Gamifying Patient's Personal Data Validation and Completion in a Personal Health Record
NCT ID: NCT02970461
Last Updated: 2016-11-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
40000 participants
INTERVENTIONAL
2016-07-31
2016-12-31
Brief Summary
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Detailed Description
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Gamification is a term used to describe using game elements in non-game environments to enhance user experience\[8,9\]. It has been incorporated with commercial success into several platforms (Linkedin, Badgeville, Facebook). While over the past years gamification elements have been incorporated in healthcare scenarios there is still little evidence on how effective they are\[10-12\]. Game elements provide engagement consistent with various theories of motivation\[13\], positive psychology (e.g., flow)\[14\], and also provide instant feedback. Feedback is more effective when it provides sufficient and specific information for goal achievement and is presented relatively close in time to the event being evaluated. Feedback can reference individual progress, can make social comparisons, or can refer to task criteria.
In order to assess whether gamification is an effective tactic to drive PHR users' behavior, an intervention was designed. The investigators used gamification elements such as points, graphical representations and playful attitude to the design and interactions of the Bio page in the Hospital's PHR. These elements provide instant feedback to user actions. A control group with no game elements will be compared with a gamified group to see if these new game elements would increase patient's personal data rectification, validation and completion in the Hospital's PHR. A status variable was created and assigned to all fields according to the following scheme:
* Completed: user has modified empty field.
* Corrected: user has modified non-empty field.
* Verified: user has updated Group but field data has experienced no change.
* Validated: user has clicked on the "validate" button.
EHR/PHR Personal data set
1. Contact Information
* First Name
* Last Name
* Date of Birth
* ID Number
2. Nationality
* Citizenship
* Languages Spoken
3. Place of Residence
* Street
* Number
* Floor
* Zip Code
* Town
* Province
* Country
4. E-Mail
\- E-mail address
5. Phone Numbers
* Home Number
* Work Number
* Fax
6. Emergency Contact
* First Name
* Last Name
* Relationship with patient
* Address
* Phone Number
7. Billing Information
* Street
* Number
* Floor
* Zip Code
* Town
* Province
* Country
8. Social Aspects
* Type of Residence
* Living Situation
9. Education
\- Highest Academic Degree Achieved
10. Cultural Aspects
\- Religious Belief
11. Special Needs
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Control Group
Subjects will see in their Personal Health Record home page a simple text link pointing to their Bio page. Once in their Bio page, the site will display their personal information as usual with the only addition of a "validate data" button next to any non-validated field. The option to edit fields will also be present.
Control Group
See Control Group in Arms description.
Gamified Group
Subjects will see in their Personal Health Record home page a graphical representation of the percentage of completeness their Bio page has that when clicked acts as a link to their Bio page. Once in their Bio page, the site will display graphical elements such grayed out fields, graphical representations of the percentage of completeness for each data group and on mouse hover over any field a tooltip will inform of what percentage of completeness will be awarded if the data is validated. Also, an addition of a "validate data" button next to any non-validated field. The option to edit fields will also be present.
Gamified Group
See Gamified Group in Arms description.
Interventions
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Gamified Group
See Gamified Group in Arms description.
Control Group
See Control Group in Arms description.
Eligibility Criteria
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Inclusion Criteria
* Patients who are registered in Hospital Italiano de Buenos Aires' Personal Health Record
* Patients whose use of the Personal Health Record during the previous year exceeds the median of use
Exclusion Criteria
* Subjects with a record of Obsessive Compulsive Disorders or related condition as per DSM IV
* Subjects with a record of Neurological conditions that could impair reading (aphasia, dementia, etc)
18 Years
ALL
Yes
Sponsors
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Salumedia Tecnologias
UNKNOWN
Hospital Italiano de Buenos Aires
OTHER
Responsible Party
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Principal Investigators
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Carlos Bonofiglio, MD
Role: STUDY_CHAIR
Hospital Italiano de Buenos Aires
Locations
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Hospital Italiano de Buenos Aires, Gascon 450
Buenos Aires, , Argentina
Countries
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References
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Cahill JE, Gilbert MR, Armstrong TS. Personal health records as portal to the electronic medical record. J Neurooncol. 2014 Mar;117(1):1-6. doi: 10.1007/s11060-013-1333-x. Epub 2014 Jan 30.
Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med Inform Assoc. 2006 Mar-Apr;13(2):121-6. doi: 10.1197/jamia.M2025. Epub 2005 Dec 15.
Jci. Joint Commission International Accreditation Standards for Hospitals. Jt Comm Resour Inc. 2013;5th Ed. doi:10.1017/CBO9781107415324.004.
Tang PC, Black W, Young CY. Proposed criteria for reimbursing eVisits: content analysis of secure patient messages in a personal health record system. AMIA Annu Symp Proc. 2006;2006:764-8.
Tenforde M, Jain A, Hickner J. The value of personal health records for chronic disease management: what do we know? Fam Med. 2011 May;43(5):351-4.
Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal health records (PHRs). J Am Med Inform Assoc. 2008 Nov-Dec;15(6):729-36. doi: 10.1197/jamia.M2547. Epub 2008 Aug 28.
Wells S, Rozenblum R, Park A, Dunn M, Bates DW. Organizational strategies for promoting patient and provider uptake of personal health records. J Am Med Inform Assoc. 2015 Jan;22(1):213-22. doi: 10.1136/amiajnl-2014-003055. Epub 2014 Oct 17.
Deterding S, Dixon D, Khaled R, Nacke L, Sicart M, O'Hara K. Gamification: Using Game Design Elements in Non-Game Contexts. Proc 2011 Annu Conf Ext Abstr Hum Factors Comput Syst (CHI 2011). 2011:2425-2428. doi:10.1145/1979742.1979575.
Lister C, West JH, Cannon B, Sax T, Brodegard D. Just a fad? Gamification in health and fitness apps. JMIR Serious Games. 2014 Aug 4;2(2):e9. doi: 10.2196/games.3413.
King D, Greaves F, Exeter C, Darzi A. 'Gamification': influencing health behaviours with games. J R Soc Med. 2013 Mar;106(3):76-8. doi: 10.1177/0141076813480996. No abstract available.
McKeown S, Krause C, Shergill M, Siu A, Sweet D. Gamification as a strategy to engage and motivate clinicians to improve care. Healthc Manage Forum. 2016 Mar;29(2):67-73. doi: 10.1177/0840470415626528. Epub 2016 Feb 12.
Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000 Jan;55(1):68-78. doi: 10.1037//0003-066x.55.1.68.
Mihaly Csikszentmihalyi. 1991. Flow: The psychology of optimal experience. HarperCollins Publishers, New York, New York, USA.
Other Identifiers
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2258
Identifier Type: -
Identifier Source: org_study_id