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Research Article

Gamification in personal health record systems: a regulatory fit perspective

, &
Received 13 Feb 2024, Accepted 15 Jun 2024, Published online: 23 Jun 2024
 

Abstract

Objective

It has been known that individuals’ regulatory focus differences (prevention orientation or promotion orientation) influence health-related behaviors. However, in the gamification literature, when classical and gamified applications are discussed, the gain frame is predominantly included, whereas the loss frame is not sufficiently considered. In this study, individuals’ evaluations of gamified and non-gamified personal health record systems with different frames were examined.

Methods

A 2 (type of personal health record system application: gamified vs. non-gamified) X 2 (frame: gain vs. loss) between-subject design was implemented, and users’ regulatory foci were tested in this study. We predicted that systems that are gamified and aligned with users’ regulatory foci will be evaluated more favorably than systems that are not aligned with users’ regulatory foci.

Results

Contrary to what the gamification literature suggests, we found that individuals do not always prefer gamified systems over non-gamified ones. Participants’ regulatory focus might play a crucial role in their attitudes toward gamified platforms.

Conclusion

The findings might contribute to the design of personal health record systems by bearing the individual motivational differences of users in mind.

Disclosure statement

The authors report that there are no competing interests to declare.

Ethical approval

Ethical approval was obtained from Istanbul 29 Mayis University Scientific Research and Publication Committee (N: E-63775199-050.01.04-0000086929).

Data availability statement

The data and materials are available in the Open Science Framework: https://osf.io/cp7jh/?view_only= .

Table 1. Means, standard deviation, and Pearson correlation matrix for PEOU, PU, intention to adopt, promotion focus, and prevention focus.

Additional information

Funding

This research did not receive any specific grants from funding agencies.

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