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Team-based apps and gamification can increase engagement and contribute to sustained use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This pilot study explored how a team-based gamification app can support diabetes self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Individuals with diabetes were introduced to a team-based gamification app that encourages the development of new habits. After 6 weeks of use, participants completed a questionnaire on system satisfaction, ease of use, enjoyment, usefulness for self-care, and burden, using a five-point scale. Qualitative data were also collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 32 participants, 65% were satisfied, 81% found it useful for lifestyle management, and 71% found it useful for exercise. The team system and challenge-tracking features were the most useful. Participants stated that the app provided emotional support and motivated healthy habits through social comparison; however, they also reported confusion in aligning team and individual needs\n                      <jats:italic toggle=\"yes\">.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The team-based gamification health app provided emotional support by team members who shared the same goals and motivated healthy lifestyle habits through social comparison.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09287329251332454","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T04:01:44Z","timestamp":1745985704000},"page":"2220-2231","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Experience with a team-based gamification health app for behavior change adapted to people with diabetes: A pilot study"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6420-4147","authenticated-orcid":false,"given":"Satoshi","family":"Inagaki","sequence":"first","affiliation":[{"name":"Nagoya City University, School of Data Science, Nagoya-city, Aichi, Japan"},{"name":"Kobe University Graduate School of Health Sciences, Kobe City, Hyogo, Japan"},{"name":"Kobe City College of Nursing, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Kato","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Kobe Women's University, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6982-5372","authenticated-orcid":false,"given":"Tomokazu","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Matsuda Diabetes Clinic, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kozue","family":"Abe","sequence":"additional","affiliation":[{"name":"Matsuda Diabetes Clinic, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shogo","family":"Kurebayashi","sequence":"additional","affiliation":[{"name":"Kurebayashi Endocrine &amp; Diabetes Clinic, Nishinomiya City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatomo","family":"Mihara","sequence":"additional","affiliation":[{"name":"Kobe Motomachi Kenchomae Clinic, Kobe City, Hyogo, Japan"},{"name":"Kobe Mihara Clinic for Diabetes and Internal Medicine, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Azuma","sequence":"additional","affiliation":[{"name":"Azuma Diabetes Clinic, Nishinomiya City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michinori","family":"Takabe","sequence":"additional","affiliation":[{"name":"Takabe Diabetes Clinic, Himeji City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhisa","family":"Abe","sequence":"additional","affiliation":[{"name":"Abe Internal Medicine Clinic, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisafumi","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Kobe University Graduate School of Health Sciences, Kobe City, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"IDF Diabetes Atlas","author":"Magliano DJ","year":"2021","unstructured":"Magliano DJ, Boyko EJ, Committee IDFDAtes. 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