{"id":"https://openalex.org/W4315646991","doi":"https://doi.org/10.1038/s41746-022-00746-y","title":"Effectiveness of gamified team competition as mHealth intervention for medical interns: a cluster micro-randomized trial","display_name":"Effectiveness of gamified team competition as mHealth intervention for medical interns: a cluster micro-randomized trial","publication_year":2023,"publication_date":"2023-01-11","ids":{"openalex":"https://openalex.org/W4315646991","doi":"https://doi.org/10.1038/s41746-022-00746-y","pmid":"https://pubmed.ncbi.nlm.nih.gov/36631665"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-022-00746-y","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-022-00746-y","pdf_url":"https://www.nature.com/articles/s41746-022-00746-y.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","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":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-022-00746-y.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101409698","display_name":"Jitao Wang","orcid":"https://orcid.org/0000-0003-4011-3352"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jitao Wang","raw_affiliation_strings":["Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0003-4011-3352","affiliations":[{"raw_affiliation_string":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100694015","display_name":"Yu Fang","orcid":"https://orcid.org/0000-0002-2810-806X"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yu Fang","raw_affiliation_strings":["Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0002-2810-806X","affiliations":[{"raw_affiliation_string":"Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064741435","display_name":"Elena Frank","orcid":"https://orcid.org/0000-0001-7862-9042"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elena Frank","raw_affiliation_strings":["Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074671136","display_name":"Maureen A. Walton","orcid":"https://orcid.org/0000-0001-6547-0204"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maureen A. Walton","raw_affiliation_strings":["Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA","Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA","Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009990416","display_name":"Margit Burmeister","orcid":"https://orcid.org/0000-0002-1914-2434"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Margit Burmeister","raw_affiliation_strings":["Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA","Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0002-1914-2434","affiliations":[{"raw_affiliation_string":"Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051918150","display_name":"Ambuj Tewari","orcid":"https://orcid.org/0000-0001-6969-7844"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ambuj Tewari","raw_affiliation_strings":["Department of Statistics, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0001-6969-7844","affiliations":[{"raw_affiliation_string":"Department of Statistics, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034878784","display_name":"Walter Dempsey","orcid":"https://orcid.org/0000-0002-6510-4121"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Walter Dempsey","raw_affiliation_strings":["Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA","Institute of Social Research, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Institute of Social Research, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048161983","display_name":"Timothy NeCamp","orcid":"https://orcid.org/0000-0002-0192-6230"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timothy NeCamp","raw_affiliation_strings":["Data Bloom Consulting LLC, Cincinnati, OH, USA"],"raw_orcid":"https://orcid.org/0000-0002-0192-6230","affiliations":[{"raw_affiliation_string":"Data Bloom Consulting LLC, Cincinnati, OH, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054410295","display_name":"Srijan Sen","orcid":"https://orcid.org/0000-0003-4495-495X"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Srijan Sen","raw_affiliation_strings":["Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA","Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0003-4495-495X","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Michigan Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034218648","display_name":"Zhenke Wu","orcid":"https://orcid.org/0000-0001-7582-669X"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zhenke Wu","raw_affiliation_strings":["Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA. zhenkewu@umich.edu","Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0001-7582-669X","affiliations":[{"raw_affiliation_string":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA. zhenkewu@umich.edu","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":10,"corresponding_author_ids":["https://openalex.org/A5101409698"],"corresponding_institution_ids":["https://openalex.org/I27837315"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":9.3296,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.98151717,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"6","issue":"1","first_page":"4","last_page":"4"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9998000264167786,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9998000264167786,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9925000071525574,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/competition","display_name":"Competition (biology)","score":0.7563375234603882},{"id":"https://openalex.org/keywords/moderation","display_name":"Moderation","score":0.6671406626701355},{"id":"https://openalex.org/keywords/mhealth","display_name":"mHealth","score":0.6084281802177429},{"id":"https://openalex.org/keywords/intervention","display_name":"Intervention (counseling)","score":0.5381361842155457},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.48861366510391235},{"id":"https://openalex.org/keywords/affect","display_name":"Affect (linguistics)","score":0.4437847435474396},{"id":"https://openalex.org/keywords/randomized-controlled-trial","display_name":"Randomized controlled trial","score":0.4380171597003937},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.43633753061294556},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"Physical therapy","score":0.3578810691833496},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3554101586341858},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.1819794476032257},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.13300058245658875}],"concepts":[{"id":"https://openalex.org/C91306197","wikidata":"https://www.wikidata.org/wiki/Q45767","display_name":"Competition (biology)","level":2,"score":0.7563375234603882},{"id":"https://openalex.org/C93225998","wikidata":"https://www.wikidata.org/wiki/Q1941972","display_name":"Moderation","level":2,"score":0.6671406626701355},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.6084281802177429},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5381361842155457},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.48861366510391235},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.4437847435474396},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4380171597003937},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.43633753061294556},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3578810691833496},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3554101586341858},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.1819794476032257},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13300058245658875},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-022-00746-y","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-022-00746-y","pdf_url":"https://www.nature.com/articles/s41746-022-00746-y.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","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":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:36631665","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36631665","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":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:9834206","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9834206","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9834206/pdf/41746_2022_Article_746.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:7e30a4889a174a9cbfb16327bbe3be62","is_oa":true,"landing_page_url":"https://doaj.org/article/7e30a4889a174a9cbfb16327bbe3be62","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 6, Iss 1, Pp 1-8 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-022-00746-y","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-022-00746-y","pdf_url":"https://www.nature.com/articles/s41746-022-00746-y.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","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":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G5518864394","display_name":null,"funder_award_id":"MH101459","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G590507650","display_name":null,"funder_award_id":"R01 MH101459","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320309652","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4315646991.pdf"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W1512464073","https://openalex.org/W1537066827","https://openalex.org/W1581103196","https://openalex.org/W1998933811","https://openalex.org/W2063172343","https://openalex.org/W2094712656","https://openalex.org/W2115098571","https://openalex.org/W2153474070","https://openalex.org/W2160960836","https://openalex.org/W2169434152","https://openalex.org/W2226634768","https://openalex.org/W2474213459","https://openalex.org/W2523153599","https://openalex.org/W2529735182","https://openalex.org/W2529810203","https://openalex.org/W2535376176","https://openalex.org/W2594501308","https://openalex.org/W2616609740","https://openalex.org/W2780069844","https://openalex.org/W2789449717","https://openalex.org/W2793321675","https://openalex.org/W2818757316","https://openalex.org/W2890071448","https://openalex.org/W2900726805","https://openalex.org/W2948733736","https://openalex.org/W2973026242","https://openalex.org/W2979402731","https://openalex.org/W2999990895","https://openalex.org/W3013613965","https://openalex.org/W3045194137","https://openalex.org/W3119690344","https://openalex.org/W3179091680","https://openalex.org/W3198295011","https://openalex.org/W4210439026","https://openalex.org/W4226331040","https://openalex.org/W4245299678","https://openalex.org/W4298870098"],"related_works":["https://openalex.org/W3093710306","https://openalex.org/W750217911","https://openalex.org/W2740268725","https://openalex.org/W4206949499","https://openalex.org/W4360895365","https://openalex.org/W2296969234","https://openalex.org/W4226254121","https://openalex.org/W4313163826","https://openalex.org/W4388229525","https://openalex.org/W131533274"],"abstract_inverted_index":{"Gamification,":[0],"the":[1,12,16,23,40,70,95,110,119,131,169,239],"application":[2],"of":[3,18,25,42,134,172,228],"gaming":[4],"elements":[5],"to":[6,14,65,109,215],"increase":[7,216],"enjoyment":[8],"and":[9,52,75,84,140,152,232],"engagement,":[10],"has":[11],"potential":[13,67],"improve":[15,85,238],"effectiveness":[17,24],"digital":[19],"health":[20,212],"interventions,":[21],"while":[22,114],"competition":[26,46,91,112,135,166,173,192,206,230,235],"gamification":[27],"components":[28],"remains":[29],"poorly":[30],"understood":[31],"on":[32,48,59,136],"residency.":[33],"To":[34],"address":[35],"this":[36],"gap,":[37],"we":[38],"evaluate":[39],"effect":[41,171],"smartphone-based":[43],"gamified":[44,190],"team":[45,90,191,205],"intervention":[47,92,213],"daily":[49,97,121,137,175,199],"step":[50,73,98,138,176],"count":[51,74,99,139,177],"sleep":[53,122,141],"duration":[54],"via":[55,194],"a":[56,210],"micro-randomized":[57],"trial":[58],"medical":[60,222],"interns.":[61,223],"Our":[62,186],"aim":[63],"is":[64],"assess":[66],"improvements":[68,225],"in":[69,226],"factors":[71],"(namely":[72],"sleep)":[76],"that":[77,130,189,204],"may":[78,237],"help":[79],"interns":[80],"cope":[81],"with":[82],"stress":[83],"well-being.":[86],"In":[87],"1779":[88],"interns,":[89],"significantly":[93,117,197],"increases":[94,198],"mean":[96,120],"by":[100,144,178],"105.8":[101],"steps":[102,146,180],"(SE":[103,147,155,181],"35.8,":[104],"p":[105,149,157,183],"=":[106,125,150,158,184],"0.03)":[107],"relative":[108],"no":[111],"arm,":[113],"does":[115],"not":[116],"affect":[118],"minutes":[123,142,154],"(p":[124],"0.76).":[126],"Moderator":[127],"analyses":[128],"indicate":[129],"causal":[132,170],"effects":[133],"decreased":[143],"14.5":[145],"10.2,":[148],"0.16)":[151],"1.9":[153],"0.6,":[156],"0.003)":[159],"for":[160,221],"each":[161],"additional":[162],"week-in-study,":[163],"respectively.":[164],"Intra-institutional":[165],"negatively":[167],"moderates":[168],"upon":[174],"-90.3":[179],"86.5,":[182],"0.30).":[185],"results":[187],"show":[188],"delivered":[193],"mobile":[195,211],"app":[196],"physical":[200,218],"activity":[201,219],"which":[202],"suggests":[203],"can":[207],"function":[208],"as":[209],"tool":[214],"short-term":[217],"levels":[220],"Future":[224],"strategies":[227],"forming":[229],"opponents":[231],"introducing":[233],"occasional":[234],"breaks":[236],"overall":[240],"effectiveness.":[241]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":8}],"updated_date":"2026-03-27T05:58:40.876381","created_date":"2025-10-10T00:00:00"}
