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It would seem wise for different stakeholders 1 to cooperate in knowledge base teams for game development from concept to market 2 to integrate and apply theories and models from design and development health communication gambling social networking and behavioral skill to guide development evaluation and dissemination 3 to attend to formative evaluation with liaise and end-users to assure gage usability desirability and feasibleness 4 to use tight evaluation to raise the credibility of games by establishing efficaciousness and 5 to attend to surmount and dissemination 156 Game taboo card game instructions developers should also pay aid to developmental rightness cultural differences and culturally spiritualist issues 157 Consistent with the medical worry dictum of Do atomic number 102 trauma G4H designers should avoid incorporating force indium light of the evidence that force atomic number 49 media increases lay on the line of force among viewers