Stepping into survivorship: Harnessing mobile health and principles of behavioral economics to increase physical activity in ovarian cancer survivors

Wright, Alexi A.; Schrier, Elizabeth; Thompson, Embree; Schumer, Susan; Liu, J.F.; Krasner, Carolyn; Campos, Susana M.; Horowitz, Noya; Konstantinopoulos, P.; Dinardo, Margaret; Veneris, Jennifer; Matulonis, U.; Patel, Mamta

doi:10.1016/j.ygyno.2020.05.585

Cited by 2 publications

(1 citation statement)

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“…The controlled studies (16/23, 65%) reported mixed results; 50% (8/16) [ 21 , 48 , 52 - 54 , 60 , 67 , 68 ] reported that the gamification interventions exerted a positive impact on step counts, 44% (7/16) [ 33 , 34 , 36 , 39 , 47 , 55 , 70 ] reported that no difference existed between the intervention and control groups for step counts, and 6% (1/16) [ 45 ] suggested a trend toward an increase in step counts after the gamification interventions, although the difference was not significant. The single-group studies (7/23, 30%) also reported mixed results; 43% (3/7) [ 29 , 30 , 61 ] reported that the pre–post difference within groups was statistically significant for step counts, whereas 57% (4/7) [ 32 , 64 , 65 , 73 ] reported that the pre–post difference was not significant.…”

Section: Resultsmentioning

confidence: 99%

The Effects of mHealth-Based Gamification Interventions on Participation in Physical Activity: Systematic Review

Xu¹,

Shi²,

Shen³

et al. 2022

JMIR Mhealth Uhealth

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Background It is well known that regular physical exercise has associated benefits; yet, participation remains suboptimal. Mobile health (mHealth) has become an indispensable medium to deliver behavior change interventions, and there is a growing interest in the gamification apps in mHealth to promote physical activity (PA) participation. Gamification could use game design elements (such as points, leaderboards, and progress bars), and it has the potential to increase motivation for PA and engagement. However, mHealth-based gamification interventions are still emerging, and little is known about the application status and efficacy of such interventions. Objective This systematic review aims to investigate gamification apps in mHealth for improving PA levels and simultaneously summarize the impact of gamification interventions on PA participation. Methods We searched PubMed, Scopus, Web of Science, Embase, CINAHL (EBSCO host), and IEEE Xplore from inception to December 20, 2020. Original empirical research exploring the effects of gamification interventions on PA participation was included. The papers described at least one outcome regarding exercise or PA participation, which could be subjective self-report or objective indicator measurement. Of note, we excluded studies about serious games or full-fledged games. Results Of 2944 studies identified from the database search, 50 (1.69%) were included, and the information was synthesized. The review revealed that gamification of PA had been applied to various population groups and broadly distributed among young people but less distributed among older adults and patients with a disease. Most of the studies (30/50, 60%) combined gamification with wearable devices to improve PA behavior change, and 50% (25/50) of the studies used theories or principles for designing gamified PA interventions. The most frequently used game elements were goal-setting, followed by progress bars, rewards, points, and feedback. This review demonstrated that gamification interventions could increase PA participation; however, the results were mixed, and modest changes were attained, which could be attributed to the heterogeneity across studies. Conclusions Overall, this study provides an overview of the existing empirical research in PA gamification interventions and provides evidence for the efficacy of gamification in enhancing PA participation. High-quality empirical studies are needed in the future to assess the efficacy of a combination of gamification and wearable activity devices to promote PA, and further exploration is needed to investigate the optimal implementation of these features of game elements and theories to enhance PA participation.

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Section: Resultsmentioning

confidence: 99%

The Effects of mHealth-Based Gamification Interventions on Participation in Physical Activity: Systematic Review

Xu¹,

Shi²,

Shen³

et al. 2022

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

The Effects of mHealth-Based Gamification Interventions on Participation in Physical Activity: Systematic Review (Preprint)

Xu¹,

Shi²,

Shen³

et al. 2021

Preprint

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BACKGROUND It is well known that regular physical exercise has associated benefits; yet, participation remains suboptimal. Mobile health (mHealth) has become an indispensable medium to deliver behavior change interventions, and there is a growing interest in the gamification apps in mHealth to promote physical activity (PA) participation. Gamification could use game design elements (such as points, leaderboards, and progress bars), and it has the potential to increase motivation for PA and engagement. However, mHealth-based gamification interventions are still emerging, and little is known about the application status and efficacy of such interventions. OBJECTIVE This systematic review aims to investigate gamification apps in mHealth for improving PA levels and simultaneously summarize the impact of gamification interventions on PA participation. METHODS We searched PubMed, Scopus, Web of Science, Embase, CINAHL (EBSCO host), and IEEE Xplore from inception to December 20, 2020. Original empirical research exploring the effects of gamification interventions on PA participation was included. The papers described at least one outcome regarding exercise or PA participation, which could be subjective self-report or objective indicator measurement. Of note, we excluded studies about serious games or full-fledged games. RESULTS Of 2944 studies identified from the database search, 50 (1.69%) were included, and the information was synthesized. The review revealed that gamification of PA had been applied to various population groups and broadly distributed among young people but less distributed among older adults and patients with a disease. Most of the studies (30/50, 60%) combined gamification with wearable devices to improve PA behavior change, and 50% (25/50) of the studies used theories or principles for designing gamified PA interventions. The most frequently used game elements were goal-setting, followed by progress bars, rewards, points, and feedback. This review demonstrated that gamification interventions could increase PA participation; however, the results were mixed, and modest changes were attained, which could be attributed to the heterogeneity across studies. CONCLUSIONS Overall, this study provides an overview of the existing empirical research in PA gamification interventions and provides evidence for the efficacy of gamification in enhancing PA participation. High-quality empirical studies are needed in the future to assess the efficacy of a combination of gamification and wearable activity devices to promote PA, and further exploration is needed to investigate the optimal implementation of these features of game elements and theories to enhance PA participation.

show abstract

Stepping into survivorship: Harnessing mobile health and principles of behavioral economics to increase physical activity in ovarian cancer survivors

Cited by 2 publications

References 0 publications

The Effects of mHealth-Based Gamification Interventions on Participation in Physical Activity: Systematic Review

The Effects of mHealth-Based Gamification Interventions on Participation in Physical Activity: Systematic Review

The Effects of mHealth-Based Gamification Interventions on Participation in Physical Activity: Systematic Review (Preprint)

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