Nurse-led inpatient education using a gamification approach for patients with mental illness: A quasi-experimental study.

The study was quasi-experimental, not randomised, so baseline differences may still explain the results. It was conducted in one tertiary psychiatric hospital, so findings may not apply elsewhere. The groups differed in age and age at diagnosis, although the analysis adjusted for these. The knowledge and self-efficacy questionnaires were developed by the authors, and the occupational therapy engagement measure was not formally validated. Post-intervention knowledge scores in the game group were close to 100%, so the test may not capture further improvement. The study did not follow patients after discharge, so it cannot show longer-term adherence or relapse effects. Twenty-two of 112 enrolled patients were excluded, mainly because they were discharged before the second data collection or declined.

The authors declared no potential conflicts of interest with respect to the research, authorship and/or publication.

Do not conclude that gamification increases occupational therapy attendance or long-term adherence. Attendance did not differ, and outcomes were measured only before discharge.