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What is Adherence

Handbook of Research on Holistic Perspectives in Gamification for Clinical Practice
Performing a task or behaviour in accordance with a rule, recommendation, directive or norm based on the wilful agreement of the performer.
Published in Chapter:
Gamification to Improve Adherence to Clinical Treatment Advice: Improving Adherence to Clinical Treatment
Deborah Richards (Macquarie University, Australia) and Patrina H.Y. Caldwell (University of Sydney, Australia)
DOI: 10.4018/978-1-4666-9522-1.ch004
Abstract
This chapter looks at how gamification of existing technology can be used to incorporate the factors that have been found to improve patient adherence. Lack of adherence to medical advice is a major problem because it reduces the likelihood of improved health outcomes and is a waste of costly and scarce resources. To provide intrinsically motivating game mechanics we discuss the use of an embodied virtual character to build an ongoing therapeutic alliance with the patient. Extrinsically motivating game mechanics are added via a game based on the token economy. The intention is to empower, engage and encourage the patient to adhere with the medical advice. A case study is provided for the condition of paediatric incontinence.
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