Form Of Game Research Articles

Analog Serious Games for Medical Education: A Scoping Review

Abstract Purpose Serious games are increasingly used in medical education to actively engage learners. Analog serious games are a nondigital subset of serious games with specific purposes that go beyond entertainment. This scoping review describes the literature pertaining to analog serious games and provides recommendations regarding gaps and emerging directions for future research. Method The authors conducted a scoping review following the Arksey and O’Malley framework, searching 3 databases (MEDLINE, Embase, and CINAHL) for studies of analog serious games designed for physician-track learners published from January 2013 through December 2023. Two authors independently screened the titles and abstracts, whereas 1 of 5 authors screened each full text and extracted data from eligible records. The authors iteratively analyzed the data within numerous categories and coded the findings to examine how the field has evolved during the past decade. Results The searches retrieved 3,955 records with 865 duplicates. The authors reviewed 3,090 title and abstract records and 202 full-text records. Eighty-eight records met the inclusion criteria, including research reports, conference abstracts, descriptive reports, and short innovation reports. The peak years for publications were 2019 and 2023 (15 publications each). Fewer abstracts and articles were published during the beginning of the COVID-19 pandemic (i.e., 2020-2022). The most common scholarship type was description studies (63 [72%]), whereas the dominant game formats were board games (51 [58%]) and card games (33 [38%]). Most studies tested analog serious games with medical students (60 [68%]) and/or residents and fellows (39 [44%]), with numerous studies including mixed study populations. Conclusions This scoping review demonstrates moderate growth within the field of analog serious games, along with numerous opportunities for future research. Although analog game–based learning cannot entirely replace traditional pedagogical approaches, analog serious games have potential to meaningfully complement education for physician-track learners in all medical training stages.

Ludogenic innovation: How playing incentivizes technological innovation

Play has been an essential element of culture. It comprises forms and parts that intertwine to form complex and meaningful interactions. As an artifact, in the form of games (or video games), it created a massive following and interests, both on personal and organizational levels. An introduction to the term Ludogenic, which blends “ludus” (Latin for play) with “genic” (producing or generating), suggesting the creation or generation of playful and innovative experiences, was proposed as a new paradigm for future technological development in the age of artificial intelligence (AI). This article explores how play and games influence and impact technological advancement and contemporary innovation, eliciting the transformative potential of ludogenic innovation in reshaping technological development, offering insights into future directions for research and application in addressing complex global challenges, and highlighting the enduring impact of play on technological innovation.

Evolutionary dynamics of stochastic games in set-structured populations.

In structured populations, the ecology of games may vary over neighborhoods. The effect of the ecological variations on population dynamics remains largely unknown. We here incorporate the ecological variations into the set-structured populations to explore the coevolutionary dynamics of the ecology and cooperation. Individuals of a population are distributed over sets. Interactions occur in the form of evolutionary games. When two individuals share more common sets, they play the weak prisoner's dilemma. Otherwise, they play the strong prisoner's dilemma. Both the set memberships and the strategy update in the evolutionary process. Changes in set memberships hold sway over the games to be played, which, in turn, influences the performance of strategies. Combining evolutionary set theory and random walks on graphs, we derived the conditions for cooperation to be selected under the weak selection limit. We find that a denser set-structured population increases the probability of individuals participating in a weak prisoner's dilemma, and thereby promoting the spread of cooperation. Properly modulating the population structure and the payoff feedback can further lower the critical benefit-cost ratio required for cooperation to be selected. Our results may help better understand the effects of ecological variations in enhancing cooperative behavior in set-structured populations.

Effects of small-sided games on some recovery markers in football

Background and Study Aim. Small-sided games (SSGs) are widely used in football training to replicate match conditions while controlling the physical load on players. Variations in the number of players during these games can significantly influence key recovery markers. This study aims to investigate the effects of variations in player numbers on maximal heart rate, blood lactate levels, and perceived exertion in small-sided games acutely applied in football. Material and Methods. The study involved 28 male football players who were also university students (mean age 24.89±4.59 years, mean height 179±0.04 cm, mean body weight 73.21±4.34 kg). The participants were divided into three groups based on the number of players (2 vs. 2, 4 vs. 4, and 8 vs. 8). Heart rate and lactate levels were measured at three time points: before training, immediately after training, and 30 minutes post-training. Results. The study revealed that post-training maximal heart rates (MHR) and lactate levels were significantly higher across all groups compared to pre-training levels, while measurements taken 30 minutes post-training were significantly lower than post-training levels (P<0.05). No significant differences were found between pre-training and 30-minute post-training MHR values across the three groups (P>0.05). Post-training MHR values were similar between the 2 vs. 2 and 4 vs. 4 groups (P>0.05), whereas the 8 vs. 8 group showed significantly higher values (P<0.05). Post-training and 30-minute post-training lactate levels were similar between the 4 vs. 4 and 8 vs. 8 groups (P>0.05), but the 2 vs. 2 group had significantly lower levels (P<0.05). Perceived exertion levels post-training were similar between the 2 vs. 2 and 4 vs. 4 groups (P>0.05), while the 8 vs. 8 group reported significantly higher perceived exertion levels (P<0.05). Conclusions. Small-sided games with varying numbers of players are an effective method for modulating physical load during football training. These findings underscore the importance of considering game format in designing training sessions to optimize player performance and recovery.

КОНДИЦІЙНЕ ТРЕНУВАННЯ КІБЕРСПОРТСМЕНІВ З ВИКОРИСТАННЯМ МОБІЛЬНИХ ДОДАТКІВ

The issue of insufficient physical activity among computer game players remains relevant. This study proposes a solution based on the comprehensive use of gaming-oriented mobile applications for the conditioning training of esports athletes. A sequential pedagogical experiment was conducted to determine the effectiveness of esports athletes applying an aerobic-focused conditioning training program (slow running). The program’s unique feature is its implementation in a remote format using mobile applications for planning, execution, control, and performance evaluation. It is based on an original concept of implementing running training in the form of a mobile running application (the so-called “exergame”) with a game-like nature (“Zombies, Run!”). The program was designed for a six-week implementation. Its effectiveness was determined by evaluating the dynamics of indicators: 1600 m run time; calculated maximal oxygen consumption (VO2 max); and heart rate (HR). Subjective attitudes towards the program’s physical loads were assessed using the Rating of Perceived Exertion (RPE) scale and the Physical Activity Satisfaction Needs scale. It was found that esports athletes significantly (p<0.05) improved their 1600 m run time, VO2 max, and HR indicators under the influence of the slow running program. Along with the volume and intensity increase of the running load, a decrease in RPE scale indicators was observed. The obtained data confirmed the advantages of the comprehensive use of mobile applications for normalizing the motor activity of esports athletes in the form of conditioning training. Both the remote format of planning and accounting and the game format of activities contributed to increasing the engagement of esports athletes in physical activity. The effectiveness of the slow running training program for esports athletes using mobile applications was established in terms of increasing physical activity (regular, organized physical activity), improving physical fitness (duration and volume of slow running), enhancing physical condition (VO2 max, HR), and interest in physical activity (adherence).

Stakeholder involvement in the development of a serious game for and with healthcare professionals

Abstract Increasing pressure on the quality, accessibility and affordability of Dutch health services underlines the need for integrated approaches to healthcare that include lifestyle as preventive measure. Integrated healthcare requires coordinated collaboration between healthcare providers, which is facilitated by the concept of Positive Health as a unifying language. To support primary care providers (PCP) in developing knowledge and skills related to lifestyle as prevention, interdisciplinary collaboration and the concept of Positive Health, we are developing education in the form of a serious game: Game2Connect. Co-creation by active involvement of a consortium of educational institutes, healthcare organisations, a game developer, and PCP as end-users of Game2Connect plays a key role in its development. Data from interviews with PCP (on barriers and facilitators for health-promoting and collaborative behaviours), healthcare recipients (on input for case studies) and consortium meetings were incorporated into an initial version of Game2Connect, which is currently being piloted to assess and improve its utility and usability. Pilot sessions included an observed playthrough, followed by a usability questionnaire and a semi-structured group discussion. So far, 2 pilot sessions were held with consortium members (n = 16), and 3 sessions were held with PCP (n = 22). Learning indicators (e.g. PCP clarifying fellow players’ misconceptions) were observed in all sessions. Usability scores indicate high levels of challenge, content relevance, and positive affect, ranging between 3.3-3.6 on a 4-point scale. Qualitative feedback from group discussions resulted in the development of new case studies to appeal to a broader range of PCP, and the adjustment of a goal-setting exercise as a game component to encourage its use. These results suggest that serious gaming may be a viable and engaging method to educate PCP, especially when developed in active collaboration with stakeholders.

The Impact of Interactive Video Games Training on the Quality of Life of Children Treated for Leukemia

Objectives: The study aimed to assess the impact of interactive video games (IVGs) as a form of physical activity (PA) on the quality of life. Methods: The study used a quality-of-life questionnaire (KIDSCREEN-10) and the HBSC questionnaire. In order to determine individual IVGs training parameters, an initial assessment of cardiorespiratory fitness level was performed, using the Cardio Pulmonary Exercise Test—Godfrey’s progressive protocol. Children in the intervention group participated in 12 interval training sessions using IVGs (Microsoft’s Xbox 360 S console with Kinect,). Results: The study included 21 patients (7–13 years old; 12 boys and 9 girls) treated for acute lymphoblastic leukemia (n = 13) and acute myeloid leukemia (n = 8). Before the IVGs, all children had insufficient PA levels (90% of children in the intervention group and 90.91% of children in the control group did not engage in any PA during the last 7 days). After the intervention, 80% of the children in the IVGs group undertook PA lasting at least 60 min a day, three times a week. They exhibited better well-being, a subjective feeling of improved physical fitness (p < 0.0001), a greater subjective sense of strength and energy (p < 0.0001), and less feeling of sadness (p = 0.0016) than the children from the control group (p = 0.0205). Conclusions: The results of our study confirmed that an attractive form of virtual game or sport is willingly undertaken by children undergoing cancer treatment, and has significant benefits in improving the quality-of-life parameters. There is a clear need to create specific recommendations and rehabilitation models for children with cancer.

Effects of 2 Combined Training Protocols on the Aerobic and Anaerobic Fitness, Technical Skills, and Psychophysiological Responses in Young Soccer Players.

Kilit, B, Chmura, P, Arslan, E, Soylu, Y, and Radziminski, Ł. Effects of 2 combined training protocols on the aerobic and anaerobic fitness, technical skills, and psychophysiological responses in young soccer players. J Strength Cond Res XX(X): 000-000, 2024-The study compared the effects of combining small-sided soccer games (SSGs) with high-intensity interval training (HIIT) and repeated sprint training (RST) on aerobic and anaerobic fitness, technical skills, and psychophysiological responses in young soccer players. Thirty-two male, adolescent, soccer players (aged 13.5 ± 0.3 years) were randomly divided into either the SSGs + HIIT group ( n = 16) or the SSGs + RST group ( n = 16) for combined training 3 times per week for 6 weeks. The players in the SSGs + HIIT group performed 12-18 minutes of runs at intensities (90-95%), whereas the players in the SSGs + RST group consisted of 3-4 sets of 5-7 times 15-m shuttle sprints (all-out efforts). Both training groups played 4 bouts of 2-a-side or 4-a-side SSGs with various game formats at 2-day intervals. Psychophysiological responses were determined during and after all training sessions. Before and after training interventions, the following physical performance tests were used: 5- to 30-m sprint time, countermovement jump, triple-hop distance, zigzag agility with the ball and without the ball, repeated sprint ability (RSA), 30-15 Intermittent Fitness Test, 3 corner run test, speed dribbling ability (SDA), Yo-Yo Intermittent Recovery Test Level 1, and Y-balance test. Our main findings were that the SSGs + RST group demonstrated greater improvement in 5-m sprint time, SDA time, and RSA in the meantime compared with the SSGs + HIIT ( p ≤ 0.05, d values ranging from 1.50 to 2.25). Moreover, the SSGs + RST group showed greater improvement in agility test responses ( p ≤ 0.05, d values ranging from 2.13 to 2.34) than the SSGs + HIIT group. However, the SSGs + HIIT induced higher perceived exertion, mental effort, and lower greater physical enjoyment meaningfully compared with the SSGs + RST ( p ≤ 0.05, d values ranging from 6.04 to 6.67). In conclusion, these results demonstrate that the SSGs + RST is an effective training program to improve young soccer players' speed and agility-based performance responses.

Navigating the transition of a mathematical didactic game from tabletop to digital

Game-based learning is gaining prominence across various educational levels due to its ability to accommodate the preferences commonly exhibited by Generation Z students for visual and experiential learning. Game-based methods are applicable in digital platforms and traditional classroom settings alike, with digital GBL typically taking the form of immersive video games, while non-digital GBL is generally represented by tabletop games. This paper aims to provide an examination of the most significant advantages and drawbacks associated with digital and non-digital didactic games. Subsequently, an overview of the game mechanics of Blue Yeti, a didactic card game designed to familiarise university students with the direct comparison test of improper integrals, will be provided. Finally, the challenges encountered during the digitalisation process of Blue Yeti will be described, outlining the key considerations involved in transitioning a mathematical didactic game to a digital format.

The Negotiation of Truth Claims in Newsgames: The Tension Between “Fact” and “Fiction”

ABSTRACT Newsworkers have utilised the game format to create innovative storytelling through newsgames, a hybrid form of journalism. Newsgames blend journalism's pursuit of truth with the fictional elements of video games, creating a tension between “fact” and “fiction”. Existing literature lacks sufficient exploration of how this tension is managed in the production and consumption of newsgames. This study addresses this gap by examining how newsgame practitioners navigate truth claims and how players engage with these claims. Through semi-structured interviews with practitioners (n = 27) and gaming sessions with players (n = 28), the study reveals that practitioners take deliberate steps to justify newsgames, while players employ various strategies to evaluate their truth claims. These findings underscore the performative dimension of truth negotiation in newsgames, positioning audiences as active participants at the heart of this process.

Different strokes in randomised strategies: Revisiting Kuhn's theorem under finite-memory assumptions

Two-player (antagonistic) games on (possibly stochastic) graphs are a prevalent model in theoretical computer science, notably as a framework for reactive synthesis.Optimal strategies may require randomisation when dealing with inherently probabilistic goals, balancing multiple objectives, or in contexts of partial information. There is no unique way to define randomised strategies. For instance, one can use so-called mixed strategies or behavioural ones. In the most general setting, these two classes do not share the same expressiveness. A seminal result in game theory — Kuhn's theorem — asserts their equivalence in games of perfect recall.This result crucially relies on the possibility for strategies to use infinite memory, i.e., unlimited knowledge of all past observations. However, computer systems are finite in practice. Hence it is pertinent to restrict our attention to finite-memory strategies, defined as automata with outputs. Randomisation can be implemented in these in different ways: the initialisation, outputs or transitions can be randomised or deterministic respectively. Depending on which aspects are randomised, the expressiveness of the corresponding class of finite-memory strategies differs.In this work, we study two-player concurrent stochastic games and provide a complete taxonomy of the classes of finite-memory strategies obtained by varying which of the three aforementioned components are randomised. Our taxonomy holds in games of perfect and imperfect information with perfect recall, and in games with more than two players. We also provide an adapted taxonomy for games with imperfect recall.

Video game structural layers for narrative design and articulation

ABSTRACT Video Games are composites of interlocking structures that collectively create meaning for the player to investigate and act upon. The most apparent form of meaning for the player is the narrative story or context. However, the narrative in a video game is structured and contextualized itself by the inherent form of the video game. This range of meaning making tools in the medium is both daunting and exciting. To understand the application of narrative better, designers, critics and academics need to be able to distinguish and understand the high-level structural layers that affect and support it. This paper offers a focused review of the relevant literature, explanations of key terms and diagrams and an illustration demonstrating the relationships of these structural layers.

Design of Cryptopol: A serious game for teaching cryptocurrency tracing techniques to Law Enforcement

Tracing cryptocurrency transactions is a far from trivial process. This likely explains the increasing utilization by criminal networks for a significant amount of criminal activity, not just cybercrime, but any crime requiring monetary transfers [1]. It is therefore vitally important that adequate training exists and is readily available for both new and experienced investigators to ensure that they are familiar with the latest techniques, tools and trends. Traditional training methods can be costly and resource intensive, requiring highly qualified trainers to give their time to conduct training sessions. To address this issue, a training resource, in the form of a serious game, has been created. The game aims to provide a platform to improve the skills and expertise of law enforcement officers whilst reducing the workload of experienced investigators. This paper describes the collaborative design and development of the serious game Cryptopol in a partnership between Europol and CENTRIC, which is a multi-disciplinary and end-user focused Center of Excellence, located within Sheffield Hallam University. Cryptopol is the first cryptocurrency-tracing training game of its kind, used by over 1,500 people representing over 550 law enforcement agencies from across the world.

Game-based Training of Cognitive Functions: An Exploratory Study Involving Seniors in Switzerland

The aging population is resulting in a worldwide rising prevalence of individuals experiencing cognitive decline, whether it be normal age-related changes or pathological conditions. Game-based training in the form of serious games represents an alternative way to enhance cognitive functions among older people. We developed a set of games to train multiple cognitive functions of seniors, considering that their level of digital literacy can vary greatly. A participatory approach has been applied to the development process, involving a multidisciplinary research team and older people. Interviews, usability tests, and a workshop were run with ten seniors (70+) in Southern Switzerland to explore accessibility, usability, and preferences. This paper presents the development process and the games created. Six different games were designed to stimulate multiple cognitive functionalities (e.g., cognitive flexibility, attentiveness, and memory). The serious games run on a tablet. Following Laamarti’s classification, we developed the games to be applied in well-being and health areas, requiring mainly mental activities through visual modalities, played through a touchscreen in a 2D digital environment. Participants appreciated the experience and the challenges provided by the games, understanding the broader aim (cognitive functions training) and the rules, and could complete the required tasks. Feedback was provided on graphical elements (icons and colours), as well as with suggestions for improvements. The tablet appeared to be functional and relatively easy to use, even for first timers. The promising results of this participatory study pave the way for the follow-up phase of the project, which will gather data on the usage of the application and its effectiveness with a greater number of subjects.

Detection and Characterization of Online Substance Use Discussions Among Gamers: Qualitative Retrospective Analysis of Reddit r/StopGaming Data.

Video games have rapidly become mainstream in recent decades, with over half of the US population involved in some form of digital gaming. However, concerns regarding the potential harms of excessive, disordered gaming have also risen. Internet gaming disorder (IGD) has been proposed as a tentative psychiatric disorder that requires further study by the American Psychological Association (APA) and is recognized as a behavioral addiction by the World Health Organization. Substance use among gamers has also become a concern, with caffeinated or energy drinks and prescription stimulants commonly used for performance enhancement. This study aimed to identify substance use patterns and health-related concerns among gamers among a population of Reddit users. We used the public streaming Reddit application programming interface to collect and analyze all posts from the popular subreddit, r/StopGaming. From this corpus of posts, we filtered the dataset for keywords associated with common substances that may be used to enhance gaming performance. We then applied an inductive coding approach to characterize substance use behaviors, gaming genres, and physical and mental health concerns. Potential disordered gaming behavior was also identified using the tentative IGD guidelines proposed by the APA. A chi-square test of independence was used to assess the association between gaming disorder and substance use characteristics, and multivariable logistic regression was used to analyze whether mental health discussion or the mention of any substance with sufficient sample size was significantly associated with IGD. In total, 10,551 posts were collected from Reddit from June 2017 to December 2022. After filtering the dataset for substance-related keywords, 1057 were included for further analysis, of which 286 mentioned both gaming and the use of ≥1 substances. Among the 286 posts that discussed both gaming and substance use, the most mentioned substances were alcohol (n=132), cannabis (n=104), and nicotine (n=48), while the most mentioned genres were role-playing games (n=120), shooters (n=90), and multiplayer online battle arenas (n=43). Self-reported behavior that aligned with the tentative guidelines for IGD was identified in 66.8% (191/286) posts. More than half, 62.9% (180/286) of the posts, discussed a health issue, with the majority (n=144) cited mental health concerns. Common mental health concerns discussed were depression and anxiety. There was a significant association between IGD and substance use (P<.001; chi-square test), and there were significantly increased odds of IGD among those who self-reported substance use (odds ratio 2.29, P<.001) and those who discussed mental health (odds ratio 1.64, P<.03). As gaming increasingly becomes highly prevalent among various age groups and demographics, a better understanding of the interplay and convergence among disordered gaming, substance use, and negative health impacts can inform the development of interventions to mitigate risks and promote healthier gaming habits.

From human explanations to explainable AI: Insights from constrained optimization

Many complex decision-making scenarios encountered in the real-world, including energy systems and infrastructure planning, can be formulated as constrained optimization problems. Solutions for these problems are often obtained using white-box solvers based on linear program representations. Even though these algorithms are well understood and the optimality of the solution is guaranteed, explanations for the solutions are still necessary to build trust and ensure the implementation of policies. Solution algorithms represent the problem in a high-dimensional abstract space, which does not translate well to intuitive explanations for lay people. Here, we report three studies in which we pose constrained optimization problems in the form of a computer game to participants. In the game, called Furniture Factory, participants manage a company that produces furniture. In two qualitative studies, we first elicit representations and heuristics with concurrent explanations and validate their use in post-hoc explanations. We analyze the complexity of the explanations given by participants to gain a deeper understanding of how complex cognitively adequate explanations should be. Based on insights from the analysis of the two qualitative studies, we formalize strategies that in combination can act as descriptors for participants’ behavior and optimal solutions. We match the strategies to decisions in a large behavioral dataset (>150 participants) gathered in a third study, and compare the complexity of strategy combinations to the complexity featured in participants’ explanations. Based on the analyses from these three studies, we discuss how these insights can inform the automatic generation of cognitively adequate explanations in future AI systems.

Gamification of Elderly Life: The Impact of E-sports on Improving the Quality of Life of the Elderly

With the increasing trend of global population aging, it is particularly important to explore effective ways to improve the quality of life of the elderly. This study adopts a qualitative research method to deeply explore the integration of e-sports in the life of the elderly in China and its positive impact on the quality of life of the elderly. Through semi-structured interviews, observations and related case studies, the purpose of this study is to reveal how e-sports as a new form of game to meet the social, psychological and physiological needs of the elderly, and thus improve the quality of their daily life.

Development and evaluation of an emergency department serious game for undergraduate medical students

BackgroundSerious games are risk-free environments training various medical competencies, such as clinical reasoning, without endangering patients’ safety. Furthermore, serious games provide a context for training situations with unpredictable outcomes. Training these competencies is particularly important for healthcare professionals in emergency medicine.MethodsBased on these considerations, we designed, implemented, and evaluated a serious game in form of an emergency department, containing the features of a virtual patient generator, a chatbot for medical history taking with self-formulated questions, artificially generated faces based on an artificial intelligence algorithm, and feedback for students. The development process was based on an already existing framework resulting in an iterative procedure between development and evaluation. The serious game was evaluated using the System Usability Scale and the User Experience Questionnaire.ResultsThe System Usability Scale provided a substantial result for the usability. In terms of the user experience, four scales yielded positive results, whereas two scales yielded neutral results.ConclusionThe evaluation of both usability and user experience yielded overall positive results, while simultaneously identifying potential areas for improvement. Further studies will address the implementation of additional game design elements, and testing student learning outcome.

Getting oriented: Redefining attention deficits in Parkinson's disease.

Parkinson's disease (PD) may affect not only motor functions, but also cognitive processes such as attention. While past research has examined PD impact on spatial attention, it has not addressed how the key functions of attentional orienting and alerting in PD are mediated by cueing format, an ecologically relevant parameter. We assessed how exogenous and endogenous orienting cue modes affect PD patients' visuospatial attention expressed as dorsal attention network orienting benefits, ventral attention network reorienting costs, and alerting abilities. Ninety PD patients and 72 healthy comparison participants performed a spatial attention task in an engaging game format which required selection of a target location without prior cueing, or with temporal, valid spatial, or invalid spatial exogenous or endogenous cueing. PD patients differed from healthy participants only in response time benefits in orienting under endogenous probabilistically predictive cue processing. They did not exhibit greater reorienting costs, differences in inhibition of return, or alerting deficits, irrespective of modes of cueing. These results suggest that fundamental orienting and alerting functions might be intact in PD, with challenges emerging only if additional cognitive processes, including those related to motor preparation, are required to utilize cue information. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Busy board media as an effort to increase knowledge caries prevention of early childhood

Background: Oral and dental health is an important component of Health. Dental caries is common especially in children caused by sweet foods, such as chocolate, candy, and cakes, easily sticking to the teeth. To maintain the health of the teeth and mouth by providing counseling in the form of educational games (APE) such as busy board which provides a variety of activities arranged in one board, aims to keep children engaged and busy in the learning process. Objective: To describe the analysis of busy board media as an effort to increase knowledge of early childhood. Method : is descriptive with a total of 50 respondents using a total sampling. Type of data used is primary data obtained directly by observation using evaluation media busy board pre-test and post-test. The instrument used is busy board and check sheet. Results: The results of the study before the counseling with the evaluation of the busy board is good category as many as 41 ( 82%) respondents, knowledge with sufficient category as many as 8 (16%) respondents, and less knowledge as many as 1 (2%) respondents. After the extension of good category 50 (100%) there is no sufficient category and less (0%). Conclusion: There was an increase in knowledge after being given counseling on food to prevent caries and evaluation with a busy board by 18% and none of the respondents had less knowledge category