Abstract

OBJECTIVE: To determine the effect of additional gamification elements in a web-based registry system in terms of engagement and involvement to register outcome data, and to determine if gamification elements have any effect on clinical outcomes.

METHODS: Randomized controlled trial for gynecologists to register their performed laparoscopic hysterectomies (LH) in an online application. Gynecologists were randomized for two types of registries. Both groups received access to the online application; after registering a procedure, direct individual feedback on surgical outcomes was provided by showing three proficiency graphs. In the intervention group, additionally gamification elements were shown. These gamification elements consisted of points and achievements that could be earned and insight in monthly collective scores. All gamification elements were based on positive enforcement.

RESULTS: A total of 71 gynecologists were randomized and entered a total of 1833 LH procedures. No significant difference was found between the groups in terms of engagement and involvement on a 5-point Likert scale, respectively 2.34±0.87 versus 2.56±1.05 and 3.63±0.57 versus 3.33±1.03 for the intervention versus the control group (p>0.05). The intervention group showed longer operative time than the control group (108±42 vs. 101±34 minutes, p=0.04), no other differences were found in terms of surgical outcomes.

CONCLUSIONS: The addition of gamification elements in a registry system did not enhance the engagement and involvement of clinicians to register their clinical data. Based on our results, we advise that registry systems for clinical data should be as simple as possible with the focus on the main goal of the registry.

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