Playing for understanding: The impact of interactive gaming on young adults’ sexual health education

Objectives: This study examines the impact of a “choose your own adventure” (CYOA) game on improving understanding and facilitating discussions about dating, sex, and sexual health among immigrant and refugee youth who often face cultural and language barriers. Study design: A qualitative exploratory design was used to capture participants’ experiences with the game. Methods: Thirty-two immigrant and refugee youth aged 18–25 participated in semi-structured interviews. Inductive thematic analysis was conducted to explore the perceived effectiveness of the CYOA game, which was accessible via smartphones and desktop devices. Results: Participants described the CYOA game as an accessible and engaging way to explore sensitive topics, providing a discreet and safe environment for learning and discussion. Cultural and religious backgrounds influenced comfort levels, and culturally sensitive content and non-judgmental delivery were particularly valued. Participants reported that while school-based sexual health education was often insufficient, community programs provided more relevant support. Conclusions: CYOA games are perceived to be effective educational tools for sexual health, especially when they incorporate culturally appropriate content. These games foster open discussions and understanding among immigrant and refugee youths, highlighting the need for culturally relevant resources to support traditional approaches to promoting sexual health.