{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T18:11:23Z","timestamp":1783966283338,"version":"3.55.0"},"reference-count":73,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T00:00:00Z","timestamp":1517270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Self monitoring, personal goal-setting and coaching, education and social support are strategies to help patients with chronic conditions in their daily care. Various tools have been developed, e.g., mobile digital coaching systems connected with wearable sensors, serious games and patient web portals to personal health records, that aim to support patients with chronic conditions and their caregivers in realizing the ideal of self-management. We describe a platform that integrates these tools to support young patients in diabetes self-management through educational game playing, monitoring and motivational feedback. We describe the design of the platform referring to principles from healthcare, persuasive system design and serious game design. The virtual coach is a game guide that can also provide personalized feedback about the user\u2019s daily care related activities which have value for making progress in the game world. User evaluations with patients under pediatric supervision revealed that the use of mobile technology in combination with web-based elements is feasible but some assumptions made about how users would connect to the platform were not satisfied in reality, resulting in less than optimal user experiences. We discuss challenges with suggestions for further development of integrated pervasive coaching and gamification platforms in medical practice.<\/jats:p>","DOI":"10.3390\/s18020402","type":"journal-article","created":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T10:11:07Z","timestamp":1517307067000},"page":"402","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":92,"title":["Design and Evaluation of a Pervasive Coaching and Gamification Platform for Young Diabetes Patients"],"prefix":"10.3390","volume":"18","author":[{"given":"Randy","family":"Klaassen","sequence":"first","affiliation":[{"name":"Human Media Interaction, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Bul","sequence":"additional","affiliation":[{"name":"Centre for Innovative Research across the Life Course, Faculty of Health and Life Sciences, Coventry University, CV1 5FB Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rieks","family":"Op den Akker","sequence":"additional","affiliation":[{"name":"Human Media Interaction, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gert","family":"Van der Burg","sequence":"additional","affiliation":[{"name":"Gelderse Vallei Hospital, P.O. Box 9025, 6710 HN Ede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4755-5009","authenticated-orcid":false,"given":"Pamela","family":"Kato","sequence":"additional","affiliation":[{"name":"School of Computing, Electronics and Mathematics, Faculty of Engineering, Environment and Computing, Coventry University, CV1 5FB Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierpaolo","family":"Di Bitonto","sequence":"additional","affiliation":[{"name":"Grifo multimedia Srl, Via Bruno Zaccaro, 19-70126 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,1,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.2105\/AJPH.2014.302041","article-title":"Self-Management: A Comprehensive Approach to Management of Chronic Conditions","volume":"104","author":"Grady","year":"2014","journal-title":"Am. 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