A Systematic Review of the Integration of Motivational and Behavioural Theories in Game-Based Health Interventions

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Mustafa A.S.
Ali N.
Dhillon J.S.
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Springer Science and Business Media Deutschland GmbH
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M-Health interventions designed for healthcare can potentially increase participation and behaviour outcomes. However, interventions need to incorporate a theoretical perspective of behavioural change to enhance their perceived efficacy. Although behavioural outcome theories have gained interest in the health and fitness literature, the implementation of theoretical integration remains largely under-studied. Therefore, we reviewed the efficacy of behavioural gamified interventions based on integrated theories in various contexts, such as healthcare and fitness. Studies were included if an integrated theoretical intervention was implemented to change behaviour in specific contexts. The review aims to uncover the effectiveness of integrated theory in predicting behaviour outcome in interventions. Our findings reveal that in 39�studies, Self Determination Theory (n = 19) and Theory of Planned Behaviour (n = 16) outnumbered other theories in integrated models. Overall, 77% of studies showed evidence that integrated theoretical-based behaviour change interventions can be successful for a short time, with only a few studies that tested these interventions� long term effects. We discuss the implication of our findings, and also propose potential future directions. � 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.
Behavioral research; Behaviour changes; Behavioural changes; Health interventions; Integrated models; Long-term effects; Self-determination theories; Systematic Review; Theory of planned behaviour; Health care