{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:15:01Z","timestamp":1791900901088,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T00:00:00Z","timestamp":1454284800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T00:00:00Z","timestamp":1454284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Games for Health Journal"],"published-print":{"date-parts":[[2016,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this article is to describe the development and testing of a prototype application (\u201cThe Heart Game\u201d) using gamification principles to assist heart patients in their telerehabilitation process in the Teledialog project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prototype game was developed via user-driven innovation and tested on 10 patients 48\u201389 years of age and their relatives for a period of 2 weeks. The application consisted of a series of daily challenges given to the patients and relatives and was based on several gamification principles. A triangulation of data collection techniques (interviews, participant observations, focus group interviews, and workshop) was used. Interviews with three healthcare professionals and 10 patients were carried out over a period of 2 weeks in order to evaluate the use of the prototype.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The heart patients reported the application to be a useful tool as a part of their telerehabilitation process in everyday life. Gamification and gameful design principles such as leaderboards, relationships, and achievements engaged the patients and relatives. The inclusion of a close relative in the game motivated the patients to perform rehabilitation activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\u201cThe Heart Game\u201d concept presents a new way to motivate heart patients by using technology as a social and active approach to telerehabilitation. The findings show the potential of using gamification for heart patients as part of a telerehabilitation program. The evaluation indicated that the inclusion of the patient's spouse in the rehabilitation activities could be an effective strategy. A major challenge in using gamification for heart patients is avoiding a sense of defeat while still adjusting the level of difficulty to the individual patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/g4h.2015.0001","type":"journal-article","created":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T12:39:29Z","timestamp":1447850369000},"page":"27-33","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":70,"title":["\u201cThe Heart Game\u201d: Using Gamification as Part of a Telerehabilitation Program for Heart Patients"],"prefix":"10.1177","volume":"5","author":[{"given":"Marcus","family":"Dithmer","sequence":"first","affiliation":[{"name":"Aarhus University","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack Ord","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Aarhus University","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Gr\u00f6nvall","sequence":"additional","affiliation":[{"name":"University of Copenhagen","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle","family":"Spindler","sequence":"additional","affiliation":[{"name":"Aarhus University","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Hansen","sequence":"additional","affiliation":[{"name":"Aalborg University","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gitte","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Aalborg University","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stine B\u00e6k","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Vendsyssel Hospital","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birthe","family":"Dinesen","sequence":"additional","affiliation":[{"name":"Aalborg University","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,2,1]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Hjertepatienters brug og oplevelse af rehabilitering 2010","author":"B\u00f8gelund M","year":"2010","unstructured":"B\u00f8gelund M, , M\u00f8nsted C. 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