Last updated August 29, 2026
Key finding
Mean TSRQ-AM scores increased from baseline (37.4, SD 7.9) to 6 months (39.5, SD 7.4; Cohen d =0.47).
This study evaluated a team-based gamification app aimed at enhancing motivation in diabetes self-care, finding significant improvements in autonomous motivation and body weight.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated a team-based gamification app aimed at enhancing motivation in diabetes self-care, finding significant improvements in autonomous motivation and body weight.
Improving motivation in diabetes self-care is crucial for better health outcomes. This study suggests that gamification can be a valuable tool for enhancing self-management behaviors, potentially leading to weight loss and improved overall health for individuals with diabetes.
The study included only one intervention arm, limiting comparative analysis. Results may not be generalizable to all diabetes populations. The sample size and demographic details were not specified.
Published in
Publication details and source links for this paper.
Amy S, Matthew B, Yuanchia C, et al. A Team-Based Gamification App for Enhancing Autonomous Motivation in Diabetes Self-Care: A Longitudinal Study. JMIR Formative Research. 2026;10:e87236. doi:10.2196/87236
Autonomous motivation increased significantly (mean TSRQ-AM scores rose from 37.4 to 39.5, p = 0.047).
Body weight decreased significantly (b = −0.39 kg, P = 0.01).
No significant changes were found in hemoglobin A1c (P = 0.40).
No significant changes were found in triglycerides (P = 0.14).
Evidence network
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This study contributes evidence to Team-based gamification app and Autonomous motivation, Body weight, HbA1c, and 1 more.
This study contributes evidence to
Primary intervention
Team-based gamification app
Primary outcomes
Evidence topics
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
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Evidence pairs
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Contributes evidence
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Primary evidence
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Core evidence
The primary outcomes reported in this study.
Team-based gamification app → Autonomous motivation
Team-based gamification app → Autonomous motivation
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Team-based gamification app and Autonomous motivation, Team-based gamification app and Body Weight.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Autonomous motivation
Measures Autonomous motivation as a key outcome.
All studies measuring Body Weight
Measures Body Weight as a key outcome.
All studies on Team-based gamification app
Contributes to Team-based gamification app evidence base.
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Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Team-based gamification app appears to improve autonomous motivation.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Autonomous motivation
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Team-based gamification app appears to affect body weight.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Body weight
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Team-based gamification app for HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Team-based gamification app for triglycerides.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Triglycerides
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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