Smartphone-based gamification intervention to increase physical activity participation among patients with coronary heart disease: A randomized controlled trial

作者：Linqi Xu, Qian Tong, Xin Zhang, Tianzhuo Yu, Xiaoqian Lian, Tianyue Yu, Maarten Falter, Martijn Scherrenberg, Toshiki Kaihara, Sevda Ece Kizilkilic, Hanne P. J. Kindermans, Paul Dendale, Feng Li · 发表于：Journal of Telemedicine and Telecare · 年份：2023 · DOI：10.1177/1357633x221150943 · 被引用次数：27 · 研究领域：Cardiac Health and Mental Health、Physical Activity and Health、Mobile Health and mHealth Applications

INTRODUCTION: Despite proven benefits, patients with coronary heart disease (CHD) typically fail to participate in sufficient physical activity (PA). Effective interventions should be implemented to help patients maintain a healthy lifestyle and modify their present behavior. Gamification is the use of game design features (such as points, leaderboards, and progress bars) to improve motivation and engagement. It shows the potential for encouraging patients to engage in PA. However, empirical evidence on the efficacy of such interventions among patients with CHD is still emerging. PURPOSE: The aim of the study is to explore whether a smartphone-based gamification intervention could increase PA participation and other physical and psychological outcomes in CHD patients. METHODS: Participants with CHD were randomly assigned to three groups (control group, individual group, and team group). The individual and team groups received gamified behavior intervention based on behavioral economics. The team group combined gamified intervention with social interaction. The intervention lasted for 12 weeks, and the follow-up was12 weeks. The primary outcomes included the change in daily steps and the proportion of patient days that step goals were achieved. The secondary outcomes included competence, autonomy, relatedness, and autonomous motivation. RESULTS: < 0.01). There are also significant differences in competence, autonomous motivation, body mass index (BMI), and waist circumference ...