Evidence map›Paper›PMID 39251786›Full record

ArticleScientific reports2024

The regulatory status of health apps that employ gamification.

Oscar Freyer, Kamil J Wrona, Quentin de Snoeck, Moritz Hofmann, Tom Melvin, Ashley Stratton-Powell, Paul Wicks, Acacia C Parks, Stephen Gilbert

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Oscar FreyerElse Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Dresden, Germany.
Kamil J WronaBielefeld University of Applied Sciences and Arts, Bielefeld, Germany.
Quentin de SnoeckTherapixel, Nice, France.
Moritz HofmannWhalesDontFly H&F GmbH, Berlin, Germany.
Tom MelvinSchool of Medicine, Trinity College, University of Dublin, Dublin, Ireland.
Ashley Stratton-PowellSchool of Medicine, Trinity College, University of Dublin, Dublin, Ireland.
Paul WicksWicks Digital Health, Advantage House, Stowe Court, Lichfield, UK.
Acacia C ParksLiquid Amber, Cortland, OH, USA.
Stephen GilbertElse Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Dresden, Germany. stephen.gilbert@tu-dresden.de.

Funding

Bundesministerium für Bildung und Forschung 16KISA100K
6 · The paper itself

Abstract

Smartphone applications are one of the main delivery modalities in digital health. Many of these mHealth apps use gamification to engage users, improve user experience, and achieve better health outcomes. Yet, it remains unclear whether gamified approaches help to deliver effective, safe, and clinically beneficial products to users. This study examines the compliance of 69 gamified mHealth apps with the EU Medical Device Regulation and assesses the specific risks arising from the gamified nature of these apps. Of the identified apps, 32 (46.4%) were considered non-medical devices; seven (10.1%) were already cleared/approved by the regulatory authorities, and 31 (44.9%) apps were assessed as likely non-compliant or potentially non-compliant with regulatory requirements. These applications and one approved application were assessed as on the market without the required regulatory approvals. According to our analysis, a higher proportion of these apps would be classified as medical devices in the US. The level of risk posed by gamification remains ambiguous. While most apps showed only a weak link between the degree of gamification and potential risks, this link was stronger for those apps with a high degree of gamification or an immersive game experience.

Indexed as

Mobile ApplicationsTelemedicineHumansSmartphoneVideo Games

Identifiers

PMID39251786
PMCPMC11383928

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.