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. 2025 Apr 18:13:e66793.
doi: 10.2196/66793.

Smartwatch-Based Tailored Gamification and User Modeling for Motivating Physical Exercise: Experimental Study With the Maximum Difference Scaling Segmentation Method

Affiliations

Smartwatch-Based Tailored Gamification and User Modeling for Motivating Physical Exercise: Experimental Study With the Maximum Difference Scaling Segmentation Method

Jie Yao et al. JMIR Serious Games. .

Abstract

Background: Smartwatch-based gamification holds great promise for enhancing fitness apps and promoting physical exercise; however, empirical evidence on its effectiveness remains inconclusive, partly due to "one-size-fits-all" design approaches that overlook individual differences. While the emerging research area of tailored gamification calls for more accurate user modeling and better customization of game elements, existing studies have relied primarily on rating scale-based measures and correlational analyses with methodological limitations.

Objective: This study aimed to improve smartwatch-based gamification through an innovative user modeling approach to better motivate physical exercise among different user groups with tailored solutions. It incorporated both individual preferences and needs for game elements into the user segmentation process and used the maximum difference scaling (MaxDiff) technique, which can overcome the limitations of traditional methods.

Methods: With data collected from 2 MaxDiff experiments involving 378 smartwatch users and latent class statistical models, the relative power of each of the 16 popular game elements was examined in terms of what users liked and what motivated them to exercise based on which distinct user segments were identified. Prediction models were also proposed for quickly classifying future users into the right segments to provide them with tailored gamification solutions on smartwatch fitness apps.

Results: We identified 3 segments of smartwatch users based on their preferences for gamification. More importantly, we uncovered 4 segments motivated by goals, immersive experiences, rewards, or social comparison. Such user heterogeneity confirmed the susceptibility of the effects of gamification and indicated the necessity of accurately matching gamified solutions with user characteristics to better change health behaviors through different mechanisms for different targets. Important differences were also observed between the 2 sets of user segments (ie, those based on preferences for game elements vs those based on the motivational effects of the elements), indicating the gap between what people enjoy using on smartwatches and what can motivate them for physical exercise engagement.

Conclusions: To our knowledge, this study is the first to investigate MaxDiff-based user segmentation for tailored gamification on smartwatches promoting physical exercise and contributes to a detailed understanding of preferences for, and the effectiveness of, different game elements among different groups of smartwatch users. As existing tailored gamification studies continue to explore ways of user modeling with mostly surveys and questionnaires, this study supported the adoption of MaxDiff experiments as an alternative method to better capture user heterogeneity in the health domain and inform the design of tailored solutions for more application types beyond smartphones.

Keywords: MaxDiff; maximum difference scaling; physical exercise; smartwatch; tailored gamification; user segmentation.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Samples of gamification materials for the MaxDiff experiments on (A) user preferences and (B) motivational effects.
Figure 2
Figure 2
A sample scenario with 4 messages representing gamification elements from the motivation-focused MaxDiff experiment.

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References

    1. Stevens G, Mascarenhas M, Mathers C. Global health risks: progress and challenges. Bull World Health Organ. 2009 Sep 1;87(9):646. doi: 10.2471/blt.09.070565. https://europepmc.org/abstract/MED/19784438 S0042-96862009000900002 - DOI - PMC - PubMed
    1. Physical activity fact sheet. World Health Organization. 2021. Oct 12, [2025-02-12]. https://www.who.int/publications/i/item/WHO-HEP-HPR-RUN-2021.2 .
    1. Chekroud SR, Gueorguieva R, Zheutlin AB, Paulus M, Krumholz HM, Krystal JH, Chekroud AM. Association between physical exercise and mental health in 1·2 million individuals in the USA between 2011 and 2015: a cross-sectional study. Lancet Psychiatry. 2018 Sep;5(9):739–46. doi: 10.1016/S2215-0366(18)30227-X.S2215-0366(18)30227-X - DOI - PubMed
    1. Elbe AM, Lyhne SN, Madsen EE, Krustrup P. Is regular physical activity a key to mental health? Commentary on "Association between physical exercise and mental health in 1.2 million individuals in the USA between 2011 and 2015: a cross-sectional study", by Chekroud et al., published in. J Sport Health Sci. 2019 Jan;8(1):6–7. doi: 10.1016/j.jshs.2018.11.005. https://linkinghub.elsevier.com/retrieve/pii/S2095-2546(18)30103-0 S2095-2546(18)30103-0 - DOI - PMC - PubMed
    1. Segar M. No Sweat: How the Simple Science of Motivation Can Bring You a Lifetime of Fitness. New York, NY: AMACOM; 2015.

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