| Literature DB >> 35281337 |
Chinenye Ndulue1, Oladapo Oyebode1, Ravishankar Subramani Iyer1, Anirudh Ganesh1, Syed Ishtiaque Ahmed2, Rita Orji1.
Abstract
Persuasive gamified systems for health are interventions that promote behaviour change using various persuasive strategies. While research has shown that these strategies are effective at motivating behaviour change, there is little knowledge on whether and how the effectiveness of these strategies vary across multiple domains for people of distinct personality traits. To bridge this gap, we conducted a quantitative study with 568 participants to investigate (a) whether the effectiveness of the persuasive strategies implemented vary within each domain (b) whether the effectiveness of various strategies vary across two distinct domains, (c) how people belonging to different personality traits respond to these strategies, and (d) if people high in a personality trait would be influenced by a persuasive strategy within one domain and not in the other. Our results show that there are significant differences in the effectiveness of various strategies across domains and that people's personality plays a significant role in the perceived persuasiveness of different strategies both within and across distinct domains. The Reward strategy (which involves incentivizing users for achieving specific milestones towards the desired behaviour) and the Competition strategy (which involves allowing users to compete with each other to perform the desired behaviour) were effective for promoting healthy eating but not for smoking cessation for people high in Conscientiousness. We provide design suggestions for developing persuasive gamified interventions for health targeting distinct domains and tailored to individuals depending on their personalities.Entities:
Keywords: Healthy eating; Human–computer interaction; Personality; Persuasive strategies; Persuasive system; Persuasive technology; Smoking cessation
Year: 2022 PMID: 35281337 PMCID: PMC8900644 DOI: 10.1007/s11257-022-09319-w
Source DB: PubMed Journal: User Model User-adapt Interact ISSN: 0924-1868 Impact factor: 4.230
Five persuasive strategies and their descriptions
| Persuasive strategies | Description |
|---|---|
| Personalization | Personalize app features, contents, and functionalities to each user to suit their needs |
| Rewards | Incentivizes users for achieving specific milestones using badges, points etc |
| Normative influence | Provide a means of gathering users with similar goals to facilitate behaviour change or reinforcement |
| Cooperation | Provide means for users to work together to achieve the intended behaviour |
| Competition | Allows users to compete with each other to perform the desired behaviour |
Description of the Five-Factor personality traits
| Personality trait | They have a tendency to… |
|---|---|
| Agreeableness | … be considerate, cooperative, tolerant, friendly, caring, and helpful |
| Extraversion | … be outgoing, expressive and seek need opportunities |
| Conscientiousness | .. to be self-disciplined, plan actively, organized and dependable |
| Neuroticism | … be nervous fearful, sensitive, distrustful and emotionally unstable |
| Openness to experiences | … be curious, imaginative, hold unconventional values and be creative |
Description of the five persuasive strategies and their implementations
| Persuasive strategies | Description | Selected implementation | Paper |
|---|---|---|---|
| Personalization | Personalize the app to a specific individual | Users are required to enter personal details and their goals, then a personalized plan is prescribed for them based on their information | Kaipainen et al. ( |
| Rewards | Incentivizes users for achieving specific milestones | Users are rewarded with various badges for completing different milestones towards the target behaviour change | Fritz et al. ( |
| Normative influence | Provide a means of gathering users with similar goals to facilitate behaviour performance | Users have access to in-app forums or blogs, where other users with similar behaviour change goals talk about their experiences, post about their progress, and get reactions from their community | Graham et al. ( |
| Cooperation | Provide means for users to work together to achieve the intended behaviour | Users can begin a group behaviour change challenge and work together with other selected users to complete the challenge | Orji et al. ( |
| Competition | Allows users to compete with each other to perform the desired behaviour | Users can view a leaderboard that ranks all users of the app according to their progress towards the target behaviour change | Edney et al. ( |
Fig. 1High Fidelity prototype illustrating the Competition strategy in the healthy eating (A) and smoking cessation (B) domains
Fig. 2Participants' demographic information
Fig. 3PLS-SEM model structure for each domain. (P1–P5 = Rating responses of the five persuasiveness scale questions; EXT 1, EXT2 … OPE 1, OPE 2 = Rating responses to the two personality scale questions for each personality trait)
The averaged means of the effectiveness of the persuasive strategies in the smoking cessation domain
| Smoking cessation | Mean | SD | Sig. |
|---|---|---|---|
| Personalization | 5.436 | 1.1090 | 0.0001 |
| Cooperation | 5.477 | 1.1396 | 0.0001 |
| Reward | 5.414 | 1.2558 | 0.0001 |
| Normative influence | 5.374 | 1.3131 | 0.0001 |
| Competition | 5.402 | 1.3528 | 0.0001 |
| Overall mean | 5.421 | 1.0642 | 0.0001 |
Fig. 4The boxplot shows the overall persuasiveness (y-axis) of the 5 persuasive strategies (x-axis) for the smoking cessation domain on a scale of 1 to 7. A higher number indicates a higher persuasiveness. The horizontal line indicates a neutral value of 4
The averaged means of the effectiveness of the persuasive strategies in the healthy eating domain
| Healthy eating | Mean | SD | Sig |
|---|---|---|---|
| Personalization | 5.568 | 0.8955 | 0.0001 |
| Cooperation | 5.650 | 0.9759 | 0.0001 |
| Reward | 5.558 | 1.1288 | 0.0001 |
| Normative influence | 5.468 | 1.2354 | 0.0001 |
| Competition | 5.547 | 1.2316 | 0.0001 |
| Overall mean | 5.558 | 0.91104 | 0.0001 |
Fig. 5The boxplot shows the overall persuasiveness (y-axis) of the 5 persuasive strategies (x-axis) for healthy eating domain on a scale of 1 to 7. A higher number indicates a higher persuasiveness. The horizontal line indicates a neutral value of 4
Fig. 6Mean scores of the effectiveness of the strategies for healthy eating and smoking cessation
Fig. 7Mean scores of the effectiveness of the strategies for healthy eating and smoking cessation
Standardized path coefficients and significance of the models for smoking cessation
| Results for smoking cessation only | |||||
|---|---|---|---|---|---|
| Factors | AGR | CON | EXT | NEU | OPE |
| Competition | – | – | − 0.10 | ||
| Cooperation | 0.10 | 0.12 | – | ||
| Normative influence | − | 0.10 | – | ||
| Personalization | 0.10 | − 0.10 | |||
| Reward | – | 0.11 | − 0.11 | ||
Bolded coefficients are p < 0.001, non-bolded are p < 0.05 and ‘–’ represents non-significant coefficients, where negative values represent demotivation and positive values represent motivation
AGR = Agreeableness, CON = Conscientiousness, EXT = Extraversion, NEU = Neuroticism, OPE = Openness to experiences
Standardized path coefficients and significance of the models for healthy eating
| Results for healthy eating only | |||||
|---|---|---|---|---|---|
| Factors | AGR | CON | EXT | NEU | OPE |
| Competition | 0.12 | – | – | ||
| Cooperation | 0.11 | − 0.12 | − 0.11 | ||
| Normative Influence | 0.11 | – | – | ||
| Personalization | 0.12 | ||||
| Reward | 0.10 | 0.14 | − 0.10 | ||
Bolded coefficients are p < 0.001, non-bolded are p < 0.05 and ‘–’ represents non-significant coefficients, where negative values represent demotivation and positive values represent motivation
AGR = Agreeableness, CON = Conscientiousness, EXT = Extraversion, NEU = Neuroticism, OPE = Openness to experiences
Standardized path coefficients and significance of the models
| Factors | AGR | CON | EXT | NEU | OPE |
|---|---|---|---|---|---|
| Competition-S | 0.26 | − | |||
| Competition-E | 0.26 | 0.− | |||
| Cooperation-S | 0.27 | 0.12 | |||
| Cooperation-E | 0.24 | 0.11 | |||
| Normative influence -S | 0.24 | − | − 0.39 | ||
| Normative Influence -E | 0.20 | − | − 0.33 | ||
| Personalization- S | 0.17 | − 0.10 | − 0.21 | ||
| Personalization- E | 0.12 | − 0.15 | − 0.16 | ||
| Reward- S | 0.19 | 0.11 | − 0.11 | − 0.27 | |
| Reward-E | 0.25 | 0.14 | − 0.10 | − 0.21 |
Bolded paired coefficients are significantly different p < 0.05 and ‘–’ represents non-significant coefficients. “…E = Eating Behaviour”; “…S = Smoking” where negative values represent demotivation and positive values represent motivation
AGR = Agreeableness, CON = Conscientiousness, EXT = Extraversion, NEU = Neuroticism, OPE = Openness to experiences, “…E = Eating Behaviour”; “…S = Smoking”
| Smoking cessasion | Healthy eating | Smoking cessasion | Healthy eating | Smoking cessasion | Healthy eating | |
|---|---|---|---|---|---|---|
| Variables | Cronbach alpha | Cronbach alpha | Composite reliability | Composite reliability | AVE | AVE |
| Threshold | ≥ 0.7 | ≥ 0.7 | ≥ 0.7 | ≥ 0.7 | ≥ 0.5 | ≥ 0.5 |
| Competition | 0.918 | 0.911 | 0.938 | 0.933 | 0.753 | 0.736 |
| Cooperation | 0.888 | 0.857 | 0.918 | 0.897 | 0.691 | 0.636 |
| Normative Infl | 0.918 | 0.908 | 0.938 | 0.932 | 0.752 | 0.732 |
| Personalization | 0.877 | 0.820 | 0.910 | 0.874 | 0.670 | 0.580 |
| Reward | 0.908 | 0.893 | 0.931 | 0.921 | 0.730 | 0.699 |
| Agr | Con | Ext | Neu | Ope | Com | Coo | Norm | Per | Rew | |
|---|---|---|---|---|---|---|---|---|---|---|
| Agr | ||||||||||
| Con | 0.303 | |||||||||
| Ext | 0.256 | 0.205 | ||||||||
| Neu | 0.320 | 0.237 | 0.260 | |||||||
| Ope | 0.203 | 0.124 | 0.273 | 0.265 | ||||||
| Com | 0.392 | 0.220 | 0.253 | 0.291 | 0.385 | |||||
| Coo | 0.419 | 0.264 | 0.299 | 0.279 | 0.343 | 0.852 | ||||
| Norm | 0.384 | 0.188 | 0.296 | 0.294 | 0.505 | 0.686 | 0.730 | |||
| Per | 0.345 | 0.256 | 0.332 | 0.295 | 0.351 | 0.622 | 0.803 | 0.685 | ||
| Rew | 0.342 | 0.209 | 0.284 | 0.298 | 0.396 | 0.831 | 0.855 | 0.718 | 0.753 |
Agr = Agreeableness, Com = Competition, Con = Conscientiousness, Coo = Cooperation, Ext = Extraversion, Neu = Neuroticism, Nor = Normative Influence, Ope = Openness, Per = Personalization, Rew = Reward
| Agr | Con | Ext | Neu | Ope | Com | Coo | Norm | Per | Rew | |
|---|---|---|---|---|---|---|---|---|---|---|
| Agr | ||||||||||
| Con | 0.303 | |||||||||
| Ext | 0.256 | 0.205 | ||||||||
| Neu | 0.320 | 0.237 | 0.26 | |||||||
| Ope | 0.203 | 0.124 | 0.273 | 0.265 | ||||||
| Com | 0.400 | 0.266 | 0.247 | 0.256 | 0.417 | |||||
| Coo | 0.398 | 0.323 | 0.287 | 0.314 | 0.259 | 0.705 | ||||
| Norm | 0.449 | 0.282 | 0.297 | 0.276 | 0.462 | 0.676 | 0.643 | |||
| Per | 0.463 | 0.356 | 0.342 | 0.38 | 0.340 | 0.595 | 0.809 | 0.651 | ||
| Rew | 0.405 | 0.266 | 0.323 | 0.312 | 0.356 | 0.788 | 0.729 | 0.679 | 0.739 |
Agr = Agreeableness, Com = Competition, Con = Conscientiousness, Coo = Cooperation, Ext = Extraversion, Neu = Neuroticism, Nor = Normative Influence, Ope = Openness, Per = Personalization, Rew = Reward
| On a scale of 1 to 5, to what extent do you agree with the following statements. Please circle select the number | ||||||
|---|---|---|---|---|---|---|
| I see myself as someone who |
| 1 | 2 | 3 | 4 | 5 |
| 1. is reserved |
| 1 | 2 | 3 | 4 | 5 |
| 2. is generally trusting |
| 1 | 2 | 3 | 4 | 5 |
| 3. tends to be lazy |
| 1 | 2 | 3 | 4 | 5 |
| 4. is relaxed, handles stress well |
| 1 | 2 | 3 | 4 | 5 |
| 5. has few artistic interests |
| 1 | 2 | 3 | 4 | 5 |
| 6. is outgoing, sociable |
| 1 | 2 | 3 | 4 | 5 |
| 7. tends to find fault with others |
| 1 | 2 | 3 | 4 | 5 |
| 8. does a thorough job |
| 1 | 2 | 3 | 4 | 5 |
| 9. gets nervous easily |
| 1 | 2 | 3 | 4 | 5 |
| 10. has an active imagination |
| 1 | 2 | 3 | 4 | 5 |