The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication.
adherence monitoring
behavior change
medication adherence
participatory design
serious game design
Journal
Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748
Informations de publication
Date de publication:
2023
2023
Historique:
received:
14
07
2023
accepted:
14
10
2023
medline:
7
11
2023
pubmed:
7
11
2023
entrez:
7
11
2023
Statut:
epublish
Résumé
This study aimed to design a persuasive game, using objective adherence data, to motivate people with asthma to adhere to their medication regimen. 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). 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. Future efforts should be directed towards a larger evaluation to assess the impact on motivation and inhaler use behaviour.
Identifiants
pubmed: 37933305
doi: 10.2147/PPA.S423161
pii: 423161
pmc: PMC10625736
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2719-2736Informations de copyright
© 2023 Poot et al.
Déclaration de conflit d'intérêts
All authors declare no competing interests in this work.
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