In a Diabetes Care article titled “A Team-Based Online Game Improves Blood Glucose Control in Veterans With Type 2 Diabetes: A Randomized, Controlled Trial” published by the American Diabetes Association online on Aug 8 2017, researchers showed that ‘diabetes self-management education (DSME) game patients had significantly greater HbA1c reductions over 12 months than civics game patients (28 mmol/mol [95% CI 210 to 27] and 25 mmol/mol [95% CI27 to23], respectively; P = 0.048).’
The study aimed to investigate ‘whether an online team-based game delivering diabetes self-management education (DSME) to patients via e-mail or mobile app could generate longer-term improvements in hemoglobin A1c (HbA1c).’
The article explains that the use of ‘a novel form of online education (termed “spaced education” [SE]) based on two robust psychological phenomena (the spacing and testing effects) can improve long-term retention of learning and generate meaningful behavior change.’
‘Delivered via e-mail or mobile application, SE presents clinical case scenarios accompanied by multiple-choice questions. Participants are asked to submit answers and are then immediately presented with the correct answer(s) and an explanation of the topic. The material is represented in a cycled pattern to reinforce the content over weeks and months. [Previous] randomized trials involving health care providers have shown that the SE methodology improves knowledge acquisition, boosts learning retention for up to 2 years, and durably improves clinical performance.
Incorporated game mechanics [such as] competition among participants and adaptive content delivery that is modified based on a participant’s past performance [are also integrated]. Team based competition within SE games generates significantly stronger engagement among participants, and an SE game delivered to clinicians led to significantly improved health measures of their patients.’
*Please note the original article is referenced below and has been directly quoted.
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(1) B. Price Kerfoot, David R. Gagnon, Graham T. McMahon, Jay D. Orlander, Katherine E. Kurgansky and Paul R. Conlin. A Team-Based Online Game Improves Blood Glucose Control in Veterans With Type 2 Diabetes: A Randomized, Controlled Trial; Diabetes Care 2017 Jul; dc170310. https://doi.org/10.2337/dc17-0310