Application of gamified mobile health to enhance postoperative rehabilitation compliance in total joint arthroplasty patients
Keywords:
Gamification, Mobile Health, Postoperative Rehabilitation Compliance, Total Joint ArthroplastyAbstract
Background: Adherence to home-based rehabilitation protocols after Total Joint Arthroplasty (TJA) is a critical determinant of optimal functional recovery. However, patients frequently demonstrate poor compliance due to lack of motivation and boredom. Gamification strategies incorporated into mobile health (mHealth) applications offer an innovative approach to boost patient engagement. Aim: This study aimed to evaluate the effectiveness of gamified mobile health application in enhancing postoperative rehabilitation compliance in total joint arthroplasty patients. Methods: A quasi-experimental study was conducted using a convenient sample of 80 patients undergoing total joint arthroplasty patients from the orthopedic department and outpatient physical therapy at Sohag University Hospitals. Participants were allocated into two equal groups (40 patients in the experimental group and 40 patients in the control group). The experimental group utilized a customized mHealth embedded with gamification elements (progress tracking, rewards, and interactive badges) for home rehabilitation, while the control group received standard paper-based home exercise instructions. Baseline (pre-test) clinical measurements, including: Demographic and Clinical Data Questionnaire, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analog Scale (VAS) for Pain Intensity, Rehabilitation Adherence Tracking Log, and System Usability Scale (SUS) were conducted and compared between both groups at 6 weeks and 3 months postoperatively.
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