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The aim of this study was to establish a design for health-based electronic games model and to develop a sample game in diabetes. This study was carried out in two phases: first, the design of a health-based electronic game framework and second, the design and production of sweet care game. There were two intended information prerequisites: determination of effective components in models of behavior change and validation of these components on health topics and structural formation of a game. The game framework design was presented. In the second phase, a sample of the game was developed in the field of diabetes. Important components to empower people were ranked using the Friedman test in the following order: self-learning, treatment, mental empowerment, condition management, healthy eating and physical activity. The axis of self-learning received the highest rating from the perspective of the subjects with an average of 3.93 percent. Another part was the game framework with components as follows: application areas, educational content for change behavior, resources, game structure and game production. Finally, the sweet care game was designed on diabetes with educational, technological and clinical content. The health-based electronic game designed on a systematic framework could be applied as a tool to expanding the knowledge base on how to create effective health-based digital games that entertain while promoting behavior change.<\/jats:p>","DOI":"10.1177\/1460458218799444","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T07:26:04Z","timestamp":1538983564000},"page":"1825-1845","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Sweet care against sugar bitterness, designing health-based electronic game"],"prefix":"10.1177","volume":"25","author":[{"given":"Reza","family":"Safdari","sequence":"first","affiliation":[]},{"given":"Marjan","family":"Ghazisaeidi","sequence":"additional","affiliation":[{"name":"University of Medical Sciences, Iran"}]},{"given":"Azadeh","family":"Goodini","sequence":"additional","affiliation":[{"name":"University of Medical Sciences, Iran; Tehran University of Medical Sciences, Iran"}]}],"member":"179","published-online":{"date-parts":[[2018,10,8]]},"reference":[{"key":"bibr1-1460458218799444","first-page":"335","volume":"5613","author":"Kharrazi H","year":"2009","journal-title":"Human Comput Interact"},{"key":"bibr2-1460458218799444","unstructured":"World Health Organization. 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