TY  - JOUR
AU  - Kim, Hyungsook
AU  - O'Sullivan, David Michael
AU  - Chung, Seong Hee
PY  - 2022
DA  - 2022/12/16
TI  - Applying Gamification Principles and Therapeutic Movement Sequences to Design an Interactive Physical Activity Game: Development Study
JO  - JMIR Serious Games
SP  - e38133
VL  - 10
IS  - 4
KW  - home workout
KW  - mobile assistant
KW  - movement
KW  - physical activity
KW  - depression
AB  - Background: Depression is a severe illness that has accelerated with the spread of COVID-19 and associated lockdowns. As a result, reported physical activity has substantially decreased, further increasing depressive symptoms. Objective: This study aims to explain the use of gamification principles to develop content for an interactive physical activity game for depression based on clinically proven depression diagnostic criteria. Methods: We discuss related work in this field, the game design framework, the users’ depression severity, how we customize the contents accordingly, the gradual progression of the game to match exercise principles, and user flow optimization. Results: We provide a brief description of each of the games developed, including instructions on how to play and design aspects for flow, audio, and visual feedback methods. Exergames (interactive physical activity–based games) stimulate certain physical fitness factors such as improving reaction time, endurance, cardiovascular fitness, and flexibility. In addition, the game difficulty progresses based on various factors, such as the user’s performance for successful completion, reaction time, movement speed, and stimulated larger joint range of motions. Cognitive aspects are included, as the user has to memorize particular movement sequences. Conclusions: Mental health issues are linked to behavior and movement; therefore, future physical activity–based interactive games may provide excellent stimulation for inducing user flow, while physical activity can help train various physical fitness factors linked to depression. 
SN  - 2291-9279
UR  - https://games.jmir.org/2022/4/e38133
UR  - https://doi.org/10.2196/38133
UR  - http://www.ncbi.nlm.nih.gov/pubmed/36525298
DO  - 10.2196/38133
ID  - info:doi/10.2196/38133
ER  -