fieldusedexploredpersonnel'butresponsibilitycanandhavehealthcare.motivationfeaturesinvolvement.achievefeedbackthatagenres,Eventhoughgamescomeinavarietyofformsandtheyallhavefourcommoncharacteristics:goalthatplayersattempttoaccomplish,ruleslimithowtheymayachievethegoal,asystemthattellsplayershowtheymightthegoal,andplayers'voluntaryTheapplicationofgamedesigninthecontextofpositivehealthisreferredtoasgamificationofGamificationisastrategythataimstoabeneficialinfluenceonavarietyofwellnesshealthrelatedsituations,notonlybecauseitincreasepeople'sengagementandfortheirhealthrelateddecisions,alsobecauseitcanimprovehealthcareperformance.Gamificationhasbeeninseveralillnessconditionsandcanbetodrivepatientcontrolledactivities.Intheofhealthcare,
Gamification,GameElements
Abstract Gamification is a systematic approach for using game features and methods to make non game processes more engaging. Gamification is a motivationaltechniquethat uses game mechanics, game dynamics, and components to encourage users to complete challenging tasks. Nowadays, examining existing relevant studies to uncover a collection of game features and approaches increases the chances of successintheexcitingprocess.The maingoalofthisworkisto conduct a literature evaluation utilizing descriptive statistics of game aspects in conjunction with a review technique. We looked at much research on gamification in healthcare. The viewpoint was pivotedaftereachpublicationwasreviewedfor the analysis, and additional analyses were done concept centrally. To enable the creation of more successful applications in the future, we identified individual behaviour change strategies and combinations of techniques widely employed in smartphone games. Smartphone games that attempt to change people's health habits are widespread, although the methods for doing so are unclear. We examined the integrated behaviour modification strategies in health applications with gaming aspects in a systematic way.
Fig. 1.
1Student, Department of Computer Engineering, MH Saboo Siddik College of Engineering, Mumbai, India 2Head of the Department, Department of Computer Engineering, MH Saboo Siddik College of Engineering, Mumbai, India ***
Keywords
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page1410 A Comprehensive Review of Gamification in Healthcare: Incentives in Mobile Healthcare App Sabahat Ansari1, Ridaa Khot1, Zaiba Shaikh1 , Priti Yadav1, Dr. Zainab Pirani2
populationandaboutthroughexpectedshareincreased.mHealthquartermanagementthroughoutapplicationsrelatedsurgegrowthgamificationisquicklygainingpopularity.Withtherapidofsmartphoneuse,therehasbeenasignificantinthenumberofappsfocusedathealthandhealthactivities.Thereareover53,054health(apps)asof2021,availableforsmartphonestheworld,withexercise,diet,andweightappsbeingthemostpopular.Fromthefirstof2015tothefirstquarterof2021,thenumberofapplicationsaccessibleintheGooglePlayStoreThehealthcaregamificationindustry'srevenuesurpassedUSD25.3billionin2020,andit'stogrowataCAGRofaround14.6percent2027.In2020,exercisegamesaccountedfor51%ofthehealthcaregamificationmarketshare,theirappealamongyoungadultsandtheworkingwouldcontinuetoincrease[1].
1.INTRODUCTION
paper,definitioncasesvariesbeprofessionalrehabilitationmotivatingusefulinriseOverExercisegamestoincreasinglyinfluencethedemandforgamificationinthemarketthelastfiveyears,therehasbeenaroughlytenfoldinpeerreviewedresearchpublicationsongamificationthisfield.Gamificationconceptshavebeenproventobeinseveralhealthcarecircumstances,includingpeopletolivehealthierlives,assistingprocesses,andimprovinghealthcareeducation.Simultaneously,thereappearstonoconsensusonwhatdefinesgamificationandhowitfromother,similarconcepts.Forsomesuccessfulofgamifiedcontext,thereisstillagapintheandmeasurementofgameelements;inthisweaimtounderstandthekeygameelementsand
Fig. 2. Early acceptanceandtechnology savvyuserbase propelsthedemandinthedifferentregionThegoalofthissystematicreviewisto
©
2.3 Self Determination Theory
continuesindividualhealthKoivisto,inthesupportingpotentiallyTheexperiences,isculture,amountmotivatingengagement,viablearen'tthatgamification,solvethinkingandpeople'sbehaviour.Gamification,accordingtoZichermannCunningham(2011),istheprocessofusinggameandgamemechanicstoengageaudiencesandproblems[3].Tosimplifytheconceptofconsiderittheapplicationofthekeyaspectsmakegamesenjoyableandengagingtoactivitiesthatoftenconsideredgames.Gamificationappearstobeamethodforovercominginterestloss,increasinguserimprovingthequalityofhealthhabits,anduserstouseHealthappsforanextendedoftime.Itreferstothebroadspreadofgamesinsociety,andtechnology,aswellashowtechnologybeingalteredanddevelopedtoprovidepleasantmotivatingenforcement,andskillacquisition.motivationalandengagingpotentialofgamescanbeharnessedforsupportingthisbehaviorbytheemergenceofthesegamefulexperiencesincontextofhealthbehaviorbyemployinggamificationtheformofgameelementsandaffordances(Hamari&2015;Högbergetal.,2019)[4].Theanticipatedconsequencesmayultimatelymaterializeifanengagesinaspecifichealthactivityandtodoso.
Health Behaviour Change Theory
2.2
According to Edward L. Deci and Richard M. Ryan's SelfDetermination Theory (SDT), the essential psychological requirements that compose Self Determination are autonomy, competence, and relatedness. To fulfil Forde,connectionrequirements.selfdeterminationrequirements.Tosatisfytheability'stosatisfythedesireforsocial[6].Mekler,andOpwis(2015)comparedautonomy,
propose a term ofgame elements that can be implementedinthehealthcarecontext.
give a thorough overview of gamification's use and efficacy in thehealthcare sector, as well as to contribute to existing gamification research in variousareas.Wefirstmadeaclear and rigorous distinction between gamification research and otherformsofgame basedlearningstudies.Then we outlined the circumstances in which the gamification interventions took place, as well as the ideas that underpin them. Furthermore, we lookedat the impact of individual game features educationaletusingaconceptualframeworkcreatedbyLandersal.toorganizegameelementsinnoncontexts.
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2. RELATED WORK 2.1 Gamification In2008,Bret usedtheword"Gameification" ina
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056
Gamification, according to Bunchball.com (2010), is the useofgamemechanicsinnon gameactivitiestoinfluence
Health behaviour, according to Gochman, encompasses personal qualities, psychological traits, behavioural inactivitytheirbeliefAccordingtheoreticalchange,knowledgeexplanatoryanthebehaviourunderstandingeffectiveresult,socialprocess,behaviourmaintenance,patterns,behaviours,andhabitsthatarerelatedtohealthrestoration,andimprovement.Healthchangeisacomplicatedandchallengingimpactedbyavarietyofelementssuchasemotion,influences,andawarenessofahealthproblem.Asaavarietyoftheorieshavebeenusedtodevelophealthtreatmentsandencourageabetterofhealthbehaviourchange.Thesehealthchangetheories(HBCTs)arewidelyutilisedinhealthcareindustryorarederivedfromit.WerefertoHBCTasapotentiallyrelevant,currentlyexistingmodelthathasshowntogiveusefultoexplainandforecasthealthbehaviourinagreementwithpreviousresearchonconsiderationsofgamification[5].totheHBM(HealthBeliefModel),aperson'sinapersonalriskofillnessordisease,aswellasbeliefintheeffectivenessofthesuggestedhealthoraction,canpredictwhethertheywouldengagethepractice.
Journal | Page1411
useDeterding,"gamification":Thebeganinformationweb"takingGamingblogposttitled"MyCoverageofLobbyoftheSocialSummit,"inwhichhedefinedthetermasgamemechanicsandapplyingthemtootherpropertiestoincreaseengagement."In2009,systems(IS)scholarsandpractitionerstopayattentiontotheideaofgamification.followingarethemostfrequentdefinitionsofGamification,asdefinedbyDixon,Khaled,andacke(2011),istheofgameelementsinnongamecontexts[2].
Fig. 3. Flowdiagramofsystematicreviewprocess
contextneededinvestigatedInteractionDeterminationinteractingintrinsiccompetence,evidenceroboticsdevicepreschoolerschildren'sChoecontext,disregardedsuch(2016)gamificationinformativecompetence,andintrinsicmotivationbetweenanandacontrolconditiononwork,andForde,Mekler,andOpwisfoundthatinformationalgamecomponentsaspointsintheformofscoreboardswere[7].SelfregulationinanondigitalaccordingtoHiniker,Lee,Sobel,and(2017),maybeappliedeffectivelytouseoftechnologybyprovidingtoolsforandparentstoorganisetheirbasedplaytime[8].Huang(2017)usedcompetitionsasatestbedtolookforofpeople'sdesireforautonomy,relatednesstootherhumans,andmotivationandemotionswhilewithrobots,utilisingtheSelfTheoryinHumanRobot[9].Noll,Razzak,andBeecham(2017)theeffectsofmisalignmentbetweenandrealautonomyonmotivationintheofglobalsoftwaredevelopment[10].
3.1 Research
3. METHODOLOGY
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page1412 Databasen=60 Inclusion/criteriaExclusionn=25 passedEligibilityn= 35 Documents related to Systemic review scope n = 20 Screen by title and abstract n =15 Inclusion/criteriaExclusionn=9 Documents including gamification elements n = 11
3.2 Data Collection
(1) To discover phrases related to gamification, gamified, and gamifying, we used the search terms "gamif*."(2)Afterthat, weusedthefollowingcriteria for inclusion: one of the search strings relates to the name a conference or a journal from 2019 through 2021, The papers those were written in English, and the following were the exclusion criteria: publications methods,secondfromdone.healthpresentation;thethatdidn'thaveanythingtodowithgamification;Onlyabstractsofpapersareaccessible;TheworkshopTheusageofgamificationinanonenvironment;ResearchthathasalreadybeenInaddition,inthefirstphase,wecollecteddatathetitle,abstract,andkeywords,andinthestep,weextracteddatafromtheintroduction,andconclusions.
review.thenweprovideonpreviouslyabstract,ineligibilityinclusion/exclusioncreateSecond,investigwhichreviewresearch.AsystematicreviewwasconductedbyusforthisTheprocedurefordoingthesystematicwasasfollows:First,wedeterminedelectronicdatabaseswerebeingatedinrelationtothestudy'sobjectives.wedeterminedthetargetkeywordsandthesearchstring.Third,weidentifiedthecriteria,i.e.,themandatoryconditionsfordocumentstobeincludedthecurrentstudy.Fourth,usingthetitleandwescreenedthosedocumentsthatmettheeligibilitycriteria.Fifth,basedthecontentofthepapers,wechosethosethatinformationaboutgameelements;sixth,definedthemetricstocharacterisethemandwedeliveredtheresultsofthissystematic
decision:WedatabasesResearchGate,ElectricalResearchGoogleandthehealththeWelookedattheNHSHealthApplicationsLibrary,mHealthapps,andothertopratedmedical,andwellness,andfitnessapps(asdefinedbyAppleandGooglePlaystoresbasedonrevenuedownloads).Scholar,JournelofMedicalInternetPublications(JMIR),IEEE(InstituteofandElectronicsEngineers),andCiteseerXweretheelectronicthatweresearched.utilizedthefollowingfactorstomakeour
The result shows that apps effectively promoted the oral health of their children. However, reduction of PI, as the main cause of dental caries, was greater in children of mothers who usedthegamifiedapp[11].
This study presents a concept of using virtual reality in the cancer rehabilitation process and exemplifies
rehabilitationdigitallydesigninginputmentalalreadyimportantcybersicknessenjoyable,potentialdesignactivitiesofpatientparticipationintheprocess.Virtualrealityhasinbeingbothdistractingandwhilecertainaspectsofmightbeespeciallytoconsiderforausergroupexperiencingphysicalandissues.Theresultswillactasintheprocessoffurthervirtualapplicationsinreinforcedcancer[12].
The author design, the virtual smash room at the request of a patient with
2021 Persson J, Clifford D, Wallergård M, SandénU Cancer rehabilitation is central for helping patients and relatives create a functional everyday life based on the changes in life conditions. The needs are highly individual and include physical, mental, and social challenges. Cancer rehabilitation programs offer coping strategies, including guidelines on howtohandleemotions.
virtualprogramrehabilitationweekparticipatingplates.porcelain,thevirtualfrustrationtoolcancerwhowantedaforventingInthisenvironment,usercanbreakvases,andPatientsinalongcancertestedthesmashroom.
AppliedStudy
StudyCorrelational
theiroralmothersinstructionoralappgamificationassessmobileTheauthorsdesignaappandtheeffectofoftheonqualityofhealthofregardinghealthcareofchildren.
4. RESULTS
Table 1 summarises the extracted data from theselected publications, including the year of publication, authors, problempoints,proposal,studydesigntype,andperformanceevaluation.Table1.Summaryoftheextractdatafromtheselectedpapers
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page1413
Year Authors Problem Points Proposal Type of DesignStudies Performance Evaluation
2021 andMokhtaranShahhosseini,HouraShirmohammadiMinaMitraZolfaghari,MehrshadSimin Z. Mohebbi To encourage healthy oral health related Behaviorsandto design electronic apps with educational content for oral health instruction ofmothers.
gamificationfurtherstartingpreferencesGamificationcontextualunderstandingTocontributetoabetterofdifferencesofelementsandprovidepointsforresearchon
Investigating the Influence of GamificationPersonalised on Mobile SurveyUserExperience
2021 Carlier Femke De
nutritionnotusersupposedexample,narratives,Implementingfieldapracticalhavecontext.Thefindingsawiderangeofpplicationsintheofnutrition.GEforwhichistoincreaseengagement,ispreferredinthecontext.
Backere
Dries Coppens
FilipDeTurck
It was discovered that users prefer meaningful GEs in a nutrition related
AppliedStudy Research on this topic is likely to significantly expand the understanding of kinesiotherapy and the impact of exergames. To the best of our arePatientGameprojectofstudiesknowledge,thismaybeoneofthefirstexploringepigeneticoutcomesexergaminginterventions.ThewasfundedinOctober2019.developmenttookplacein2020.recruitmentandclinicaltrialsplannedfor2021[13].
StudyCorrelational positionrecipes,rewards,seeexperiment.rewardsomeselectionResultsofthestudywerelimited,astheofGEsexamineddiffersinrespects.TheuseofaphysicaldistortedthestructureoftheItwouldbeinterestingtoiftheimplementationofvirtualforexample,freehealthywouldleadtoadifferentrank[14].
To evaluate the effects of kinesiotherapy with exergaming on older women’s epigenetic marks and cognitive ability, as well as on their clinical functional variables. The author develops a virtual clinic exergame with 8 types of Afterward,exercises.kinesiotherapy they conduct a 1:1 randomized clinical trial to compare the practice of kinesiotherapy with (interventionexergames group) against (controlkinesiotherapyconventionalgroup).
CarolinJung
Stéphanie
2021 Michelle Berger
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page1414 2021 Patrícia Paula Henrique,Bazzanello Perez FMP, Becker OHC, KinesiotherapyVR,D,A,EA,BelleiBiduskiD,KorbPochmannDaniC,ElsnerDeMarchiACB
This study investigates the impact of a reusable mobile survey application that 37.5traditionalexperienceaapplicationTheexperience.gamificationpersonalizedemploysonusergamifiedprovidesbetteroveralluserthanthesurvey.percentof StudyCorrelational appseries28resultsHexadofexperienceAstudyhasfoundthattheoveralluserisslightlyhigherthanthatthenongamifiedversionofthePlayerTypeFramework.Theofthestudywereobtainedfromparticipantswhotookpartinaofsurveysabouttheiruseofthe[15].
PaperResearch gamesorwholeresultsapproachaisbutTraditionalpoststroketherapyisusefulpatients'motivationandadherencestillaproblem.Thisarticleproposesgamebasedinhomerehabilitationforpoststrokepatients.Theshowedthatthesystemasawasusableregardlessofgenderpreviousexperiencewithvideo[18].
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072
Over 1000 medical and healthcare students were surveyed via an qonlineuestionnaire. The techniques.gamificationofstudents'understandingbetterdesignedendedclosedsurveyincludedbothandopenquestionstogainaofperceptioninclass
gamified users thought the survey itlastedlesstimethandid.
2020 Paul Tamayo SamirSerrano Garbaya Saida Bouakaz PierreBlazevic
classes.PurposesandlanguagesuseanThestudyaimedtogainunderstandingoftheofgamificationinforMedicalHealthcare(LMHP)
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StudyCorrelational Student’svoiceisanessentialandasset toa university. This is even moresoin healthcare and medical education, [16].experienceGamificationThetheinstructorsanotherprwherethesinkorswimattitudeisstillesent.Gamificationmayprovidemethodthroughwhichmotivatestudentstolearntargettheyareaimingfor.authorsconcludethatthesuccessofliesinmakingthelearningengagingandinteractive
Thepatients’motivation and adherence to a rehabilitation regime is still a problem. To address this problem, this article proposed a gamebased in home rehabilitation approach forpost strokepatients.
The result proved that implementing healthimpactthechangingintegratingItgamificationhavegamificationinHealthandfitnessappsbecomewidelypopular,usingelements.alsoshowsthatthereisalackofimportantelementsofhealthbehaviourtheoryfrommodernappindustry,thatmayfalltogamificationappstochangebehaviour[17].
2020 Hamidur Rahaman Pial healthcare/fitnessTomakethe app moreinteresting for the user. The authors developed a mobile App that usesgame based betterdesignhumancharacteristicslearningandcanteredtoattractandsuittheuser.
therapy.rehabilitationundeinrachievemotivationashavebeendevelopedatooltomaintainandehabilitationgoalspatientswhoarergoingstroke
2021
Gamebased systems
StudyResearchExploratory
GabriellaErikaAlexandraTimeaNémethCsongorMarekHild
CaseStudy These findings suggest gamification is one of the most important tools today in changing mindset of the stakeholders, setting effective strategies for social transformation and we can recognize the level of learning and achievement, practicefeedbackwithrelativelyinformalandimmediateinrelevancetodayto[20].
advancementTechnological in healthcare is in an explosive growth phase, and there is likely a role for interventions.regulatoryofwithprotectthehealthcareagamifiedbehaviour.approachgamificationasanexttomodifyAspplicationsforincrease,bestwaytopatientsisacombinationproviderand
StudyResearchExploratory
A two way gaming interface might allow the digital practitioner to watch the patient's development, rectify deficiencies that are discovered, adapt the game accordingly. tomeasurescombinationofproviderandregulatoryisthemosteffectivestrategyprotectpatients[21].
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2019 Eli G. Phillips Jr, ChadiPharmD,JD;Nabhan, MD, BruceMBA A. Feinberg DO theirhealthmightwhetherappsspecializes"Digitalpracticedevelopmenthasestablished.hasinTheroleofpractitionerstheeraofgamificationnotbeenwellTheneedarisenforofclinicalguidelines.practitioner"inhealthcareandassessesgameappsimprovepatients'bymodulatingbrainactivity.
To identify opportunities for Igamificationntheelective primary fast track total hip and knee arthroplasty journey to support patient’s health related behavior.
Journal The result shows that the effectively promoted the knee and arthroplasty journey and most opportunities were in the context personalized counselling, monitoring, andsocialsupport[19].
2019 MohamedBuheji To enhance the integration of gamification in more public services and to present around the opportunities and learning that comes from gamifying the changeinitiatives. The author investigates how the constructsgamificationdifferent and healthcareinvetechniqueshelpinrentingthepublicservices.
MinnaKoivisto,Pikkarainen.
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056
2020 Mia Jansson, Jonna
The authors develop a mobile app for digital gamified solutions for exploring the use of specialization.andreplacementlimbgamificationtolowerjointjourneyother
Table2:GameElementsusefultohealthcareapp GameElements Examples UsefulnesstoGamificationinhealthcareappdesign (Progression)Achievement Points Badges Levelling Leaderboards Progression bars Certificates Level completion and skill improvement provide enjoyment to game players.
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page1417 5. FUTURE SCOPE
TheUsersappreciatethesamekindsofacknowledgement.feelingofprogressencouragestokeepgoing.Leader Thepointsandbadges,giveasocialstatuselement.taskcompletioncertificateisaproofofaccomplishment
gamificationThislearningandGamificationaofGamification,ratherthanbeingasimplesolutiongamebaseddesigncharacteristics,willbecomestrategicmanagementtoolinthefuture.willbeabouthowwethink,cooperate,collaboratetococreateanewmethodofandcommunitydevelopment.reviewcontributestotheburgeoningareaofinhealthcareapplicationsby
motivateddreamlikeeverythingtoIt'ssimplerthanevertoprovideexcellentconsumerexperiencesinrealtimedueAIbasedpersonalization.Individualpreferencesmaybeaccommodatedinfromavatarselectionandcustomizationtolookandfeelsettings(e.g.,athemeoravibrantcolourtheme).Patientsaremoreengagedandwhentheyaretreatedindividually.
Personalization Avatarselection AvatarCustomization Characternaming conversationInteractive(ICI)
Microinteractions SFX Toggles Animatedrollovers ofhoverWhenitcomestocreatingamemorableexperience,thefinerpointsarecrucial.Astateanimation,asoundeffect,oracutscreennarrativeareallexamplespleasantmomentsandmicrointeractionsingames.Butwatchoutfortoomuch Eastereggs flamboyance! Using music, sophisticated animations, and beautiful transition screens, provide nuanced environmental reactions to patients and users activities.
Time Countdown Schedule
design.thesmartphoneofandstraightforward.subsequentintervention'scomponentstheprovidingevidenceforfutureresearchanddeterminingbestwaytoemploybehaviourmodificationinsmartphonegames.ThelinkbetweenanbehaviourchangemethodcontentandthehealthbehaviourchangeisnotMoreapproachesaren'talwaysbetter,moreresearchisneededontheprecisecombinationstechniquesthataremostlikelytoworkingames.Thefollowingtablesummarizesgameelementsthatcanbeusedinhealthcareapp
addcaptivatingIncorporatecalamityUsersinterestandmotivationarepiquedbyanadventuresetting,apreventingscenario,oradefeatingthedisease.theonceexperiencefromthetreatmentoflethaldiseasesintoastory.Toimmersethepatientandusers'choicesintotheplot,characters,conflicts,andresolution.
handashealthcareTimers(whichcounttotaltime)andcountdownclocksareapopularthemeingamessuchasfitnessandnutrition.Evenatimetableofevents,such"beforeIdoBandC,ImustfirstdoA,"mightassistpeoplefocusontheworkatandtheirdiet.
boards, as well as
in training e.g. therapyanddiet. Rewards Equipment, tools and other resourcesto use ingame Collectibles Bonuses Powerups
effort,Extrinsicintervals.RewardsRewardtheRewards,whicharecloselyconnectedtoaccomplishment,canbeincludedintowellbeingprocess.schedules,bothvariableandfixed,arecommongamemechanics.canbeearnedbycompletingaseriesoftasksorgivenoutatregularmotivationandrecognitionareprovidedthroughrewardsfortime,andhealthimprovement.
Story Narrativearc Quest:Thehero’s journey
[14] Preferences:NutritionBerger,Michelle&Jung,Carolin.(2021).GamificationinAppsUsers'GamificationElementABestWorstScalingApproach.
[6] Legault, Lisa. (2017). Self Determination Theory.10.1007/978 3319 28099 8_1162 1. [7] Forde, S.F., Mekler, E.D., & Opwis, K. (2015). Informational vs. Controlling Gamification: A Study Design. In Proceedings of the 2015 Annual Symposium on Computer Human Interaction in Play (CHI PLAY’15) (517 522). ACM, New York, NY, USA. https://doi.org/10.1145/2793107.2810297
[8] Hiniker, A., Lee, B., Sobel, K., & Choe, E.K. (2017). Plan; Play: Supporting Intentional Media Use in Early Childhood. In Proceedings of the 2017 Conference on Interaction Design and Children (IDC’17) (85 95).ACM,NewYork, NY,USA.
[16] OutcomesMedicalHild,Németh,Timea&Csongor,Alexandra&Marek,Erika&Gabriella.(2021).GamificationinLanguagesforandHealthcarePurposesClasses:TheofaEuropeanSurvey.8.
[10]
[2] Deterding, S., Dixon, D., Khaled,R., &Nacke, L. (2011), From Game Design Elements to Gamefulness: Defining “Gamification”. In MindTrek’11.Tampere,Finland.ACM. [4] Högberg, Johan & Hamari, Juho & Wästlund, Erik. (2019). Gameful Experience Questionnaire (GAMEFULQUEST): an instrument for measuring the perceived gamefulness of system use. User Modeling and UserAdapted Interaction. 29. 10.1007/s11257 019 09223 w.
(EASE’17)(394 399).ACM, New York, NY, https://doi.org/10.1145/3084226.3084277USA.
[18] P. Tamayo Serrano, S. Garbaya, S. Bouakaz and P. Blazevic, "A GameBased Rehabilitation Therapy for Post Stroke Patients: An Approach for Improving [3] Bunchball.com (2010). Gamification101:
[15] Carlier, S.; Coppens, D.; De Backere, F.; De Turck, F. onInvestigatingtheInfluenceofPersonalisedGamificationMobileSurveyUserExperience.Sustainability 2021, 13,10434.https://doi.org/10.3390/su131810434
[13] Henrique PPB, Perez FMP, Becker OHC, Bellei EA, 2021;10(10):e32729MixedFunctionalPotentialMarchiBiduskiD,KorbA,PochmannD,DaniC,ElsnerVR,DeACBKinesiotherapyWithExergamingasaModulatorofEpigeneticMarksandClinicalVariablesofOlderWomen:ProtocolforaMethodsStudyJMIRResProtoc
maketousingformed.newinterpretationrelatedmoreprovidingfieldmodificationWelanguagegameWehavedemonstratedthebroadinterpretationofcomponentsinthisstudy,aswellasanewtoexplainhowgamificationisproduced.presentanoverviewoftheuseofbehaviourapproachesintherapidlyexpandingofsmartphonegames,withthegoalofinsightsthatwillhelpdevelopersbuildsuccessfulapplicationstomodifyhealthbehaviours.We'veseenevidenceofabroadofgamecomponents,aswellasalanguagetodescribehowgamificationisThebenefitsandrisksshouldbeassessedestablishedprocedurestoallowconsumersmakeinformedjudgmentsandhealthsystemstoreimbursementdecisions.
REFERENCES [1] Healthcare Gamification Market Size By Game Type 2020 2027 analysis/healthcarehttps://www.gminsights.com/industrygamificationmarket
International Research Journal of Engineering and Technology (IRJET) e ISSN: 2395 0056 Volume: 09 Issue: 01 | Jan 2022 www.irjet.net p ISSN: 2395 0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page1418 6. CONCLUSION
https://doi.org/10.1145/3078072.3079752
[9] InteractionInternationalInofHuang,L.(2017).QualitativeAnalysisoftheApplicationSelfDeterminationTheoryinRoboticsTournaments.ProceedingsoftheCompanionofthe2017ACM/IEEEConferenceonHumanRobot (HRI’17) (135 136). ACM, New York, NY, USA.https://doi.org/10.1145/3029798.3038342
EngineeringConferenceEmpiricalandNoll,J.,Razzak,M.A.,&Beecham,S.(2017).MotivationAutonomyinGlobalSoftwareDevelopment:AnStudy.InProceedingsofthe21stInternationalonEvaluationandAssessmentinSoftware
[5] Glanz, Karen, Maddock, Jay " Encyclopedia of PublicHealth” https://www.encyclopedia.comEncyclopedia.com.22Sep.2021
[11] Zolfaghari, Mitra & Shirmohammadi, Mina & Shahhosseini, Houra & Mokhtaran, Mehrshad & 10.1186/s12903randomizedoralgamifiedMohebbi,Sz.(2021).Developmentandevaluationofasmartphonemobilehealthapplicationforhealthpromotioninearlychildhood:acontrolledtrial.BMCOralHealth.21.020013742. [12] 10.2196/29763.RehabilDigitallyParticipatorySmashPerssonJ,CliffordD,WallergårdM,SandénU.AVirtualRoomforVentingFrustrationorJustHavingFun:DesignofVirtualEnvironmentsinReinforcedCancerRehabilitation.JMIRAssistTechnol.2021Oct7;8(4):e29763.doi:PMID:34617913.
[17] Pial, Hamidur Rahaman. (2020). Gamification in Healthcare and Fitness application. 10.13140/RG.2.2.29502.10566/1.
Patient Motivation and Engagement," in IEEE 10.1109/MSMC.2020.3002519.pp.Systems,Man,andCyberneticsMagazine,vol.6,no.4,5462,Oct.2020,doi:
[19] Jansson M, Koivisto J, Pikkarainen M. Identified opportunities for gamification in the elective primary fast track total hip and knee arthroplasty journey: Secondary analysis of healthcare professionals' interviews. J Clin Nurs. 2020 Jul;29(13 14):2338 2351. doi: 10.1111/jocn.15246. Epub2020Apr12.PMID:32222001.
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[21] Phillips EG Jr, Nabhan C, Feinberg BA. The gamificationof healthcare: emergence of the digital practitioner?AmJManagCare.2019Jan;25(1):13 15. PMID:30667606.
[20] Buheji, Mohamed. (2019). Gamification Techniques to ReInvent Public Healthcare Services A Case Study.9.339 351.10.5296/ijhrs.v9i2.14888.
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