Author Affiliations: School of Population and Public Health (Ms Lukey), School of Nursing (Dr Mackay), and Centre for Health Evaluation and Outcomes Sciences (Dr Mackay), University of British Columbia, Vancouver; and Computer Science (Dr Hasan) and School of Nursing (Dr Rush), University of British Columbia Okanagan, Kelowna, Canada.
Comput Inform Nurs. 2023 Aug 1;41(8):615-620. doi: 10.1097/CIN.0000000000000983.
Heart failure is a complex, chronic disease that requires self-care to manage, and patients need support and education to perform adequate self-care. Although electronic health interventions to support behavior change and self-care in cardiovascular disease are gaining traction, there is little engaging online education specifically designed for heart failure patients. This paper describes the design and development of a heart failure self-care patient education Web site that integrated gamification, meaning the use of game design elements in a non-game context. We sought feedback on the Web site from a group of heart failure clinicians in a focus group using a semi-structured interview guide, and data were analyzed thematically. Clinician input during the design phase touched on themes such as patients' decision-making in heart failure and older adults' adoption of technology. Clinicians recommended that a narrative gamification technique should reflect real-life dilemmas patients encounter in their self-care. Clinicians also discussed the need to carefully plan reward-based gamification techniques to avoid unintended effects. Overall, a gamified Web site has the potential to support heart failure self-care, but efforts are needed to address the disparity of those with limited computer literacy or access.
心力衰竭是一种复杂的慢性疾病，需要自我护理来进行管理，患者需要支持和教育来进行充分的自我护理。尽管电子健康干预措施在心血管疾病中支持行为改变和自我护理方面越来越受到关注，但专门为心力衰竭患者设计的具有吸引力的在线教育却很少。本文描述了一个心力衰竭自我护理患者教育网站的设计和开发，该网站集成了游戏化，即在非游戏环境中使用游戏设计元素。我们使用半结构化访谈指南，在焦点小组中从一组心力衰竭临床医生那里获得了对该网站的反馈，并且对数据进行了主题分析。在设计阶段，临床医生的意见涉及心力衰竭患者的决策以及老年人对技术的采用等主题。临床医生建议叙事游戏化技术应该反映患者在自我护理中遇到的现实生活中的困境。临床医生还讨论了需要精心规划基于奖励的游戏化技术，以避免产生意外影响。总的来说，游戏化网站有可能支持心力衰竭的自我护理，但需要努力解决那些计算机素养有限或无法访问的人群的差异。
