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An Integrated Model for Evaluating the Sustainability of Gamified Mobile Health Apps: An Instrument Development and Validation
Journal article   Open access   Peer reviewed

An Integrated Model for Evaluating the Sustainability of Gamified Mobile Health Apps: An Instrument Development and Validation

Abdulsalam Salihu Mustafa, Nor'ashikin Ali, Jaspaljeet Singh Dhillon and Darshana Sedera
Healthcare (Basel), Vol.11(7), 1051
06/04/2023
DOI: https://doi.org/10.3390/healthcare11071051
PMID: 37046978
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Published (Version of record)CC BY V4.0,  Open Access
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#3 Good Health and Well-Being

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Abstract

continuance intention gamification mHealth motivation physical activity
Mobile health (mHealth) apps are designed to support health behavior outcomes and improve well-being. The existing body of literature confirms mHealth's overall efficacy in promoting physical activity; however, more research on its utility in sustaining user engagement is needed. Understanding the determinants of an individual's willingness to continue using mHealth is vital to improving the intervention's success. This study developed a unified model and survey instrument adapted from extant literature while introducing new constructs to predict the sustained use of gamified mHealth. A pilot study was conducted to validate the survey instrument using 48 gamified fitness app users in Malaysia. The survey instrument was tested following rigorous guidelines for quantitative research in the information system context. According to the findings, the reliabilities of most measurement items met the criterion, and those items were retained. Overall, this paper contributes by integrating social comparison theory and the self-determination theory for sustaining user engagement with gamified mHealth through an extrinsic and intrinsic motivation perspective.

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