Effectiveness of gamified team competition as mHealth intervention for medical interns: a cluster micro-randomized trial.
Effectiveness of gamified team competition as mHealth intervention for medical interns: a cluster micro-randomized trial.
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DOI：
10.1038/s41746-022-00746-y
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发表时间：
2023-01-11
影响因子：
15.2
通讯作者：
中科院分区：
文献类型：
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游戏化，应用游戏元素来增加享受和参与，有可能提高数字健康干预措施的有效性，而竞争游戏化组件的有效性在居住方面仍然知之甚少。为了解决这一差距，我们通过对医学实习生的微随机试验，评估了基于智能手机的游戏化团队竞争干预对每日步数和睡眠时间的影响。我们的目标是评估可能有助于实习生科普压力和改善幸福感的因素（即步数和睡眠）的潜在改善。在1779名实习生中，团队竞争干预相对于无竞争臂显著增加了平均每日步数105.8步（SE 35.8，p = 0.03），而对平均每日睡眠时间没有显著影响（p = 0.76）。调节因子分析表明，竞争对每日步数和睡眠分钟的因果影响分别减少了14.5步（SE 10.2，p = 0.16）和1.9分钟（SE 0.6，p = 0.003）。机构内竞争负向调节竞争对每日步数的因果效应，减少了-90.3步（SE 86.5，p = 0.30）。我们的研究结果表明，通过移动的应用程序提供的游戏化团队竞争显着增加日常体力活动，这表明团队竞争可以作为一种移动的健康干预工具，以增加医疗实习生的短期体力活动水平。未来在形成竞争对手和引入偶尔的竞争休息策略方面的改进可能会提高整体效果。
Gamification, the application of gaming elements to increase enjoyment and engagement, has the potential to improve the effectiveness of digital health interventions, while the effectiveness of competition gamification components remains poorly understood on residency. To address this gap, we evaluate the effect of smartphone-based gamified team competition intervention on daily step count and sleep duration via a micro-randomized trial on medical interns. Our aim is to assess potential improvements in the factors (namely step count and sleep) that may help interns cope with stress and improve well-being. In 1779 interns, team competition intervention significantly increases the mean daily step count by 105.8 steps (SE 35.8, p = 0.03) relative to the no competition arm, while does not significantly affect the mean daily sleep minutes (p = 0.76). Moderator analyses indicate that the causal effects of competition on daily step count and sleep minutes decreased by 14.5 steps (SE 10.2, p = 0.16) and 1.9 minutes (SE 0.6, p = 0.003) for each additional week-in-study, respectively. Intra-institutional competition negatively moderates the causal effect of competition upon daily step count by −90.3 steps (SE 86.5, p = 0.30). Our results show that gamified team competition delivered via mobile app significantly increases daily physical activity which suggests that team competition can function as a mobile health intervention tool to increase short-term physical activity levels for medical interns. Future improvements in strategies of forming competition opponents and introducing occasional competition breaks may improve the overall effectiveness.
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DOI：
10.1016/j.jtcvs.2015.07.064
发表时间：
2015-11-01
影响因子：
6
作者：
Mokadam, Nahush A.;Lee, Richard;Fann, James I.
通讯作者：
Fann, James I.
影响因子：
7.4
作者：
NeCamp, Timothy;Sen, Srijan;Wu, Zhenke
通讯作者：
Wu, Zhenke
影响因子：
120.7
作者：
Piercy, Katrina L.;Troiano, Richard P.;Ballard, Rachel M.;Carlson, Susan A.;Fulton, Janet E.;Galuska, Deborah A.;George, Stephanie M.;Olson, Richard D.
通讯作者：
Olson, Richard D.
影响因子：
3.7
作者：
Boruvka A;Almirall D;Witkiewitz K;Murphy SA
通讯作者：
Murphy SA
影响因子：
--
作者：
Raj, Kristin S
通讯作者：
Raj, Kristin S