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J 2018, 1(1), 71-80; https://doi.org/10.3390/j1010008

Gamification Concepts to Promote and Maintain Therapy Adherence in Children with Growth Hormone Deficiency

1
Department of Pediatrics, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA
2
Pediatric Endocrinology Unit, Soroka Medical Center & Faculty of Health Sciences, Ben-Gurion University, Beer Sheva 85025, Israel
3
Kind-Visie, 3571 VA Utrecht, The Netherlands
4
StoryConnect, 6708 PW Wageningen, The Netherlands
5
Ferring Pharmaceuticals, 1162 Saint Prex, Switzerland
6
Moray College, University of the Highlands and Islands, Elgin IV30 1JJ, UK
Short Title: Gamification Concepts in Children with Growth Hormone Deficiency.
*
Author to whom correspondence should be addressed.
Received: 25 July 2018 / Revised: 23 August 2018 / Accepted: 25 August 2018 / Published: 31 August 2018
(This article belongs to the Special Issue Feature Papers for J-Multidisciplinary Scientific Journal)
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Abstract

Growth hormone (GH) deficiency affects up to one in 4000 children and is usually treated with daily injections of GH whilst the child is still growing. With children typically diagnosed at around five years old, this can mean over 10 years of therapy, which can place a considerable burden on the child and the parent. Over three-quarters of children are estimated to be not fully compliant with therapy, which can compromise their chances of attaining their target height. In recent years, interactive mobile health (smart phone or tablet) interventions using game-like concepts, so called ‘gamification’, have increased in popularity and have demonstrated success in promoting positive self-management behaviour in children with chronic conditions, such as diabetes. The application of gamified interventions has the potential to support adherence to therapy and positive behaviour in children with GH deficiency in a number of ways: (1) By providing education in a format that the child understands and accepts (e.g., using behavioural constructs to facilitate explaining why adherence is important); (2) By providing a mechanism to reduce the anxiety and stress associated with administering the injection (e.g., diversion with a virtual pet); and (3) By providing feedback to encourage ongoing engagement (e.g., rewards, progression through levels). View Full-Text
Keywords: app; somatotropin; serious games; gamification; digital; mobile health app; somatotropin; serious games; gamification; digital; mobile health
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Radovick, S.; Hershkovitz, E.; Kalisvaart, A.; Koning, M.; Paridaens, K.; Kamel Boulos, M.N. Gamification Concepts to Promote and Maintain Therapy Adherence in Children with Growth Hormone Deficiency. J 2018, 1, 71-80.

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