Strategic Gamification in Communication: Enhancing Engagement in Learning and Health Sectors
DOI:
https://doi.org/10.61978/communica.v2i4.655Keywords:
Gamification, Communication Strategies, User Engagement, Health Campaigns, Digital Learning, Persuasive Communication, Behavioral ChangeAbstract
Gamification has emerged as a powerful approach in enhancing communication strategies across various domains, including education, health, and public advocacy. This narrative review explores how gamification influences engagement, knowledge retention, and behavioral change through communication. A comprehensive literature search was conducted across databases such as Scopus, Web of Science, PubMed, and Google Scholar using Boolean keyword combinations including "gamification," "communication strategies," "engagement," "education," and "persuasion." Relevant studies were selected based on predefined inclusion and exclusion criteria focusing on peer-reviewed articles published in the last ten years. The findings indicate that key gamification elements—such as rewards, feedback, and competition—significantly boost user interaction and motivation. In educational contexts, gamification enhances learning outcomes and retention, especially when culturally adapted. In health communication and public campaigns, gamified systems promote desired behaviors by leveraging persuasive psychological mechanisms. However, systemic barriers such as digital access, institutional policy gaps, and limited facilitator capacity influence implementation success. This review underscores the need for culturally adaptive, technology-supported, and community-centered gamification policies. It calls for future research on ethical design, long-term impacts, and scalable interventions. Gamification, when strategically implemented, holds promise as a catalyst for sustainable engagement and effective communication.
References
Abudiab, S., Acosta, D., Shafaq, S., Yun, K., Thomas, C., Fredkove, W., … & Dawson-Hahn, E. (2023). “Beyond just the four walls of the clinic”: The roles of health systems caring for refugee, immigrant and migrant communities in the United States. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1078980 DOI: https://doi.org/10.3389/fpubh.2023.1078980
Bolsewicz, K., Steffens, M., King, C., Abdi, I., Bullivant, B., & Beard, F. (2023). A qualitative study on COVID-19 pandemic impacts on parental attitudes and intentions for routine adolescent vaccinations: The role of trust. Vaccine, 41(28), 4138–4143. https://doi.org/10.1016/j.vaccine.2023.05.037 DOI: https://doi.org/10.1016/j.vaccine.2023.05.037
Brún, A. and McAuliffe, É. (2020). Exploring the potential for collective leadership in a newly established hospital network. Journal of Health Organization and Management, 34(4), 449–467. https://doi.org/10.1108/jhom-12-2019-0353 DOI: https://doi.org/10.1108/JHOM-12-2019-0353
Cano, N., Téllez, Á., & Ríos, J. (2023). Exploring the benefits of information and communication technologies (ICT) and gamification in strengthening reading skills: A systematic review. Multidisciplinary Reviews, 6(1), 2023003. https://doi.org/10.31893/multirev.2023003 DOI: https://doi.org/10.31893/multirev.2023003
Chamorro, R., Santos, L., Mori, Y., Liu, C., Yamamoto, G., & Kuroda, T. (2024). Gamification approach to provide support about the deferral experience in blood donation: Design and feasibility study. JMIR Human Factors, 11, e50086. https://doi.org/10.2196/50086 DOI: https://doi.org/10.2196/50086
Chugh, R. and Turnbull, D. (2023). Gamification in education: A citation network analysis using CitNetExplorer. Contemporary Educational Technology, 15(2), ep405. https://doi.org/10.30935/cedtech/12863 DOI: https://doi.org/10.30935/cedtech/12863
Davis, K., Gowda, A., Thompson-Newell, N., Maloney, C., Fayyaz, J., & Chang, T. (2024). Gamification, serious games, and simulation in health professions education. Pediatric Annals, 53(11). https://doi.org/10.3928/19382359-20240908-06 DOI: https://doi.org/10.3928/19382359-20240908-06
Ebrahimi, P., Rajabi, M., & Aryankhesal, A. (2021). Participation of nongovernmental organizations in Iran's health-care system: Challenges and suggestions for improvement. International Journal of Health Governance, 26(4), 397–407. https://doi.org/10.1108/ijhg-02-2021-0021 DOI: https://doi.org/10.1108/IJHG-02-2021-0021
Fishbein, J., Nisotel, L., MacDonald, J., Pensak, N., Jacobs, J., Flanagan, C., … & Greer, J. (2017). Mobile application to promote adherence to oral chemotherapy and symptom management: A protocol for design and development. JMIR Research Protocols, 6(4), e62. https://doi.org/10.2196/resprot.6198 DOI: https://doi.org/10.2196/resprot.6198
Gilmore, B., Ndejjo, R., Tchetchia, A., Claro, V., Mago, E., Diallo, A., … & Bhattacharyya, S. (2020). Community engagement for COVID-19 prevention and control: A rapid evidence synthesis. BMJ Global Health, 5(10), e003188. https://doi.org/10.1136/bmjgh-2020-003188 DOI: https://doi.org/10.1136/bmjgh-2020-003188
Gottlieb, N., Weinstein, T., Mink, J., Ghebrezghiabher, H., Sultan, Z., & Reichlin, R. (2017). Applying a community-based participatory research approach to improve access to healthcare for Eritrean asylum-seekers in Israel: A pilot study. Israel Journal of Health Policy Research, 6(1). https://doi.org/10.1186/s13584-017-0185-9 DOI: https://doi.org/10.1186/s13584-017-0185-9
Hamer‐Jordaan, G., Woudenbergh, G., Haveman‐Nies, A., Hell‐Cromwijk, M., Veen, Y., Algra, H., … & Kroeze, W. (2023). Factors associated with dietary behaviour change support in patients: A qualitative study among community nurses. Journal of Advanced Nursing, 80(2), 500–509. https://doi.org/10.1111/jan.15808 DOI: https://doi.org/10.1111/jan.15808
Jitmun, W., Palee, P., Choosri, N., & Surapunt, T. (2023). The success of serious games and gamified systems in HIV prevention and care: Scoping review. JMIR Serious Games, 11, e39915. https://doi.org/10.2196/39915 DOI: https://doi.org/10.2196/39915
Kozub, H., Sipii, V., Kozub, Y., Bratytsya, G., & Бондаренко, Л. (2025). Effectiveness of gamification in mobile and interactive learning: Analysis of approaches and outcome. International Journal of Interactive Mobile Technologies (iJIM), 19(08), 27–41. https://doi.org/10.3991/ijim.v19i08.50917 DOI: https://doi.org/10.3991/ijim.v19i08.50917
Kraft, S., Cho, M., Gillespie, K., Halley, M., Varsava, N., Ormond, K., … & Lee, S. (2018). Beyond consent: Building trusting relationships with diverse populations in precision medicine research. The American Journal of Bioethics, 18(4), 3–20. https://doi.org/10.1080/15265161.2018.1431322 DOI: https://doi.org/10.1080/15265161.2018.1431322
Lorenzo, M. and Sánchez-Martı́nez, C. (2022). Raising ecological awareness and digital literacy in primary school children through gamification. International Journal of Environmental Research and Public Health, 19(3), 1149. https://doi.org/10.3390/ijerph19031149 DOI: https://doi.org/10.3390/ijerph19031149
Makris, E., Hu, L., Jones, G., & Wright, J. (2020). Moving the dial on heart failure patient adherence rates. Patient Preference and Adherence, 14, 2407–2418. https://doi.org/10.2147/ppa.s283277 DOI: https://doi.org/10.2147/PPA.S283277
Mallick, A. and Waheed, S. (2024). Learning Urogenital Diseases in Oddity (LUDO)—A gamification-based innovation for learning urogenital diseases in emergency medicine. International Journal of Emergency Medicine, 17(1). https://doi.org/10.1186/s12245-023-00567-0 DOI: https://doi.org/10.1186/s12245-023-00567-0
Marrow, R., Cronin, C., Ashby, V., Currid, T., & Alexander, M. (2024). A patient and public engagement project to inform dementia care in a UK hospital trust. Health Expectations, 27(5). https://doi.org/10.1111/hex.70024 DOI: https://doi.org/10.1111/hex.70024
McMahon, S., Ho, L., Scott, K., Brown, H., Miller, L., Ratnayake, R., … & Ansumana, R. (2017). “We and the nurses are now working with one voice”: How community leaders and health committee members describe their role in Sierra Leone’s Ebola response. BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2414-x DOI: https://doi.org/10.1186/s12913-017-2414-x
Montaner-Marco, J., Carrión, A., García-Sanjuán, F., & Jaén, J. (2019). Tangibot: A collaborative multiplayer game for pediatric patients. International Journal of Medical Informatics, 132, 103982. https://doi.org/10.1016/j.ijmedinf.2019.103982 DOI: https://doi.org/10.1016/j.ijmedinf.2019.103982
Mårell-Olsson, E. (2021). Using gamification as an online teaching strategy to develop students’ 21st century skills. Interaction Design and Architecture(s), (47), 69–93. https://doi.org/10.55612/s-5002-047-004 DOI: https://doi.org/10.55612/s-5002-047-004
Orynbekov, D., Kalibekkyzy, Z., Нургазезова, А., Nurymkhan, G., Kassenov, A., & Yermekov, Y. (2025). Consumer perception of irradiated food products in the Abai Region of Kazakhstan. Foods, 14(9), 1625. https://doi.org/10.3390/foods14091625 DOI: https://doi.org/10.3390/foods14091625
Palomino, M. and Valdivia, E. (2024). ICT mediated gamification in education degrees: A commitment to sustainability. Journal of Technology and Science Education, 14(3), 815. https://doi.org/10.3926/jotse.2624 DOI: https://doi.org/10.3926/jotse.2624
Park, S. and Kim, S. (2021). Leaderboard design principles to enhance learning and motivation in a gamified educational environment: Development study. JMIR Serious Games, 9(2), e14746. https://doi.org/10.2196/14746 DOI: https://doi.org/10.2196/14746
Pavlenko, I., Boiko, O., Mykolaiets, D., Moskalenko, O., & Shrol, T. (2024). Advancements in STEM education and the evolution of game technologies in Ukrainian educational settings. Multidisciplinary Reviews, 7, 2024spe007. https://doi.org/10.31893/multirev.2024spe007 DOI: https://doi.org/10.31893/multirev.2024spe007
Ren, W. and Barrett, S. (2023). An empirical investigation on the benefits of gamification in communication within university development teams. Computer Applications in Engineering Education, 31(6), 1808–1822. https://doi.org/10.1002/cae.22675 DOI: https://doi.org/10.1002/cae.22675
Riffo, K., Salcedo, P., Sanhueza-Campos, C., Pinacho-Davidson, P., Carrillo, M., Kotz-Grabole, G., … & Espejo-Burkart, F. (2023). The influence of gamification on high school students’ motivation in geometry lessons. Sustainability, 15(21), 15615. https://doi.org/10.3390/su152115615 DOI: https://doi.org/10.3390/su152115615
Rivera-Valderrama, S., Sánchez, L., Rodas, G., & Guerra, J. (2024). Effects of gamification on the development of soft skills such as creativity and communication in university students. Salud Ciencia Y Tecnología, 4, 871. https://doi.org/10.56294/saludcyt2024871 DOI: https://doi.org/10.56294/saludcyt2024871
Sivakumar, B., Lemonde, M., Stein, M., Goldstein, S., Mak, S., & Arcand, J. (2022). Evaluating health care provider perspectives on the use of mobile apps to support patients with heart failure management: Qualitative descriptive study. JMIR Cardio, 6(2), e40546. https://doi.org/10.2196/40546 DOI: https://doi.org/10.2196/40546
Waluyo, B., Songkhai, K., & Li, J. (2024). Enhancing online English self-regulated learning through gamification and active learning in higher education. TESL-EJ, 28(2). https://doi.org/10.55593/ej.28110int DOI: https://doi.org/10.55593/ej.28110int
