ArticleJMIR formative research2023
Improving Adherence to Physical Therapy in the Development of Serious Games: Conceptual Framework Design Study.
Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hardware and software design trends and considerations in gamified stroke rehabilitation: Results from a systematic review.Medical & biological engineering & computing · 2026Pooled it
- A Therapist-Configurable Serious Game System for Upper-Limb Neurorehabilitation: A Pilot Feasibility Study.Sensors (Basel, Switzerland) · 2026Article
- Joy to the Rehabilitation World: A Call to Incorporate Enjoyment Into Clinical Practice.Journal of patient-centered research and reviews · 2026Article
- MovementVR: An open-source tool for the study of motor control and learning in virtual reality.ArXiv · 2025Article
- The experience of immersive virtual reality in patients with heart failure during cardiac rehabilitation: a qualitative study.Frontiers in medicine · 2025Article
- Behavior change wheel as a tool to promote physical activity in online intervention: a case study.Frontiers in psychology · 2025Article
- STASISM: A Versatile Serious Gaming Multi-Sensor Platform for Personalized Telerehabilitation and Telemonitoring.Sensors (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsufficient levels of treatment adherence can have adverse effects on the outcomes of physical rehabilitation. To address this issue, alternative approaches to traditional therapies, such as serious games, have been designed to enhance adherence. Nevertheless, there remain gaps in the development of serious games concerning the effective implementation of motivation, engagement, and the enhancement of treatment adherence.
objectiveThis study aims to design a conceptual framework for the development of serious games that incorporate essential adherence factors to enhance patient compliance with physical rehabilitation programs.
methodsWe formulated a conceptual framework using iterative techniques inspired by a conceptual framework analysis. Initially, we conducted a comprehensive literature review, concentrating on the critical adherence factors in physical rehabilitation. Subsequently, we identified, categorized, integrated, and synthesized the concepts derived from the literature review to construct the conceptual framework.
resultsThe framework resembles a road map, comprising 3 distinct phases. In the initial phase, the patient's characteristics are identified through an initial exploration. The second phase involves the development of a serious game, with a focus on enhancing treatment adherence by integrating the key adherence factors identified. The third phase revolves around the evaluation of the serious game. These phases are underpinned by 2 overarching themes, namely, a user-centered design and the GameFlow model.
conclusionsThe conceptual framework offers a detailed, step-by-step guide for creating serious games that incorporate essential adherence factors, thereby contributing to improved adherence in the physical rehabilitation process. To establish its validity, further evaluations of this framework across various physical rehabilitation programs and user groups are necessary.
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