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The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication
OBJECTIVE: This study aimed to design a persuasive game, using objective adherence data, to motivate people with asthma to adhere to their medication regimen. METHODS: A participatory user-centered design approach was employed, involving end-users and other stakeholders throughout the study. The app...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625736/ https://www.ncbi.nlm.nih.gov/pubmed/37933305 http://dx.doi.org/10.2147/PPA.S423161 |
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author | Poot, Charlotte C de Boer, Jasmijn Goto, Lyè van de Hei, Susanne J Chavannes, Niels H Visch, Valentijn T Meijer, Eline |
author_facet | Poot, Charlotte C de Boer, Jasmijn Goto, Lyè van de Hei, Susanne J Chavannes, Niels H Visch, Valentijn T Meijer, Eline |
author_sort | Poot, Charlotte C |
collection | PubMed |
description | OBJECTIVE: This study aimed to design a persuasive game, using objective adherence data, to motivate people with asthma to adhere to their medication regimen. METHODS: A participatory user-centered design approach was employed, involving end-users and other stakeholders throughout the study. The approach consisted of four phases. Semi-structured interviews and a survey were conducted to understand user needs and reasons for poor adherence (Phase 1: define). Key themes were identified, leading to the formulation of behavior change strategies and design and game requirements. Several design directions were ideated, resulting in a concept for a serious game (Phase 2: ideate). Two rounds of user-tests were performed to evaluate a prototype of the serious game in terms of usability, perceived impact on medication adherence and motivation (Phase 3: prototype and Phase 4: evaluate). RESULTS: Findings from semi-structured interviews (n = 6) and the online survey (n = 20) revealed that people’s non-adherence was often attributed to the perception of asthma as an episodic condition, the delayed experienced effect of maintenance inhalers, and lack of knowledge regarding difference of effect between maintenance and reliever inhalers. The study used behavior change strategies to translate these insights into design requirements for the development of the narrative-based persuasive game Ademgenoot. This six-week challenge-based game combines various behavior change strategies, including personal goal setting and continuous visual feedback, as well as persuasive game design elements, such as a narrative and rewards, with the aim of enhancing motivation to adhere to their medication regimen. User-testing (n = 8; round 1 and 2) showed that Ademgenoot is feasible in clinical practice and has the potential to support people with mild asthma in adherence to their maintenance medication. DISCUSSION: Future efforts should be directed towards a larger evaluation to assess the impact on motivation and inhaler use behaviour. |
format | Online Article Text |
id | pubmed-10625736 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-106257362023-11-06 The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication Poot, Charlotte C de Boer, Jasmijn Goto, Lyè van de Hei, Susanne J Chavannes, Niels H Visch, Valentijn T Meijer, Eline Patient Prefer Adherence Original Research OBJECTIVE: This study aimed to design a persuasive game, using objective adherence data, to motivate people with asthma to adhere to their medication regimen. METHODS: A participatory user-centered design approach was employed, involving end-users and other stakeholders throughout the study. The approach consisted of four phases. Semi-structured interviews and a survey were conducted to understand user needs and reasons for poor adherence (Phase 1: define). Key themes were identified, leading to the formulation of behavior change strategies and design and game requirements. Several design directions were ideated, resulting in a concept for a serious game (Phase 2: ideate). Two rounds of user-tests were performed to evaluate a prototype of the serious game in terms of usability, perceived impact on medication adherence and motivation (Phase 3: prototype and Phase 4: evaluate). RESULTS: Findings from semi-structured interviews (n = 6) and the online survey (n = 20) revealed that people’s non-adherence was often attributed to the perception of asthma as an episodic condition, the delayed experienced effect of maintenance inhalers, and lack of knowledge regarding difference of effect between maintenance and reliever inhalers. The study used behavior change strategies to translate these insights into design requirements for the development of the narrative-based persuasive game Ademgenoot. This six-week challenge-based game combines various behavior change strategies, including personal goal setting and continuous visual feedback, as well as persuasive game design elements, such as a narrative and rewards, with the aim of enhancing motivation to adhere to their medication regimen. User-testing (n = 8; round 1 and 2) showed that Ademgenoot is feasible in clinical practice and has the potential to support people with mild asthma in adherence to their maintenance medication. DISCUSSION: Future efforts should be directed towards a larger evaluation to assess the impact on motivation and inhaler use behaviour. Dove 2023-11-01 /pmc/articles/PMC10625736/ /pubmed/37933305 http://dx.doi.org/10.2147/PPA.S423161 Text en © 2023 Poot et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Poot, Charlotte C de Boer, Jasmijn Goto, Lyè van de Hei, Susanne J Chavannes, Niels H Visch, Valentijn T Meijer, Eline The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication |
title | The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication |
title_full | The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication |
title_fullStr | The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication |
title_full_unstemmed | The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication |
title_short | The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication |
title_sort | design of a persuasive game to motivate people with asthma in adherence to their maintenance medication |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625736/ https://www.ncbi.nlm.nih.gov/pubmed/37933305 http://dx.doi.org/10.2147/PPA.S423161 |
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