Using Gamification and Social Incentives to Increase Physical Activity and Related Social Cognition among Undergraduate Students in Shanghai, China

Mo, Dandan; Xiang, Ming; Luo, Mengyun; Dong, Yuanyuan; Fang, Yue; Zhang, Shunxing; Zhang, Zhiruo; Liang, Huigang

doi:10.3390/ijerph16050858

Cited by 25 publications

(40 citation statements)

References 56 publications

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“…The intervention group will be divided into 30 teams involving 6–7 members according to BMI, age and sex. Because a pilot study has showed that one group within 5–6 members had the best partner interaction [35]. A kick-off meeting: After randomization, a kick-off meeting will be organized by the investigators and all participants in the intervention group will be asked to attend.…”

Section: Methodsmentioning

confidence: 99%

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Methodology of an exercise intervention program using social incentives and gamification for obese children

Fang

et al. 2019

BMC Public Health

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Background Traditional exercise [supervised exercise (SE)] intervention has been proved to be one of the most effective ways to improve metabolic health. However, most exercise interventions were on a high-cost and small scale, moreover lacking of the long-term effect due to low engagement. On the other hand, it was noteworthy that gamification and social incentives were promising strategies to increase engagement and sustain exercise interventions effects; as well as mobile technologies such as WeChat also can provide an appropriate platform to deploy interventions on a broader, low-cost scale. Thus, we aim to develop a novel exercise intervention (‘S&G exercise intervention’) that combines SE intervention with gamification and social incentives design through WeChat, with the aim of improving metabolic health and poor behaviors among overweight and obesity children. Methods We propose a randomized controlled trial of a ‘S&G exercise intervention’ among 420 overweight and obese children who have at least one marker of metabolic syndrome. Children will be randomized to control or intervention group in a 1:1 ratio. The exercise intervention package includes intervention designs based on integrated social incentives and gamification theory, involving targeted essential volume and intensity of activity (skipping rope) as well as monitoring daily information and providing health advice by WeChat. Participants will undertake assessments at baseline, at end of intervention period, in the follow-up time at months 3,6,12. The primary outcome is outcome of metabolic health. Secondary outcomes include behavioral (e.g., diary physical activity, diet) and anthropometric measures (e.g., body fat rate and muscle mass). Discussions This will be the first study to design an exercise intervention model that combines traditional supervised exercise (SE) intervention with gamification and social incentives theory through WeChat. We believed that this study could explore a low-cost, easy-to-popularize, and effective exercise intervention model for improving metabolic health and promote healthy among obese children. Furthermore, it will also provide important evidence for guidelines to prevent and improve metabolic health and health behaviors. Trial registration 10-04-2019;Registration number: ChiCTR1900022396 .

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Methodology of an exercise intervention program using social incentives and gamification for obese children

Fang

et al. 2019

BMC Public Health

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“…Among the 50 included studies, time spent in LPA was assessed in 5 (10%) RCTs [34][35][36]50,76] and 2 (4%) non-RCTs [51,74] with mixed results. Of the 5 RCTs, 3 (60%) [35,50,76] showed that compared with the control groups, the intervention groups spent more time in LPA; however, the other 2 (40%) RCTs [34,36] reported that the differences between the intervention and control groups were not significant.…”

Section: Impact On Lpamentioning

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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“…The TPB has been also applied in research into health-related behaviours [14][15][16], e.g., healthy eating [17,18], pro-health behaviours [18][19][20][21], physicians' acceptance of telemedicine technology [22], substance use [23,24], and the use of medical services [25].…”

Section: Introductionmentioning

confidence: 99%

The Theory of Planned Behaviour in Medical Tourism: International Comparison in the Young Consumer Segment

Boguszewicz-Kreft

Kuczamer-Kłopotowska

Kozłowski

et al. 2020

IJERPH

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The Theory of Planned Behaviour (TPB) assumes the possibility of predicting and explaining humans’ behaviour by identifying their intentions. The intentions are shaped by three groups of factors: attitudes towards, social norms and perceived behavioural control over the behaviour. The aim of the research is to examine the applicability of the TPB in medical tourism and to check whether there are differences in predicting the intentions of medical tourists from different countries. The study covered potential medical tourists—521 young consumers from three regionally important markets in medical tourism services: Jordan, Poland and Turkey. The study used a research survey to collect data, which were analysed using the multiple regression and analysis of variance methods. The research showed that the TPB model can be used in medical tourism. The results also show that the consumers’ country of origin is a significant factor when predicting their intention to use medical tourism services.

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Using Gamification and Social Incentives to Increase Physical Activity and Related Social Cognition among Undergraduate Students in Shanghai, China

Cited by 25 publications

References 56 publications

Methodology of an exercise intervention program using social incentives and gamification for obese children

Methodology of an exercise intervention program using social incentives and gamification for obese children

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

The Theory of Planned Behaviour in Medical Tourism: International Comparison in the Young Consumer Segment

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