{"id":"https://openalex.org/W4415666615","doi":"https://doi.org/10.1007/s41666-025-00216-6","title":"Persuasive Design in a Digital Mindfulness Intervention: A Randomized Trial of a Skill-Based Achievement System and Automated Peer Encouragement","display_name":"Persuasive Design in a Digital Mindfulness Intervention: A Randomized Trial of a Skill-Based Achievement System and Automated Peer Encouragement","publication_year":2025,"publication_date":"2025-10-29","ids":{"openalex":"https://openalex.org/W4415666615","doi":"https://doi.org/10.1007/s41666-025-00216-6","pmid":"https://pubmed.ncbi.nlm.nih.gov/41658400"},"language":"en","primary_location":{"id":"doi:10.1007/s41666-025-00216-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s41666-025-00216-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s41666-025-00216-6.pdf","source":{"id":"https://openalex.org/S4210196546","display_name":"Journal of Healthcare Informatics Research","issn_l":"2509-4971","issn":["2509-4971","2509-498X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Healthcare Informatics Research","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s41666-025-00216-6.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050710969","display_name":"Abdul Rahman Idrees","orcid":"https://orcid.org/0000-0002-9861-1947"},"institutions":[{"id":"https://openalex.org/I196349391","display_name":"Universit\u00e4t Ulm","ror":"https://ror.org/032000t02","country_code":"DE","type":"education","lineage":["https://openalex.org/I196349391"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Abdul Rahman Idrees","raw_affiliation_strings":["Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany","Institute of Databases and Information Systems, Ulm University, Ulm, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany","institution_ids":["https://openalex.org/I196349391"]},{"raw_affiliation_string":"Institute of Databases and Information Systems, Ulm University, Ulm, Germany","institution_ids":["https://openalex.org/I196349391"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072669096","display_name":"Robin Kraft","orcid":"https://orcid.org/0000-0003-0657-3232"},"institutions":[{"id":"https://openalex.org/I25974101","display_name":"University of W\u00fcrzburg","ror":"https://ror.org/00fbnyb24","country_code":"DE","type":"education","lineage":["https://openalex.org/I25974101"]},{"id":"https://openalex.org/I4210126310","display_name":"Universit\u00e4tsklinikum W\u00fcrzburg","ror":"https://ror.org/03pvr2g57","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210126310"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Robin Kraft","raw_affiliation_strings":["Institute of Clinical Epidemiology and Biometry, University of W\u00fcrzburg, W\u00fcrzburg, Germany","Institute of Medical Data Science, University Hospital W\u00fcrzburg, W\u00fcrzburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Clinical Epidemiology and Biometry, University of W\u00fcrzburg, W\u00fcrzburg, Germany","institution_ids":["https://openalex.org/I25974101"]},{"raw_affiliation_string":"Institute of Medical Data Science, University Hospital W\u00fcrzburg, W\u00fcrzburg, Germany","institution_ids":["https://openalex.org/I4210126310"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022936346","display_name":"Ann\u2010Marie K\u00fcchler","orcid":"https://orcid.org/0000-0003-3305-4892"},"institutions":[{"id":"https://openalex.org/I196349391","display_name":"Universit\u00e4t Ulm","ror":"https://ror.org/032000t02","country_code":"DE","type":"education","lineage":["https://openalex.org/I196349391"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Ann-Marie K\u00fcchler","raw_affiliation_strings":["Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany","institution_ids":["https://openalex.org/I196349391"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092353724","display_name":"Leandra Bantleon","orcid":null},"institutions":[{"id":"https://openalex.org/I196349391","display_name":"Universit\u00e4t Ulm","ror":"https://ror.org/032000t02","country_code":"DE","type":"education","lineage":["https://openalex.org/I196349391"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Leandra Bantleon","raw_affiliation_strings":["Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany","institution_ids":["https://openalex.org/I196349391"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030568071","display_name":"Harald Baumeister","orcid":"https://orcid.org/0000-0002-2040-661X"},"institutions":[{"id":"https://openalex.org/I196349391","display_name":"Universit\u00e4t Ulm","ror":"https://ror.org/032000t02","country_code":"DE","type":"education","lineage":["https://openalex.org/I196349391"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Harald Baumeister","raw_affiliation_strings":["Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany","institution_ids":["https://openalex.org/I196349391"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075861532","display_name":"Manfred Reichert","orcid":"https://orcid.org/0000-0003-2536-4153"},"institutions":[{"id":"https://openalex.org/I196349391","display_name":"Universit\u00e4t Ulm","ror":"https://ror.org/032000t02","country_code":"DE","type":"education","lineage":["https://openalex.org/I196349391"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Manfred Reichert","raw_affiliation_strings":["Institute of Databases and Information Systems, Ulm University, Ulm, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Databases and Information Systems, Ulm University, Ulm, Germany","institution_ids":["https://openalex.org/I196349391"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082651860","display_name":"Fanny K\u00e4hlke","orcid":"https://orcid.org/0000-0002-8189-301X"},"institutions":[{"id":"https://openalex.org/I83041830","display_name":"Deggendorf Institute of Technology","ror":"https://ror.org/02kw5st29","country_code":"DE","type":"education","lineage":["https://openalex.org/I83041830"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Fanny K\u00e4hlke","raw_affiliation_strings":["Faculty of Applied Health Sciences, Deggendorf Institute of Technology, Deggendorf, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Applied Health Sciences, Deggendorf Institute of Technology, Deggendorf, Germany","institution_ids":["https://openalex.org/I83041830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091292039","display_name":"David Daniel Ebert","orcid":"https://orcid.org/0000-0001-6820-0146"},"institutions":[{"id":"https://openalex.org/I62916508","display_name":"Technical University of Munich","ror":"https://ror.org/02kkvpp62","country_code":"DE","type":"education","lineage":["https://openalex.org/I62916508"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"David Daniel Ebert","raw_affiliation_strings":["Professorship of Psychology and Digital Mental Health Care, Department of Sports and Health Sciences, Technical University of Munich (TUM), Munich, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professorship of Psychology and Digital Mental Health Care, Department of Sports and Health Sciences, Technical University of Munich (TUM), Munich, Germany","institution_ids":["https://openalex.org/I62916508"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015213318","display_name":"R\u00fcdiger Pryss","orcid":"https://orcid.org/0000-0003-1522-785X"},"institutions":[{"id":"https://openalex.org/I25974101","display_name":"University of W\u00fcrzburg","ror":"https://ror.org/00fbnyb24","country_code":"DE","type":"education","lineage":["https://openalex.org/I25974101"]},{"id":"https://openalex.org/I4210126310","display_name":"Universit\u00e4tsklinikum W\u00fcrzburg","ror":"https://ror.org/03pvr2g57","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210126310"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"R\u00fcdiger Pryss","raw_affiliation_strings":["Institute of Clinical Epidemiology and Biometry, University of W\u00fcrzburg, W\u00fcrzburg, Germany","Institute of Medical Data Science, University Hospital W\u00fcrzburg, W\u00fcrzburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Clinical Epidemiology and Biometry, University of W\u00fcrzburg, W\u00fcrzburg, Germany","institution_ids":["https://openalex.org/I25974101"]},{"raw_affiliation_string":"Institute of Medical Data Science, University Hospital W\u00fcrzburg, W\u00fcrzburg, Germany","institution_ids":["https://openalex.org/I4210126310"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5050710969"],"corresponding_institution_ids":["https://openalex.org/I196349391"],"apc_list":{"value":2490,"currency":"EUR","value_usd":3090},"apc_paid":{"value":2490,"currency":"EUR","value_usd":3090},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.30430607,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"1","first_page":"154","last_page":"176"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.47049999237060547,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.47049999237060547,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.25940001010894775,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10731","display_name":"Educational Games and Gamification","score":0.07909999787807465,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/randomized-controlled-trial","display_name":"Randomized controlled trial","score":0.6128000020980835},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.5863000154495239},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.5753999948501587},{"id":"https://openalex.org/keywords/persuasive-technology","display_name":"Persuasive technology","score":0.5314000248908997},{"id":"https://openalex.org/keywords/social-support","display_name":"Social support","score":0.44179999828338623},{"id":"https://openalex.org/keywords/mindfulness","display_name":"Mindfulness","score":0.42969998717308044},{"id":"https://openalex.org/keywords/ehealth","display_name":"eHealth","score":0.39629998803138733},{"id":"https://openalex.org/keywords/peer-group","display_name":"Peer group","score":0.38119998574256897},{"id":"https://openalex.org/keywords/control","display_name":"Control (management)","score":0.3806000053882599}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6571999788284302},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6128000020980835},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5863000154495239},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.5753999948501587},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.5577999949455261},{"id":"https://openalex.org/C100143864","wikidata":"https://www.wikidata.org/wiki/Q2902255","display_name":"Persuasive technology","level":3,"score":0.5314000248908997},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.44179999828338623},{"id":"https://openalex.org/C2780444219","wikidata":"https://www.wikidata.org/wiki/Q341045","display_name":"Mindfulness","level":2,"score":0.42969998717308044},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.39629998803138733},{"id":"https://openalex.org/C128593788","wikidata":"https://www.wikidata.org/wiki/Q1194193","display_name":"Peer group","level":2,"score":0.38119998574256897},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.3806000053882599},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.3765999972820282},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3544999957084656},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.34060001373291016},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3359000086784363},{"id":"https://openalex.org/C2781094116","wikidata":"https://www.wikidata.org/wiki/Q1569083","display_name":"Peer support","level":2,"score":0.3292999863624573},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.32359999418258667},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.3140999972820282},{"id":"https://openalex.org/C2780553607","wikidata":"https://www.wikidata.org/wiki/Q684868","display_name":"Attrition","level":2,"score":0.3098999857902527},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C178233286","wikidata":"https://www.wikidata.org/wiki/Q645999","display_name":"Social comparison theory","level":2,"score":0.3052999973297119},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.28700000047683716},{"id":"https://openalex.org/C93225998","wikidata":"https://www.wikidata.org/wiki/Q1941972","display_name":"Moderation","level":2,"score":0.28619998693466187},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2824999988079071},{"id":"https://openalex.org/C2780346085","wikidata":"https://www.wikidata.org/wiki/Q7884986","display_name":"Unified theory of acceptance and use of technology","level":3,"score":0.27959999442100525},{"id":"https://openalex.org/C100480397","wikidata":"https://www.wikidata.org/wiki/Q7836899","display_name":"Treatment and control groups","level":2,"score":0.2752000093460083},{"id":"https://openalex.org/C191630685","wikidata":"https://www.wikidata.org/wiki/Q4027615","display_name":"Informatics","level":2,"score":0.2556000053882599}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1007/s41666-025-00216-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s41666-025-00216-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s41666-025-00216-6.pdf","source":{"id":"https://openalex.org/S4210196546","display_name":"Journal of Healthcare Informatics Research","issn_l":"2509-4971","issn":["2509-4971","2509-498X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Healthcare Informatics Research","raw_type":"journal-article"},{"id":"pmid:41658400","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41658400","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of healthcare informatics research","raw_type":null},{"id":"pmh:oai:europepmc.org:11680636","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12872988","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:opus.bibliothek.uni-wuerzburg.de:43848","is_oa":true,"landing_page_url":"https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/43848","pdf_url":null,"source":{"id":"https://openalex.org/S4306401635","display_name":"Online Publication Service of W\u00fcrzburg University (W\u00fcrzburg University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I25974101","host_organization_name":"University of W\u00fcrzburg","host_organization_lineage":["https://openalex.org/I25974101"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"doc-type:article"}],"best_oa_location":{"id":"doi:10.1007/s41666-025-00216-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s41666-025-00216-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s41666-025-00216-6.pdf","source":{"id":"https://openalex.org/S4210196546","display_name":"Journal of Healthcare Informatics Research","issn_l":"2509-4971","issn":["2509-4971","2509-498X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Healthcare Informatics Research","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320325530","display_name":"Universit\u00e4t Ulm","ror":"https://ror.org/032000t02"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4415666615.pdf"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W1827465321","https://openalex.org/W1970246626","https://openalex.org/W1987523869","https://openalex.org/W2087484885","https://openalex.org/W2092459752","https://openalex.org/W2095674834","https://openalex.org/W2109247912","https://openalex.org/W2144962897","https://openalex.org/W2156759043","https://openalex.org/W2273501727","https://openalex.org/W2315849398","https://openalex.org/W2561174611","https://openalex.org/W3123811346","https://openalex.org/W3129718070","https://openalex.org/W3134071992","https://openalex.org/W3186072839","https://openalex.org/W3204309063","https://openalex.org/W4205242847","https://openalex.org/W4210439026","https://openalex.org/W4223508120","https://openalex.org/W4282915191","https://openalex.org/W4292075203","https://openalex.org/W4309156352","https://openalex.org/W4320493679","https://openalex.org/W4388751349","https://openalex.org/W4391131595","https://openalex.org/W4394627656","https://openalex.org/W4404208983"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Adherence":[1],"to":[2,67,108,111,193,214,251],"digital":[3,273],"health":[4],"interventions":[5],"remains":[6],"a":[7,41,50,68,120],"persistent":[8],"challenge,":[9],"limiting":[10],"their":[11],"effectiveness":[12],"and":[13,49,65,93,161,238,262],"motivating":[14],"the":[15,79,86,96,181,185,194,197,202,228,256,264],"need":[16,265],"for":[17,266],"scalable":[18],"strategies":[19,229,261],"that":[20,227],"promote":[21],"sustained":[22],"engagement.":[23],"This":[24],"randomized":[25],"controlled":[26],"trial":[27],"investigated":[28],"whether":[29],"user":[30],"adherence":[31,191],"could":[32],"be":[33],"enhanced":[34],"by":[35,254],"two":[36],"specific":[37],"persuasive":[38,83,260],"design":[39],"strategies:":[40],"gamification":[42,87,144,182],"approach":[43,53],"focused":[44],"on":[45,55],"visualizing":[46],"skill":[47],"progression,":[48],"social":[51,72,97,162,203],"support":[52,73,98,163,188,199,204],"based":[54],"automated":[56,186],"interaction":[57],"between":[58],"supportive":[59],"partners.":[60],"University":[61],"students":[62],"were":[63,101,106,221],"recruited":[64],"assigned":[66],"control,":[69],"gamification,":[70],"or":[71],"group.":[74],"The":[75,234],"control":[76,127],"group":[77,88,205],"received":[78],"standard":[80],"intervention":[81],"without":[82],"strategies,":[84],"whereas":[85],"utilized":[89],"skill-based":[90],"progression":[91],"systems":[92],"infographics.":[94],"In":[95],"group,":[99],"participants":[100],"paired":[102],"into":[103],"teams.":[104],"Participants":[105],"encouraged":[107],"motivate":[109],"teammates":[110],"complete":[112],"daily":[113],"diary":[114,208],"entries,":[115,209],"with":[116],"mutual":[117],"completion":[118],"triggering":[119],"congratulatory":[121],"email.":[122],"Average":[123],"module":[124,216],"completions":[125],"were:":[126],"(":[128,145,164],"$$\\varvec{M":[129,146,165],"=":[130,142,147,159,166,178],"2.52}$$":[131],"<mml:math":[132,149,168],"xmlns:mml=\"http://www.w3.org/1998/Math/MathML\">":[133,150,169],"<mml:mrow>":[134,151,170],"<mml:mi>M</mml:mi>":[135,152,171],"<mml:mo>=</mml:mo>":[136,153,172],"<mml:mn>2.52</mml:mn>":[137],"</mml:mrow>":[138,155,174],"</mml:math>":[139,156,175],",":[140,157,176],"SD":[141,158,177],"1.92),":[143],"2.69}$$":[148],"<mml:mn>2.69</mml:mn>":[154],"1.89),":[160],"2.76}$$":[167],"<mml:mn>2.76</mml:mn>":[173],"2.03).":[179],"Neither":[180],"components":[183],"nor":[184],"peer":[187,198],"system":[189],"improved":[190,215],"compared":[192],"control.":[195],"Although":[196],"strategy":[200],"in":[201,223,272],"recorded":[206],"more":[207,267],"this":[210],"did":[211,230],"not":[212,231],"translate":[213],"adherence.":[217],"User":[218],"experience":[219],"ratings":[220],"comparable":[222],"all":[224],"groups,":[225],"indicating":[226],"affect":[232],"usability.":[233],"smaller-than-planned":[235],"sample":[236],"size":[237],"higher":[239],"attrition":[240],"rates":[241],"warrant":[242],"cautious":[243],"interpretation":[244],"of":[245,258],"these":[246],"findings.":[247],"These":[248],"results":[249],"contribute":[250],"healthcare":[252],"informatics":[253],"demonstrating":[255],"limitations":[257],"generic":[259],"highlighting":[263],"adaptive,":[268],"context-aware":[269],"engagement":[270],"mechanisms":[271],"interventions.":[274]},"counts_by_year":[],"updated_date":"2026-06-13T06:13:01.061226","created_date":"2025-10-29T00:00:00"}
