Identified opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey: Secondary analysis of healthcare professionals’ interviews

Abstract

Aims and objectives To identify opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey in order to support patients’ health‐related behaviour. Background Gamification provides an opportunity to increase engagement in a given health behaviour and, eventually, the possibility of reaching improved outcomes through continued or consistent behaviour. Design A secondary analysis. Methods Semi‐structured interviews were conducted with 20 healthcare professionals in a single joint‐replacement centre in Finland during autumn 2018. NVivo software was used for deductive and inductive coding. The open codes were also calculated. The consolidated criteria for reporting qualitative research were followed. Results Gamification opportunities were identified related to six dimensions: accomplishment, challenge, competition, guided, playfulness and social experience. Based on the frequencies of the coded content, most opportunities for gamification can be identified in the context of personalised counselling, monitoring and social support. Conclusions Several opportunities for gamification were identified and quantified. While various needs and limitations need to be considered when developing digital gamified solutions and more research into the effectiveness of such solutions will be required, the current study opens possible future avenues for exploring the use of gamification in lower limb joint replacement journey and other specialisms. Relevance to clinical practice This study provides an important insight into healthcare professionals’ views of the current state of the total hip and knee arthroplasty journey and the potential for its development. In addition, it pinpoints the biggest opportunities for gamified services in the context of personalised counselling, monitoring and social support. Despite the focus of this secondary analysis being on the arthroplasty journey, the findings can also be generalised in other surgical journeys.

Jogo para o ensino de reabilitação na pessoa submetida a artoplastia da anca: estudo de caso

“…Conforme referido no início deste artigo existe ainda uma escassez da utilização de jogos no ensino à pessoa submetida a artroplastia da anca, o que não nos permite comparar os resultados nesta discussão (11,12) . Observam-se porém alguns dados mas referente à recurso à Nintendo e WI para a reabilitação (22)(23)(24) .…”

“…Apesar do recurso à gamificação e aos jogos sérios serem cada vez mais um recurso em saúde, a literatura é escassa quando aplicada à pessoa submetida a artroplastia da anca. Num estudo qualitativo sobre as oportunidades identificadas para a gamificação, os autores salientam, que é necessário abrir possíveis caminhos futuros para explorar o uso de gamificação no percurso da pessoa submetida a artroplastia total da anca e do joelho (11) . Os avanços recentes na tecnologia a resultaram numa introdução gradual de intervenções assistidas por computador na reabilitação.…”

Identified gamification opportunities for digital patient journey solution during an arthroplasty journey: secondary analysis of patients' interviews

“…A deductive content analysis approach was used to analyse the collected data (Kyngäs et al., 2019 ). The predetermined categorization matrix, including main, generic and subcategories, was used (Högberg et al., 2019 ; Jansson, Koivisto, et al., 2020 ). First, the data were coded according to the main categories of framework dimensions (Högberg et al., 2019 ).…”

“…Gamification can provide an opportunity to increase patient engagement and motivation in a given health behaviour and the possibility of reaching improved outcomes through continued or consistent behaviour (Jansson et al., 2020 ). Instead of exergames, the focus should also be paid on remote monitoring, patient counselling and social support (Fernandes et al., 2021 ).…”

“…In the context of the arthroplasty journey, gamification and game‐based solutions can provide various possibilities for personalized counselling, monitoring and social support (Jansson, Koivisto, et al., 2020 ) in order to increase the physical and cognitive performance of THA/TKA patients (Brem et al., 2010 ; Fung et al., 2012 ; Lehrl et al., 2012 ; Ling et al., 2017 ). However, the use of gameful solutions is not yet common, and research in the area is scarce (Fernandes et al., 2021 ).…”