{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T02:12:12Z","timestamp":1781921532157,"version":"3.54.5"},"reference-count":43,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:00:00Z","timestamp":1590624000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["5T32MH014592-39"],"award-info":[{"award-number":["5T32MH014592-39"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Little is known about strategies or mechanics to improve self-regulation of video game play that could be developed into novel interventions. This study used a participatory approach with the gaming community to uncover insider knowledge about techniques to promote healthy play and prevent gaming disorder. Methods: We used a pragmatic approach to conduct a convergent-design mixed-methods study with participants attending a science fiction and education convention. Six participants answered questions about gaming engagement and self- or game-based regulation of gaming which were then categorized into pre-determined (a priori) themes by the presenters during the presentation. The categorized themes and examples from participant responses were presented back to participants for review and discussion. Seven participants ranked their top choices of themes for each question. The rankings were analyzed using a nonparametric approach to show consensus around specific themes. Results: Participants suggested several novel potential targets for preventive interventions including specific types of social (e.g., play with others in a group) or self-regulation processes (e.g., set timers or alarms). Suggestions for game mechanics that could help included clear break points and short missions, but loot boxes were not mentioned. Conclusions: Our consensus development approach produced many specific suggestions that could be implemented by game developers or tested as public health interventions, such as encouraging breaks through game mechanics, alarms or other limit setting; encouraging group gaming; and discussing and supporting setting appropriate time or activity goals around gaming (e.g., three quests, one hour). As some suggestions here have not been addressed previously as potential interventions, this suggests the importance of including gamers as stakeholders in research on the prevention of gaming disorder and the promotion of healthy gaming. A large-scale, online approach using these methods with multiple stakeholder groups could make effective use of players\u2019 in-depth knowledge and help speed discovery and translation of possible preventive interventions into practice and policy.<\/jats:p>","DOI":"10.3390\/ijerph17113846","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T10:02:45Z","timestamp":1590660165000},"page":"3846","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Stakeholders\u2019 Consensus on Strategies for Self- and Other-Regulation of Video Game Play: A Mixed Methods Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0750-524X","authenticated-orcid":false,"given":"Michelle","family":"Colder Carras","sequence":"first","affiliation":[{"name":"Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St. W5501, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Carras","sequence":"additional","affiliation":[{"name":"Carras Consulting, 1407 Scanlan Drive, Glen Burnie, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain B.","family":"Labrique","sequence":"additional","affiliation":[{"name":"Departments of International Health, Epidemiology, and Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St. W5501, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","unstructured":"World Health Organization WHO (2020, May 28). Gaming Disorder. Available online: http:\/\/www.who.int\/features\/qa\/gaming-disorder\/en\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1111\/pcn.12532","article-title":"Cross-sectional and longitudinal epidemiological studies of internet gaming disorder: A systematic review of the literature","volume":"71","author":"Mihara","year":"2017","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-Bueso, V., Santamar\u00eda, J.J., Fern\u00e1ndez, D., Merino, L., Montero, E., and Ribas, J. (2018). Association between Internet Gaming Disorder or Pathological Video-Game Use and Comorbid Psychopathology: A Comprehensive Review. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15040668"},{"key":"ref_5","first-page":"425","article-title":"Problematic gaming behaviour and health-related outcomes: A systematic review and meta-analysis","volume":"71","author":"Ruotsalainen","year":"2017","journal-title":"J. Health Psychol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1177\/0956797616678438","article-title":"A Large-Scale Test of the Goldilocks Hypothesis: Quantifying the Relations Between Digital-Screen Use and the Mental Well-Being of Adolescents","volume":"28","author":"Przybylski","year":"2017","journal-title":"Psychol. Sci."},{"key":"ref_7","unstructured":"World Health Organization WHO (2020, May 28). Gaming behavior. Available online: https:\/\/www.who.int\/substance_abuse\/activities\/gaming_disorders\/en\/."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s40429-017-0163-x","article-title":"Children\u2019s Motives to Start, Continue, and Stop Playing Video Games: Confronting Popular Theories with Real-World Observations","volume":"4","author":"Daneels","year":"2017","journal-title":"Curr. Addict. Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1089\/cpb.2006.9994","article-title":"Experiences of time loss among videogame players: An empirical study","volume":"10","author":"Wood","year":"2007","journal-title":"Cyber Psychol. Behav."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1111\/add.14286","article-title":"Predatory monetization schemes in video games (e.g. \u2018loot boxes\u2019) and internet gaming disorder","volume":"113","author":"King","year":"2018","journal-title":"Addiction"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1016\/j.chb.2011.01.001","article-title":"Enhancing one life rather than living two: Playing MMOs with offline friends","volume":"27","author":"Snodgrass","year":"2011","journal-title":"Comput. Hum. Behav."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1556\/2006.6.2017.050","article-title":"Policy responses to problematic video game use: A systematic review of current measures and future possibilities","volume":"7","author":"Kiraly","year":"2018","journal-title":"J. Behav. Addict."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/S2215-0366(19)30285-8","article-title":"Loot boxes and the convergence of video games and gambling","volume":"6","author":"Zendle","year":"2019","journal-title":"Lancet Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Griffiths, M.D., and Pontes, H.M. (2019). The Future of Gaming Disorder Research and Player Protection: What Role Should the Video Gaming Industry and Researchers Play?. Int. J. Ment. Health Addict., 1\u20137.","DOI":"10.1007\/s11469-019-00110-4"},{"key":"ref_15","unstructured":"Booth, C. (2020, February 17). Facebook and Instagram officially announce new tools to fight social media addiction. Available online: https:\/\/thenextweb.com\/facebook\/2018\/08\/01\/social-media-addiction-facebook-instagram\/."},{"key":"ref_16","unstructured":"(2020, February 17). Apple Use Screen Time on your iPhone, iPad, or iPod touch. Available online: https:\/\/support.apple.com\/sl-si\/HT208982."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Derevensky, J.L., and Richard, J. (2019). Response to Commentary: The Future of Gaming Disorder Research and Player Protection: What Role Should the Video Gaming Industry and Researchers Play. Int. J. Ment. Health Addict., 1\u20139.","DOI":"10.1007\/s11469-019-00111-3"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1556\/2006.7.2018.79","article-title":"Policy, prevention, and regulation for Internet Gaming Disorder","volume":"7","author":"Kuss","year":"2018","journal-title":"J. Behav. Addict."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.chb.2017.10.029","article-title":"Gamers\u2019 insights into the phenomenology of normal gaming and game \u201caddiction\u201d: A mixed methods study","volume":"79","author":"Porter","year":"2018","journal-title":"Comput. Hum. Behav."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Shi, J., Potenza, M.N., and Turner, N.E. (2020). Commentary on: \u201cThe Future of Gaming Disorder Research and Player Protection: What Role Should the Video Gaming Industry and Researchers Play?\u201d. Int. J. Ment. Health Addict., 1\u20139.","DOI":"10.1007\/s11469-019-00153-7"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1027\/0227-5910\/a000208","article-title":"The agenda development process of the United States\u2019 National Action Alliance for Suicide Prevention Research Prioritization Task Force","volume":"34","author":"Claassen","year":"2013","journal-title":"Crisis"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1111\/hex.12383","article-title":"Collaborative learning framework for online stakeholder engagement","volume":"19","author":"Khodyakov","year":"2015","journal-title":"Health Expect."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1016\/j.techfore.2011.03.021","article-title":"ExpertLens: A system for eliciting opinions from a large pool of non-collocated experts with diverse knowledge","volume":"78","author":"Dalal","year":"2011","journal-title":"Technol. Forecast. Soc. Chang."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1001\/jama.297.4.407","article-title":"Strategies for academic and clinician engagement in community-participatory partnered research","volume":"297","author":"Jones","year":"2007","journal-title":"JAMA"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Creswell, J., Klassen, A., Plano Clark, V., and Smith, K. (2011). Best Practices for Mixed Methods Research in the Health Sciences.","DOI":"10.1037\/e566732013-001"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1177\/2345678906292462","article-title":"Paradigms Lost and Pragmatism Regained: Methodological Implications of Combining Qualitative and Quantitative Methods","volume":"1","author":"Morgan","year":"2007","journal-title":"J. Mix. Methods Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1037\/amp0000151","article-title":"Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology: The APA Publications and Communications Board task force report","volume":"73","author":"Levitt","year":"2018","journal-title":"Am. Psychol."},{"key":"ref_28","unstructured":"(2020, May 04). APA Style Journal Article Reporting Standards (APA Style JARS). Available online: https:\/\/apastyle.apa.org\/jars\/index."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s11469-009-9206-4","article-title":"Video game structural characteristics: A new psychological taxonomy","volume":"8","author":"King","year":"2009","journal-title":"Int. J. Ment. Heal. Addict."},{"key":"ref_30","unstructured":"(2020, May 28). MDA: A Formal Approach to Game Design and Game Research. Available online: https:\/\/users.cs.northwestern.edu\/~hunicke\/MDA.pdf."},{"key":"ref_31","unstructured":"Ido, S. (2020, May 28). Using the Agential Structure Model to Classify Fun. Available online: https:\/\/www.gamasutra.com\/blogs\/SatoshiIdo\/20170828\/304503\/Using_the_Agential_Structure_Model_to_classify_fun.php."},{"key":"ref_32","unstructured":"VandenBerghe, J. (2012, January 25\u201329). The 5 Domains of Play: Applying Psychology\u2019s Big 5 Motivation Domains to Games. Proceedings of the 2012 Game Developers Conference (GDC), San Francisco, CA, USA."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_34","unstructured":"(2020, May 01). Museum of Science Fiction 2017 Museum of Science Fiction: Escape Velocity Prospectus and Program Guide. Available online: https:\/\/static1.squarespace.com\/static\/52615e54e4b051d1915a8890\/t\/5a15da39652dea2e1ac54cfb\/1511381569778\/MOSF+Prospectus+and+EV2017+Program+Guide+Web+Res.pdf."},{"key":"ref_35","unstructured":"StataCorp (2013). Stata Statistical Software: Release 13, StataCorp LP."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1177\/1536867X0900900208","article-title":"The Skillings\u2013Mack test (Friedman test when there are missing data)","volume":"9","author":"Chatfield","year":"2009","journal-title":"Stata J."},{"key":"ref_37","unstructured":"World Health Organization (2018). Communicating Risk in Public Health Emergencies: A WHO Guideline for Emergency Risk Communication (ERC) Policy and Practice, World Health Organization."},{"key":"ref_38","unstructured":"Halberstadt, B. (2020, February 15). YouTubers and Streamers Speak up about Mental Health | GEMH Lab. Available online: https:\/\/gemhlab.com\/blog\/depression\/lets-talk-about-mental-health-youtubers-and-twitch-streamers-speak\/."},{"key":"ref_39","unstructured":"(2019, September 17). Extra Credits Exit Points-Putting Down the Game-Extra Credits. Available online: https:\/\/www.youtube.com\/watch?v=GqjkWec61gQ."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1556\/2006.7.2018.59","article-title":"Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective","volume":"7","author":"Rumpf","year":"2018","journal-title":"J. Behav. Addict."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1007\/s11469-018-0009-3","article-title":"Video Game Monetization (e.g., \u2018Loot Boxes\u2019): A Blueprint for Practical Social Responsibility Measures","volume":"17","author":"King","year":"2018","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_42","unstructured":"Duggan, M. (2015, December 30). Gaming and Gamers. Pew Research Center: Internet, Science & Tech. Available online: http:\/\/www.pewinternet.org\/2015\/12\/15\/gaming-and-gamers\/."},{"key":"ref_43","unstructured":"(2019, April 30). Entertainment Software Association Essential Facts about the Computer and Video Game Industry: 2018 Sales, Demographic and Usage Data. Available online: https:\/\/www.theesa.com\/wp-content\/uploads\/2019\/03\/ESA_EssentialFacts_2018.pdf."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/11\/3846\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:33:34Z","timestamp":1760175214000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/11\/3846"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,28]]},"references-count":43,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,6]]}},"alternative-id":["ijerph17113846"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17113846","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,28]]}}}