ClinicalTrials.gg
CompletedNCT03259139Updated May 11, 2020Results posted

Exposure to Gun Violence in Video Games Increases Interest in Real Guns

An interventional study of Video games and violence in Psychology, Social and Adolescent Behavior, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 8 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-05-11.

Sponsored by Ohio State University · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
250
Allocation
Randomized
Ages
8 Years to 12 Years
Sex
All
01

Study summary

More American children die by accidental gun use than children in other developed countries. One factor that can influence children's interest in guns is exposure to media containing guns. The objective of this study is to test whether children who play a video game containing guns will handle a real gun longer, will pull the trigger more times, and pull the trigger while pointing the gun at themselves or another than children who see the same movie without guns.

Read the detailed description

The design will be a 2 (player vs. observer) x 3 (nonviolent, violent with sword, violent with gun) between-subjects study. Participants will randomly be assigned to conditions. Participants will be tested in pairs. The participant in the player condition will play a video game while the participant in the watcher condition will watch. The participants will be in the same room, seated next to each other.

Video games will be chosen for the three conditions which have no violent content (nonviolent condition), violent content with a sword as a weapon for the player (violent with sword condition), and violent content with a gun as a weapon (violent with gun condition). All games chosen will be age appropriate (rated E) and have a consistent perspective (i.e., 1st person or 3rd person) between conditions. Participants will be asked how familiar they are with the video game used to control for experience with the stimulus. Gameplay will last for 20 minutes.

The measures for experiment 3 will include the media habits, aggressive behavior, attitude toward guns, and guns in the home measures listed for experiment 1. In addition, parents will be asked if their children have taken a gun safety course and a behavioral measure will be whether or not children handle a real (but non-firing) gun and whether they pull the trigger.

Participants will be tested in pairs, with a sibling or friend. Participants will be placed in a room containing toys, with a camera on the wall. Participants will be told that they can play with any of the toys in the room for the next 20 minutes. The toys will be placed will be placed in drawers inside a cabinet. Inside the room, two brightly colored plastic Nerf dart guns and two handguns will be placed in separate drawers, as in previous research. The handguns will be modified so they cannot fire. Inside the magazine, the handguns contain no bullets. They do, however, contain a sensor that counts the number of times the trigger is depressed with sufficient force to discharge the weapon. This allows us to distinguish reliably the children who pull the trigger from those who only handle the gun. Parents will be asked to predict whether their child will handle the real gun and pull the trigger. The researcher and the parents will be able to watch the session via a monitor in a control room. A thorough debriefing will follow (see attachment). The investigators also have received letters of support from the Director of the School of Communication and from the Chief of Police (see attachments). The investigators predict the highest levels of playing with guns and firing them among participants who see a violent clip containing guns.

02

Conditions studied

  • Psychology, Social
  • Adolescent Behavior

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Keywords

  • adolescent
  • gun
  • violence
  • media
03

In context

Adolescent Behavior

305 studies on the registry are indexed under Adolescent Behavior; 47 are open to participants now.

This study's enrollment of 250 is above the median of 172 across 256 interventional studies indexed under Adolescent Behavior.

Browse Adolescent Behavior studies →

Lead sponsor

Ohio State University is the lead sponsor of 663 studies on the registry; 148 are open to participants now.

Of its 67 completed or terminated interventional studies of FDA-regulated products, 49 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 8-12yrs, had not participated in study prior, was able to schedule participation with a known peer (8-12yo).

Exclusion criteria

Exclusion Criteria:

  • Younger than 8yo, older than 12yo, had participated in study prior, could not schedule participation with a known peer (8-12yo)
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Single (Participant)
Enrollment
250 participants (actual)

Study arms

  • Experimental
    Experimental: Violence with guns

    Participants in this condition will play a video game with violent content which includes guns.

    Behavioral: Video games and violence

  • Experimental
    Experimental: Violence without guns

    Participants in this condition will play a video game with violent content which does not include guns. Instead, the violence will include weapons such as swords.

    Behavioral: Video games and violence

  • Other
    Control: No violence

    Participants in this condition will play a video game which contains no violent content or weapons.

    Behavioral: Video games and violence

Interventions

  • BehavioralVideo games and violence

    Participants will be randomly assigned to play a video game which contains either (1) no violent content, (2) violent content with swords, or (3) violent content with guns. The game, rated E, is age appropriate and modded to include guns in the appropriate condition.

06

What researchers measure

Primary outcomes

  1. Time Spent Holding Gun

    Time (in seconds) participant spent holding the real firearm during the play session

    Time frame: 20 minute play session

  2. Number of Trigger Pulls

    Number of times participant pulled trigger of real firearm during the play session

    Time frame: 20 minute play session

  3. Number of Trigger Pulls Aimed at Self or Other

    Trigger pulls while the firearm is aimed at the child holding the firearm or the other participant.

    Time frame: 20 minute play session

07

Results

Posted May 11, 2020
Limitations and caveats
Study setting was in a lab, i.e. not a natural setting, which may have caused subjects to be more likely to not think the guns are real. The game used was not very violent due to ethical reasons, so the effects may be larger with more violent games.

Participant flow

Participant flow — Overall Study
MilestoneExperimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Control: No Violence (Player)Control: No Violence (Watcher)
Started424242424141
Eligible414141414141
Outlier elimination414141413939
Found handgun383837373535
Completed383837373535
Not completed445566

Outcome measures

PrimaryTime Spent Holding Gun

Time (in seconds) participant spent holding the real firearm during the play session

Time frame:
20 minute play session
Reported as:
Mean · Seconds
Time Spent Holding Gun
SecondsControl: No Violence (Player)Control: No Violence (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Experimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)
Time Spent Holding Gun29.57 ± 15.2821.14 ± 10.9282.86 ± 25.7948.62 ± 24.7761.52 ± 17.7768.40 ± 17.59
PrimaryNumber of Trigger Pulls

Number of times participant pulled trigger of real firearm during the play session

Time frame:
20 minute play session
Reported as:
Mean · Number of trigger pulls
Number of Trigger Pulls
Number of trigger pullsControl: No Violence (Player)Control: No Violence (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Experimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)
Number of Trigger Pulls2.31 ± 1.601.97 ± 1.204.19 ± 1.742.22 ± 1.456.45 ± 2.608.79 ± 3.38
PrimaryNumber of Trigger Pulls Aimed at Self or Other

Trigger pulls while the firearm is aimed at the child holding the firearm or the other participant.

Time frame:
20 minute play session
Reported as:
Mean · Number of trigger pulls
Number of Trigger Pulls Aimed at Self or Other
Number of trigger pullsControl: No ViolenceControl: No Violence (Watcher)Experimental: Violence Without GunsExperimental: Violence Without Guns (Watcher)Experimental: Violence With GunsExperimental: Violence With Guns (Watcher)
Number of Trigger Pulls Aimed at Self or Other0.20 ± 0.200.09 ± 0.091.97 ± 1.220.84 ± 0.532.42 ± 1.173.68 ± 1.74

Adverse events

Collected over 1 week, as reported by parents in a follow-up email. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Experimental: Violence With Guns (Player)0/38 (0%)0/38 (0%)0/38 (0%)
Experimental: Violence With Guns (Watcher)0/38 (0%)0/38 (0%)0/38 (0%)
Experimental: Violence Without Guns (Player)0/37 (0%)0/37 (0%)0/37 (0%)
Experimental: Violence Without Guns (Watcher)0/37 (0%)0/37 (0%)0/37 (0%)
Control: No Violence (Player)0/35 (0%)0/35 (0%)0/35 (0%)
Control: No Violence (Watcher)0/35 (0%)0/35 (0%)0/35 (0%)

Baseline characteristics

Children between the ages of 8 - 12, tested in pairs. Several children were excluded from the analysis, either for not meeting study criteria (n=4), for being identified as outliers (n=4), or for not finding the handguns (n=22). Figures here are after exclusions.

Age, Continuous
Age, Continuous(years)Experimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Control: No Violence (Player)Control: No Violence (Watcher)Total
Mean9.66 ± 1.6010.08 ± 1.509.97 ± 1.219.95 ± 1.419.88 ± 1.409.82 ± 1.369.94 ± 1.45
Sex: Female, Male
Sex: Female, Male(Participants)Experimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Control: No Violence (Player)Control: No Violence (Watcher)Total
Female16151115132191
Male222326222214129
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Experimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Control: No Violence (Player)Control: No Violence (Watcher)Total
White282828262627163
Black44535425
Latino0012025
Asian1101003
Mixed race or other55353223
Region of Enrollment
Region of Enrollment(Participants)Experimental: Violence With Guns (Player)Experimental: Violence With Guns (Watcher)Experimental: Violence Without Guns (Player)Experimental: Violence Without Guns (Watcher)Control: No Violence (Player)Control: No Violence (Watcher)Total
United States383837373535220
08

Study locations

1 site
  • Ohio State University
    Columbus, Ohio 43210, United States
09

References and documents

Publications

  • Chang JH, Bushman BJ. Effect of Exposure to Gun Violence in Video Games on Children's Dangerous Behavior With Real Guns: A Randomized Clinical Trial. JAMA Netw Open. 2019 May 3;2(5):e194319. doi: 10.1001/jamanetworkopen.2019.4319. Erratum In: JAMA Netw Open. 2019 Jun 5;2(6):e197377. doi: 10.1001/jamanetworkopen.2019.7377. PubMed 31150072 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — The investigators are considering making individual participant data available, but need to determine steps and appropriateness according to our institutional IRB board.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2017 to primary completion in Aug 2018, 13 months.

Results were first posted in May 2020, 1 year 8 months after primary completion.

Of 195 non-industry interventional studies with no phase under Adolescent Behavior, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 43. This study's 13 months is below that.

Counting every sponsor, half of 198 studies reached it within 20 months; a quarter within 8 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 22, 2017
First posted
Aug 23, 2017
StartActual
Jul 1, 2017
Primary completionActual
Aug 24, 2018
CompletionActual
Aug 24, 2018
Results first posted
May 11, 2020
Last update
May 11, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03259139
Responsible party
Brad Bushman (Professor of Communication & Psychology, Ohio State University) — Principal investigator
First posted
Aug 23, 2017
Start date
Jul 1, 2017
Primary completion
Aug 24, 2018
Completion
Aug 24, 2018
Results posted
May 11, 2020
Last update
May 11, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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