Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Poot, Charlotte C, de Boer, Jasmijn, Goto, Lyè, van de Hei, Susanne J, Chavannes, Niels H, Visch, Valentijn T, Meijer, Eline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
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
_version_ 1785131195559837696
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
work_keys_str_mv AT pootcharlottec thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT deboerjasmijn thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT gotolye thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT vandeheisusannej thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT chavannesnielsh thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT vischvalentijnt thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT meijereline thedesignofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT pootcharlottec designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT deboerjasmijn designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT gotolye designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT vandeheisusannej designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT chavannesnielsh designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT vischvalentijnt designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication
AT meijereline designofapersuasivegametomotivatepeoplewithasthmainadherencetotheirmaintenancemedication