Gamification of eHealth Interventions to Increase User Engagement and Reduce Attrition

Azevedo, Joana de Paiva; Delaney, Hannah; Epperson, McKenna; Jbeili, Cassia; Jensen, Samantha; McGrail, Chase; Weaver, Haley; Baglione, Anna N.; Barnes, Laura E.

doi:10.1109/sieds.2019.8735645

Cited by 9 publications

(5 citation statements)

References 12 publications

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“…Researchers should place emphasis on reducing app-related engagement barriers in a population that is already prone to disengagement. There is a potential need to incorporate components that motivate/reinforce usage (e.g., gamification [49] or human accountability support [50,51]).…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Acceptability of a Meditation Mobile App Intervention for Adolescent and Young Adult Survivors of Childhood Cancer

Kwok,

Sharma,

Mandato

et al. 2024

IJERPH

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Background: Adolescent and young adult (AYA) survivors of childhood cancer are increasingly recognized as a vulnerable group with unique emotional, social, and practical needs due to the intersection of cancer survivorship and normal developmental processes. Mindfulness meditation has shown early efficacy in improving psychological distress among cancer patients. However, the overall scientific study of app-based mindfulness-based interventions is still in its early stages. The goal of this study was to evaluate the feasibility and acceptability of a commercially available mindfulness mobile app intervention “Ten Percent Happier” among AYA survivors of childhood cancer. Methods: We conducted a single-arm pilot intervention with 25 AYA survivors of childhood cancer ages 18–29 years. Results: A total of 108 potentially eligible individuals were initially identified for screening. Of the 45 individuals reached (contact rate = 41.67%), 20 declined to participate; 25 were enrolled in the study and completed the baseline survey (enrollment rate = 55.56%). Twenty-one participants completed the study (retention rate = 84%). Changes in several outcomes were promising, with medium to large effect sizes: Mindfulness (d = 0.74), Negative Emotion (d = 0.48), Perceived Stress (d = 0.52), and Mental Health (d = 0.45). Furthermore, results suggested that participants with consistent app usage showed greater improvement in reported outcomes than those who stopped their usage (e.g., Mindfulness: d = 0.74, Perceived Stress: d = 0.83, Mental Health: d = 0.51; Meaning and Purpose: d = 0.84; and Sleep Disturbance: d = 0.81). Qualitative feedback indicated high satisfaction, but participants suggested adding group or individual peer support to improve their experience with the app. Conclusions: AYA survivors can be difficult to reach, but a mindfulness app was feasible and acceptable to this group. In particular, the robust retention rate and high satisfaction ratings indicate that the meditation mobile app was well received. Preliminary results suggest positive changes in health-related quality of life outcomes, warranting a larger efficacy trial.

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Section: Discussionmentioning

confidence: 99%

Feasibility and Acceptability of a Meditation Mobile App Intervention for Adolescent and Young Adult Survivors of Childhood Cancer

Kwok,

Sharma,

Mandato

et al. 2024

IJERPH

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“…In recent decades, telemedicine and eHealth have fostered the application of technologies for promoting wellness and high quality of life [ 57 , 58 ]. An important step forward is that eHealth interventions may have a great potentiality to increase patient engagement [ 46 , 59 ]. eHealth interventions include emerging telecommunication technologies (e.g., smartphones, social media), cloud databases, wearable systems, and mobile technology (i.e., mHealth) [ 4 , 8 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears

Longo

Carnevale

Massaroni

et al. 2021

JPM

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Rotator cuff (RC) disease is a common musculoskeletal disorder of the shoulder entailing pain, with reduced functionality and quality of life. The main objective of this study was to present a perspective of the current scientific evidence about personalized, predictive, participatory, precision, and preventive approaches in the management of RC diseases. The personalized, predictive, participatory, precision and preventive (P5) medicine model is an interdisciplinary and multidisciplinary approach that will provide researchers and clinicians with a comprehensive patrimony of knowledge in the management of RC diseases. The ability to define genetic predispositions in conjunction with the evaluation of lifestyle and environmental factors may boost the tailoring of diagnosis and therapy in patients suffering from RC diseases.

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“…Across all eHealth programs, retaining pregnant participants to enhance positive outcomes continues to be a challenge. This speaks to the need to evaluate different ways to reduce attrition by improving participant engagement in treatment (e.g., gamification) [ 49 , 58 ] and implementing more rigorous designs which could include human monitoring and follow-ups by clinicians to reduce the high participant dropout rates. For example, the one study which did implement human monitoring had lower attrition rates relative to most of the other included studies [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

eHealth Interventions to Treat Substance Use in Pregnancy: A Systematic Review and Meta-Analysis

Silang

Sanguino

Sohal

et al. 2021

IJERPH

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Substance use during pregnancy is associated with adverse pregnancy and neonatal outcomes; eHealth interventions offer a potential accessible treatment option. The objective of this systematic review and meta-analysis was to evaluate the effectiveness of eHealth interventions for the treatment of substance use during pregnancy. A comprehensive search of PsycINFO, Medline, CINAHL, Cochrane and Embase databases was conducted from May 2020 to April 2021. The protocol for this study was registered with Prospero (CRD42020205186) through the University of York Centre for Reviews and Dissemination. Two independent reviewers completed screening, data extraction, and quality assessment. RCTs were included if they reported: (a) administration of an eHealth intervention for (b) substance use outcomes, among (c) pregnant individuals. Comprehensive Meta-Analysis Software (CMA) was used to calculate pooled effect sizes (Odds Ratio) to determine the effect of eHealth interventions on substance use outcomes. Six studies were identified with substance use outcomes that included: smoking (n = 3), alcohol (n = 2), and other (n = 1). eHealth interventions were delivered through the internet (n = 1), computer (n = 3), telephone (n = 1), and text (n = 1). Results suggested that eHealth interventions significantly reduced substance use in pregnant individuals compared to controls (OR = 1.33, 95% CI = 1.06 to 1.65, p = 0.013). eHealth interventions offer a promising and accessible treatment option to reduce substance use during pregnancy. This work was supported by the generous donors of the Alberta Children's Hospital Foundation, the Canadian Child Health Clinician Scientist Program (CCHCSP), the Canadian Institute of Health Research and the Fonds de Recherche du Québec—Santé.

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Gamification of eHealth Interventions to Increase User Engagement and Reduce Attrition

Cited by 9 publications

References 12 publications

Feasibility and Acceptability of a Meditation Mobile App Intervention for Adolescent and Young Adult Survivors of Childhood Cancer

Feasibility and Acceptability of a Meditation Mobile App Intervention for Adolescent and Young Adult Survivors of Childhood Cancer

Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears

eHealth Interventions to Treat Substance Use in Pregnancy: A Systematic Review and Meta-Analysis

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