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Development of a contextual decision-making game for improving students' learning performance in a health education course

, Graduate Institute of Applied Science and Technology, Taiwan ; , , Graduate Institute of Digital Learning and Education, Taiwan

Computers & Education Volume 82, Number 1, ISSN 0360-1315 Publisher: Elsevier Ltd


Heath education is an important component of the curriculum for fostering children's correct health knowledge and good daily life habits. However, educators have indicated that most children might fail to realize the importance and meaning of health education content owing to the lack of authentic scenarios and daily life experience. With the advancement of computer technologies, researchers have tried to develop multimedia learning content in order to improve students' learning performance. Among various technology-enhanced learning alternatives, digital game-based learning has been recognized as a highly potential approach to motivating students. However, several previous studies have indicated that, without properly incorporating learning content into game scenarios, the effectiveness of digital game-based learning might not be as good as expected in comparison with conventional technology-enhanced learning. In this study, a contextual digital game was developed for improving students' learning performance in an elementary school health education course. A quasi experiment was conducted to evaluate the effectiveness of the proposed approach by situating the experimental group in the game-based learning scenario and the control group to learn with conventional e-books. The experimental results showed that the proposed approach not only improved the students' learning motivation, but also their learning achievement and problem-solving competences. Moreover, the significant two-way interaction suggested that the contextual game-based learning approach benefited the higher motivation students more than the lower motivation ones in terms of the advanced knowledge, showing the importance and potential of applying contextual games to health education activities.


Sung, H.Y., Hwang, G.J. & Yen, Y.F. (2015). Development of a contextual decision-making game for improving students' learning performance in a health education course. Computers & Education, 82(1), 179-190. Elsevier Ltd. Retrieved September 17, 2019 from .

This record was imported from Computers & Education on January 29, 2019. Computers & Education is a publication of Elsevier.

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