Experience with a team-based gamification health app for behavior change adapted to people with diabetes: A pilot study

Background Health apps offer promising support for people with diabetes; however, the retention rates are low. Team-based apps and gamification can increase engagement and contribute to sustained use. Objective This pilot study explored how a team-based gamification app can support diabetes self-care. Methods 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. Results 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 . Conclusions 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.