Gamification for activation motivation and engagement

Elizabeth, A 2019, Gamification for activation motivation and engagement , MRes thesis, University of Salford.

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Up to 20% of adults annually seek healthcare for musculoskeletal problems. The prevalence of shoulder problems in this population is approximately 2.5%. Musculoskeletal problems are managed with different modalities of treatment including pharmacological interventions, physiotherapy and surgery. Physiotherapy is applied either in isolation or in conjunction with the other methods. Studies have shown that physiotherapy outcome is dependent on patient engagement. Patient's engagement and motivation plays an important role in determining the outcome of therapy and it is estimated that up to 65% of patients are either non or partially adherent to their rehabilitation program.
Physiotherapy exergames were created using a combination of commercially available hardware, the Microsoft Kinect, and bespoke software incorporating games which are based on expertise from specialist clinicians. The exergames were mapped to physiotherapy goals and apply principles of gamification to them.
This study was a randomised prospective controlled trial which investigated the use of exergames for patients with Shoulder Impingement Syndrome (SIS) who have undergone Arthroscopic Subacromial Decompression. The intervention group [n = 10] received physiotherapy aided by automated sensor-based technology which helped them perform exergames and track their rehabilitation progress. The control group [n = 10] were treated by standard physiotherapy protocols. The two groups were compared using patient reported outcome measures and assessment of shoulder range of movement pre and post operatively. Data were collected on patient engagement with the rehabilitation process and the usability of exergames. This guided development of methods to quantify patient engagement.
The results from the study show that there was an improvement in the range of movement in both the control and the intervention groups. There was no difference in the intergroup comparisons percentage changes from 6 weeks postoperative and 12 weeks post-operative for external rotation, forward flexion and abduction. The results for the Patient Reported Outcome Measures, Oxford Shoulder Score results show that shows there was a significant change for the control group at 12 weeks to pre – operative (p= 0.02), although there was no significant change for the intervention group p=0.193. The results for the DASH scoring tool shows that there was no significant change for the control group (t test p=0.01) compared to the intervention group (t test p = 0.088). The results using the T-test for the EQ5D score show that there was no difference in the intervention group p=0.135 compared to the control group 0.171.
Results suggest that in both the control and intervention groups there was an improvement in the range of movement and patient reported outcome measures at 12 weeks compared to pre-operative assessment

Item Type: Thesis (MRes)
Schools: Schools > School of Health Sciences
Depositing User: Amy Elizabeth Barratt
Date Deposited: 12 Nov 2019 09:41
Last Modified: 27 Aug 2021 21:30

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