Pervasive health games have a potential to impact health-related behaviors. And, similar to other types of interventions, engagement and adherence in health games is the keystone for examining their short- and long-term effects. Many health-based applications have turned to gamification principles specifically to. enhance their engagement. However, according to many reports, only 41% of participants are retained in single player games and 29% in social games after 90 days. These statistics raise multiple questions about factors influencing adherence and engagement. This paper presents an in-depth mixed-methods investigation of game design factors affecting engagement with and adherence to a pervasive commercial health game, called SpaPlay. We analyzed interview and game behavior log data using theoretical constructs of sustained engagement to identify design elements affecting engagement and adherence. Our findings indicate that design elements associated with autonomy. and relatedness from the Self-Determination Theory and integrability, a measure of how well activities align with a person's life style, are important factors affecting engagement and adherence.
翻译:健康游戏具有影响健康相关行为的潜力。 类似其他类型的干预,健康游戏的参与和遵守是检查其短期和长期影响的基石。 许多健康应用都转向了具体的解释性原则。 但是,根据许多报告,只有41%的参与者保留在单一玩家游戏中,29%的参与者在90天后在社交游戏中。这些统计数据提出了影响遵守和参与的因素的多重问题。本文件对影响参与和坚持普遍商业健康游戏(称为SpaPlay)的游戏设计因素进行了深入的混合方法调查。我们利用持续参与的理论结构分析了访谈和游戏行为日志数据,以确定影响参与和遵守的设计要素。我们的调查结果表明,与自主相关的设计要素。 以及自定理论和不相容性的关联性是衡量活动与一个人的生活方式如何协调的尺度,是影响参与和坚持的重要因素。