ArticleNPJ digital medicine2023
Effectiveness of gamified team competition as mHealth intervention for medical interns: a cluster micro-randomized trial.
Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Just-in-Time Adaptive Interventions for physical activity: a systematic review of their public health impact and methodological quality.Frontiers in public health · 2026Pooled it
- Pooled it
- Harnessing technology and gamification to increase adult physical activity: a cluster randomized controlled trial of the Columbia Moves pilot.The international journal of behavioral nutrition and physical activity · 2023Trial
- Understanding the impact of perceived app usability on the efficacy of mobile health intervention for traumatic brain injury caregivers.Rehabilitation psychology · 2026Article
- Effective monitoring of online AI decision-making algorithms in just-in-time adaptive interventions.NPJ digital medicine · 2026Article
- Mitigating occupational hazards: the impact of physical activity on surgeons' physical and mental health - a scoping review.BMC surgery · 2026Article
- Personalized interventions for behaviour change: A scoping review of just-in-time adaptive interventions.British journal of health psychology · 2025Article
- Understanding and overcoming barriers to digital health adoption: a patient and public involvement study.Translational behavioral medicine · 2025Article
- Do leaders walk the extra mile? The contribution of personal and work-related factors on daily step count increase in a university team step challenge.Frontiers in public health · 2025Article
- Sleep, Well-Being, and Cognition in Medical Interns on a Float or Overnight Call Schedule.JAMA network open · 2024Observational
- Personalized digital behaviour interventions increase short-term physical activity: a randomized control crossover trial substudy of the MyHeart Counts Cardiovascular Health Study.European heart journal. Digital health · 2023Article
- The Dosing of Mobile-Based Just-in-Time Adaptive Self-Management Prompts for Caregivers: Preliminary Findings From a Pilot Microrandomized Study.JMIR formative research · 2023Article
- Participant Engagement in Microrandomized Trials of mHealth Interventions: Scoping Review.JMIR mHealth and uHealth · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
Gamification, the application of gaming elements to increase enjoyment and engagement, has the potential to improve the effectiveness of digital health interventions, while the effectiveness of competition gamification components remains poorly understood on residency. To address this gap, we evaluate the effect of smartphone-based gamified team competition intervention on daily step count and sleep duration via a micro-randomized trial on medical interns. Our aim is to assess potential improvements in the factors (namely step count and sleep) that may help interns cope with stress and improve well-being. In 1779 interns, team competition intervention significantly increases the mean daily step count by 105.8 steps (SE 35.8, p = 0.03) relative to the no competition arm, while does not significantly affect the mean daily sleep minutes (p = 0.76). Moderator analyses indicate that the causal effects of competition on daily step count and sleep minutes decreased by 14.5 steps (SE 10.2, p = 0.16) and 1.9 minutes (SE 0.6, p = 0.003) for each additional week-in-study, respectively. Intra-institutional competition negatively moderates the causal effect of competition upon daily step count by -90.3 steps (SE 86.5, p = 0.30). Our results show that gamified team competition delivered via mobile app significantly increases daily physical activity which suggests that team competition can function as a mobile health intervention tool to increase short-term physical activity levels for medical interns. Future improvements in strategies of forming competition opponents and introducing occasional competition breaks may improve the overall effectiveness.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.