"crossref","unstructured":"I. Aujoulat W. d'Hoore A. Deccache: Patient empowerment in theory and practice: polysemy or cacophony? Patient education and counseling 66 13--20 (2007)  I. Aujoulat W. d'Hoore A. Deccache: Patient empowerment in theory and practice: polysemy or cacophony? Patient education and counseling 66 13--20 (2007)","DOI":"10.1016\/j.pec.2006.09.008"},{"key":"e_1_3_2_1_8_1","doi-asserted-by":"crossref","unstructured":"A. Bandura: Self-efficacy: toward a unifying theory of behavioral change. Psychological review 84 191 (1977)  A. Bandura: Self-efficacy: toward a unifying theory of behavioral change. Psychological review 84 191 (1977)","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_3_2_1_9_1","doi-asserted-by":"crossref","unstructured":"A. Bandura: Self-efficacy mechanism in human agency. American psychologist 37 122 (1982)  A. Bandura: Self-efficacy mechanism in human agency. American psychologist 37 122 (1982)","DOI":"10.1037\/0003-066X.37.2.122"},{"key":"e_1_3_2_1_10_1","unstructured":"A. Bandura: Social foundations of thought and action: A social cognitive theory. Changes 1 (1986)  A. Bandura: Social foundations of thought and action: A social cognitive theory. Changes 1 (1986)"},{"key":"e_1_3_2_1_11_1","unstructured":"A. Bandura: Self-efficacy: The exercise of control. Worth Publishers (1997)  A. Bandura: Self-efficacy: The exercise of control. Worth Publishers (1997)"},{"key":"e_1_3_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.41.3.586"},{"key":"e_1_3_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2007.04.006"},{"key":"e_1_3_2_1_14_1","unstructured":"A.T. Beck: Cognitive therapy and the emotional disorders. (1976)  A.T. Beck: Cognitive therapy and the emotional disorders. (1976)"},{"key":"e_1_3_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0002764204267259"},{"key":"e_1_3_2_1_16_1","doi-asserted-by":"crossref","unstructured":"M. Bers C. Chau K. Satoh L. Beals: Virtual communities of care: Online peer networks with post-organ transplant youth. 78--80 (2007)   M. Bers C. Chau K. Satoh L. Beals: Virtual communities of care: Online peer networks with post-organ transplant youth. 78--80 (2007)","DOI":"10.3115\/1599600.1599612"},{"key":"e_1_3_2_1_17_1","unstructured":"M.U. Bers J. Gonzalez-Heydrich D. Raches D. R. DeMaso: Zora: a pilot virtual community in the pediatric dialysis unit. Studies in health technology and informatics 800--804 (2001)  M.U. Bers J. Gonzalez-Heydrich D. Raches D. R. DeMaso: Zora: a pilot virtual community in the pediatric dialysis unit. Studies in health technology and informatics 800--804 (2001)"},{"key":"e_1_3_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1145\/985921.986048"},{"key":"e_1_3_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.36.8.900"},{"key":"e_1_3_2_1_20_1","first-page":"77","volume":"22","author":"Brown S.","year":"1997","journal-title":"Informatics for Health and Social Care"},{"key":"e_1_3_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01333.x"},{"key":"e_1_3_2_1_22_1","unstructured":"M. Csikszentmihalyi: Flow: Studies of enjoyment. University of Chicago (1974)  M. Csikszentmihalyi: Flow: Studies of enjoyment. University of Chicago (1974)"},{"key":"e_1_3_2_1_23_1","unstructured":"M. Csikszentmihalyi: Play and intrinsic rewards. Journal of Humanistic Psychology (1975)  M. Csikszentmihalyi: Play and intrinsic rewards. Journal of Humanistic Psychology (1975)"},{"key":"e_1_3_2_1_24_1","unstructured":"M. Csikszentmihalyi: Flow: The psychology of optimal experience: Steps toward enhancing the quality of life. Harper Collins Publishers (1991)  M. Csikszentmihalyi: Flow: The psychology of optimal experience: Steps toward enhancing the quality of life. Harper Collins Publishers (1991)"},{"key":"e_1_3_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1145\/336296.336354"},{"key":"e_1_3_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1145\/1240624.1240847"},{"key":"e_1_3_2_1_27_1","doi-asserted-by":"crossref","unstructured":"S.P. Dow: Understanding user engagement in immersive and interactive stories. Georgia Institute of Technology (2008)  S.P. Dow: Understanding user engagement in immersive and interactive stories. Georgia Institute of Technology (2008)","DOI":"10.1145\/1501750.1501838"},{"key":"e_1_3_2_1_28_1","doi-asserted-by":"crossref","unstructured":"S.A. Jackson H. Marsh: Development and validation of a scale to measure optimal experience: The Flow State Scale. Journal of Sport & Exercise Psychology (1996)  S.A. Jackson H. Marsh: Development and validation of a scale to measure optimal experience: The Flow State Scale. Journal of Sport & Exercise Psychology (1996)","DOI":"10.1123\/jsep.18.1.17"},{"key":"e_1_3_2_1_29_1","doi-asserted-by":"crossref","unstructured":"P.S. Jones A. I. Meleis: Health is empowerment. Advances in nursing science (1993)  P.S. Jones A. I. Meleis: Health is empowerment. Advances in nursing science (1993)","DOI":"10.1097\/00012272-199303000-00003"},{"key":"e_1_3_2_1_30_1","doi-asserted-by":"crossref","unstructured":"J. Kidd T. M. Marteau S. Robinson O. C. Ukoumunne C. Tydeman: Promoting patient participation in consultations: a randomised controlled trial to evaluate the effectiveness of three patient-focused interventions. Patient education and counseling 52 107--112 (2004)  J. Kidd T. M. Marteau S. Robinson O. C. Ukoumunne C. Tydeman: Promoting patient participation in consultations: a randomised controlled trial to evaluate the effectiveness of three patient-focused interventions. Patient education and counseling 52 107--112 (2004)","DOI":"10.1016\/S0738-3991(03)00018-1"},{"key":"e_1_3_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1145\/1056808.1056963"},{"key":"e_1_3_2_1_32_1","volume":"129","author":"M.","journal-title":"Canadian Medical Association Journal"},{"key":"e_1_3_2_1_33_1","unstructured":"E. Langer J. Rodin: The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting. The interface of social and clinical psychology: key readings 339 (2004)  E. Langer J. Rodin: The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting. The interface of social and clinical psychology: key readings 339 (2004)"},{"key":"e_1_3_2_1_34_1","doi-asserted-by":"crossref","unstructured":"R.S. Lazarus R. Launier: Stress-related transactions between person and environment. Perspectives in interactional psychology 287 327 (1978)  R.S. Lazarus R. Launier: Stress-related transactions between person and environment. Perspectives in interactional psychology 287 327 (1978)","DOI":"10.1007\/978-1-4613-3997-7_12"},{"key":"e_1_3_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004479-200101000-00004"},{"key":"e_1_3_2_1_36_1","doi-asserted-by":"crossref","unstructured":"S. Maliski B. Clerkin M. Litwin: Describing a nurse case manager intervention to empower low-income men with prostate cancer. Oncology nursing forum 31 57--64 (2004)  S. Maliski B. Clerkin M. Litwin: Describing a nurse case manager intervention to empower low-income men with prostate cancer. Oncology nursing forum 31 57--64 (2004)","DOI":"10.1188\/04.ONF.57-64"},{"key":"e_1_3_2_1_37_1","unstructured":"M. Mateas: Interactive drama art and artificial intelligence. Carnegie Mellon University (2002)  M. Mateas: Interactive drama art and artificial intelligence. Carnegie Mellon University (2002)"},{"key":"e_1_3_2_1_38_1","doi-asserted-by":"crossref","unstructured":"S. McCann J. Weinman: Empowering the patient in the consultation: a pilot study. Patient education and counseling 27 227--234 (1996)  S. McCann J. Weinman: Empowering the patient in the consultation: a pilot study. Patient education and counseling 27 227--234 (1996)","DOI":"10.1016\/0738-3991(95)00830-6"},{"key":"e_1_3_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/12.2.111"},{"key":"e_1_3_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-89454-4_16"},{"key":"e_1_3_2_1_41_1","unstructured":"N. Montfort: Twisty Little Passages: an approach to interactive fiction. The MIT Press (2005)   N. Montfort: Twisty Little Passages: an approach to interactive fiction. The MIT Press (2005)"},{"key":"e_1_3_2_1_42_1","doi-asserted-by":"publisher","DOI":"10.1145\/1496984.1496998"},{"key":"e_1_3_2_1_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-199807000-00009"},{"key":"e_1_3_2_1_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-199807000-00009"},{"key":"e_1_3_2_1_45_1","doi-asserted-by":"crossref","unstructured":"M. Pibernik-Okanovic M. Prasek T. Poljicanin-Filipovic I. Pavlic-Renar Z. Metelko: Effects of an empowerment-based psychosocial intervention on quality of life and metabolic control in type 2 diabetic patients. Patient education and counseling 52 193--199 (2004)  M. Pibernik-Okanovic M. Prasek T. Poljicanin-Filipovic I. Pavlic-Renar Z. Metelko: Effects of an empowerment-based psychosocial intervention on quality of life and metabolic control in type 2 diabetic patients. Patient education and counseling 52 193--199 (2004)","DOI":"10.1016\/S0738-3991(03)00038-7"},{"key":"e_1_3_2_1_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.35.12.897"},{"key":"e_1_3_2_1_47_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0663.73.1.93"},{"key":"e_1_3_2_1_48_1","doi-asserted-by":"crossref","unstructured":"R. Schwarzer M. Jerusalem: Generalized self-efficacy scale. Measures in health psychology: A user's portfolio. Causal and control beliefs 35--37 (1995)  R. Schwarzer M. Jerusalem: Generalized self-efficacy scale. Measures in health psychology: A user's portfolio. Causal and control beliefs 35--37 (1995)","DOI":"10.1037\/t00393-000"},{"key":"e_1_3_2_1_49_1","doi-asserted-by":"publisher","DOI":"10.1145\/1077246.1077253"},{"key":"e_1_3_2_1_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019819702400108"},{"key":"e_1_3_2_1_51_1","doi-asserted-by":"crossref","unstructured":"H.A. van Dam F. van der Horst B. van den Borne R. Ryckman H. Crebolder: Provider-patient interaction in diabetes care: effects on patient self-care and outcomes: a systematic review. Patient education and counseling 51 17--28 (2003)  H.A. van Dam F. van der Horst B. van den Borne R. Ryckman H. Crebolder: Provider-patient interaction in diabetes care: effects on patient self-care and outcomes: a systematic review. Patient education and counseling 51 17--28 (2003)","DOI":"10.1016\/S0738-3991(02)00122-2"},{"key":"e_1_3_2_1_52_1","doi-asserted-by":"crossref","unstructured":"N. Wallerstein: Powerlessness empowerment and health: implications for health promotion programs. American journal of health promotion (1992)  N. Wallerstein: Powerlessness empowerment and health: implications for health promotion programs. American journal of health promotion (1992)","DOI":"10.4278\/0890-1171-6.3.197"},{"key":"e_1_3_2_1_53_1","doi-asserted-by":"crossref","unstructured":"R.S. Weinberg D. Gould A. Jackson: Expectations and performance: An empirical test of Bandura's self-efficacy theory. Journal of Sport Psychology (1979)  R.S. Weinberg D. Gould A. Jackson: Expectations and performance: An empirical test of Bandura's self-efficacy theory. Journal of Sport Psychology (1979)","DOI":"10.1123\/jsp.1.4.320"}],"event":{"name":"FDG'12: International Conference on the Foundations of Digital Games","location":"Raleigh North Carolina","acronym":"FDG'12","sponsor":["SASDG Society for the Advancement of the Science of Digital Games","SIGWEB ACM Special Interest Group on Hypertext, Hypermedia, and Web","SIGAI ACM Special Interest Group on Artificial Intelligence","SIGGRAPH ACM Special Interest Group on Computer Graphics and Interactive Techniques","SIGCSE ACM Special Interest Group on Computer Science Education"]},"container-title":["Proceedings of the International Conference on the Foundations of Digital Games"],"original-title":[],"link":[{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/2282338.2282351","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/2282338.2282351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T08:48:57Z","timestamp":1750236537000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/2282338.2282351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,29]]},"references-count":53,"alternative-id":["10.1145\/2282338.2282351","10.1145\/2282338"],"URL":"https:\/\/doi.org\/10.1145\/2282338.2282351","relation":{},"subject":[],"published":{"date-parts":[[2012,5,29]]},"assertion":[{"value":"2012-05-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}