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Hagström, J., Blease, C., Moll, J., Rexhepi, H., Scandurra, I. & Hägglund, M. (2024). Adolescents' and Young Adults' Experiences of Offense from Reading Their Health Records Online. Studies in Health Technology and Informatics, 310, 1422-1423
Open this publication in new window or tab >>Adolescents' and Young Adults' Experiences of Offense from Reading Their Health Records Online
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2024 (English)In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 310, p. 1422-1423Article in journal (Refereed) Published
Abstract [en]

Patients feeling offended by reading records online is a concern among healthcare professionals, however previously published work has focused on adult patients. Here, a survey was used to explore and compare experiences of offense among adolescents (15-19 years old) and young adults (20-24 years old). Findings indicated that while the ratio of those offended did not differ between adolescents and young adults, reasons for feeling offended did.

Place, publisher, year, edition, pages
IOS Press, 2024
Keywords
Adolescents, electronic health records, offense, open notes, patient accessible electronic health records, young adults
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-111040 (URN)10.3233/SHTI231225 (DOI)38269677 (PubMedID)
Funder
NordForsk, 100477
Available from: 2024-01-30 Created: 2024-01-30 Last updated: 2024-01-30Bibliographically approved
Kujala, S., Simola, S., Wang, B., Soone, H., Hagström, J., Bärkås, A., . . . Johansen, M. A. (2024). Benchmarking usability of patient portals in Estonia, Finland, Norway, and Sweden. International Journal of Medical Informatics, 181, Article ID 105302.
Open this publication in new window or tab >>Benchmarking usability of patient portals in Estonia, Finland, Norway, and Sweden
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2024 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 181, article id 105302Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Poor usability is a barrier to widespread adoption of electronic health records (EHR). Providing good usability is especially challenging in the health care context, as there is a wide variety of patient users. Usability benchmarking is an approach for improving usability by evaluating and comparing the strength and weaknesses of systems. The main purpose of this study is to benchmark usability of patient portals across countries.

METHODS: A mixed-methods survey approach was applied to benchmark the national patient portals offering patient access to EHR in Estonia, Finland, Norway, and Sweden. These Nordic countries have similar public healthcare systems, and they are pioneers in offering patients access to EHR for several years. In a survey of 29,334 patients, both patients' quantitative ratings of usability and their qualitative descriptions of very positive and very negative peak experiences of portal use were collected.

RESULTS: The usability scores ranged from good to fair level of usability. The narratives of very positive and very negative experiences included the benefits of the patient portals and experienced usability issues. The regression analysis of results showed that very positive and negative experiences of patient portal use explain 19-35% of the variation of usability scores in the four countries. The percentage of patients who reported very positive or very negative experiences in each country was unrelated to the usability scores across countries.

CONCLUSIONS: The survey approach could be used to evaluate usability with a wide variety of users and it supported learning from comparison across the countries. The combination of quantitative and qualitative data provided an approximation of the level of the perceived usability, and identified usability issues to be improved and useful features that patients appreciate. Further work is needed to improve the comparability of the varied samples across countries.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Cross-national, Electronic health records, ORA, PAEHR, Online record access, Patient portal, Patient-accessible electronic health records, Survey, Usability benchmarking
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-109899 (URN)10.1016/j.ijmedinf.2023.105302 (DOI)001126157900001 ()38011806 (PubMedID)2-s2.0-85180006899 (Scopus ID)
Funder
NordForsk, 100477Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01229Academy of Finland, 352501
Note

Funding Agencies:

NordForsk through the funding to Nordic eHealth for Patients: Benchmarking and Developing for the Future, NORDeHEALTH

The Swedish Research Council for Health, Working Life and Welfare (FORTE) through the funding to Beyond Implementation of eHealth

The Strategic Research Council at the Academy of Finland

The Norwegian Centre for E-health Research.

Available from: 2023-11-28 Created: 2023-11-28 Last updated: 2024-01-18Bibliographically approved
Moll, J., Myreteg, G. & Rexhepi, H. (2024). Experiences of Patients With Mental Health Issues Having Web-Based Access to Their Records: National Patient Survey. JMIR Mental Health, 11, Article ID e48008.
Open this publication in new window or tab >>Experiences of Patients With Mental Health Issues Having Web-Based Access to Their Records: National Patient Survey
2024 (English)In: JMIR Mental Health, E-ISSN 2368-7959, Vol. 11, article id e48008Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Sharing mental health notes through patient accessible electronic health records (PAEHRs) is controversial. Many psychiatric organizations and regions in Sweden have resisted the implementation, as clinicians worry about possible harms when patients are reading their notes. Despite the documented benefits of PAEHRs, there is still a lack of knowledge regarding whether patients with mental health issues could reap similar benefits of reading their notes as other patient groups.

OBJECTIVE: The aim of the study is to examine the use, attitudes, and experiences of patients with mental health issues by reading their notes in the PAEHR and, moreover, whether their experiences differ from other patient groups, and if so, how.

METHODS: A national patient survey was conducted with answers from 2587 patients from different patient groups. In total, 504 respondents (19.5%) indicated that they experienced a mental health disease. Answers from this patient group were compared to the answers from all other respondents. Survey questions related to attitudes, information usage, and effects on contacts with care were selected for analysis. Mann-Whitney U tests were used to detect groupwise differences. RESULTS: Patients with mental health issues use PAEHRs for checking that they have received the right care (mean_mental health 2.83, SD_mental health 1.39; mean_others 2.62, SD_others 1.37; P=.002) or suspected inaccuracies (mean_mental health 2.55, SD_mental health 1.34; mean_others 2.31, SD_others 1.30; P=.001), blocking access for professionals in other specialties (mean_mental health 3.43, SD_mental health 1.46; mean_others 3.04, SD_others 1.42; P<.001), and checking which care professionals have accessed their record (mean_mental health 4.28, SD_mental health 1.14; mean_others 4.05, SD_others 1.25; P<.001) to a significantly higher degree than other patients. On the other hand, the results show that a significantly lower proportion of patients with mental health issues (mean_mental health 3.38, SD_mental health 1.21; mean_others 3.52, SD_others 1.18; P=.02) believe that PAEHRs help them in shared decision-making compared to other patient groups.

CONCLUSIONS: Patients with mental health issues who took part in the survey, as a group, express some minor differences in both the use of the PAEHR and their experiences regarding its usefulness, as compared to other patients, as a group. This patient group shows a slightly higher interest in 2 types of use: checking for accuracy of care in the record and blocking access to mental health notes for professionals from other parts of the health care system. Compared to other patient groups, these patients are less likely to experience that the PAEHR is a support in shared decision-making. The study indicates that the benefits of PAEHR on a general level are the same for this patient group as for other patients. The study does not support clinicians' worry about possible harm to this patient group. Further research is however needed.

Place, publisher, year, edition, pages
JMIR Publications, 2024
Keywords
Digital health, digital mental health, eHealth, mental health, national survey, patient accessible electronic health record, patient experiences, patient portal
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-111377 (URN)10.2196/48008 (DOI)38306158 (PubMedID)
Available from: 2024-02-05 Created: 2024-02-05 Last updated: 2024-02-05Bibliographically approved
Hagström, J., Åhlfeldt, R.-M., Blease, C., Cajander, Å., Rexhepi, H., Moll, J., . . . Hägglund, M. (2024). Security and Privacy of Online Record Access: A Survey of Adolescents' Views and Experiences in Sweden. Journal of Adolescent Health
Open this publication in new window or tab >>Security and Privacy of Online Record Access: A Survey of Adolescents' Views and Experiences in Sweden
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2024 (English)In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: Ensuring security of online health records and patients' perceptions of security are concerns in adolescent healthcare. Little is known about adolescents' perceptions about healthcare's ability to protect online health records. This article explores adolescents' perspectives on security and privacy of their online health records, potential differences based on gender and health, attitudes to sharing information, and perceptions of what constitutes sensitive information.

METHODS: This study included a subset of items from a national online patient survey conducted in Sweden (January-February 2022), focusing on respondents aged 15-19 years. Gender and health status differences were calculated using the Kruskal-Wallis test.

RESULTS: Of 218 adolescent respondents (77.1% female), a minority had security and privacy concerns. A notable proportion (41.3%) wished to control who could see their records, and those who reported better perceived health were more likely to want to manage access to their electronic health record (H = 13.569, p = .009). Most had not experienced unauthorized access to their records (75.2%) and had never shared health information on other online applications (85.8%). More than half (56.0%) perceived some information as sensitive, where mental health was the most common (76.0%). Most felt that reading their notes improved their trust for their healthcare professional (65.6%) and supported better communication with healthcare professionals (66.5%).

DISCUSSION: In this national survey, adolescents generally reported few concerns about patient portals. Findings emphasize the need for security and privacy protection and to empower adolescents with greater control over access to their health information housed in electronic health record systems.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Adolescent health, Adolescents, Electronic health record (EHR), National survey, Patient portal, Security, Privacy, Patient accessible electronic health record (PAEHR), Usability, eHealth
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-111658 (URN)10.1016/j.jadohealth.2023.12.027 (DOI)38349307 (PubMedID)
Funder
NordForsk, #10047Forte, Swedish Research Council for Health, Working Life and Welfare, #2020-01229
Available from: 2024-02-21 Created: 2024-02-21 Last updated: 2024-02-21Bibliographically approved
Hellberg, A.-S. & Moll, J. (2023). A point with pointsification? Clarifying and separating pointsification from gamification in education. Frontiers in Education, 8, Article ID 1212994.
Open this publication in new window or tab >>A point with pointsification? Clarifying and separating pointsification from gamification in education
2023 (English)In: Frontiers in Education, E-ISSN 2504-284X, Vol. 8, article id 1212994Article in journal (Refereed) Published
Abstract [en]

Gamification gained popularity in the 2010s, with educational professionals quickly adopting it as a way to transfer the motivational effects of games to a learning situation. However, the rapid implementation of gamification without proper planning led to a misunderstanding of the concept, namely that the use of points and rewards is enough. Proper gamification in education requires careful planning and a game-thinking approach to the design of the learning environment. The simple addition of points and badges is therefore a misuse of the gamification concept, which has been referred to as pointsification. This misuse leads to confusion and mixed results as studies using pointsification are often still labeled as gamification. This paper clarifies the differences and uses of gamification and pointsification by analyzing the effects of pointsification in a higher education course and discussing these effects in relation to gamification. The research employs a mixed-methods approach, examining project grades, individual grades, and students' opinions. The objective is to show how pointsification can be implemented in education to lead to better learning in a way that both prevents previously identified problems associated with pointsification and also addresses them effectively. Although the use of points and badges has received criticism, studies have also demonstrated that pointsification can improve student engagement and motivation. As such, pointsification should be considered a distinct concept that focuses solely on the use of points and rewards to motivate students, while gamification should encompass a broader game-thinking approach.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
gamification, pointsification, motivation, higher education, effectiveness of learning, learning outcomes, effectiveness of teaching
National Category
Pedagogy
Research subject
Informatics
Identifiers
urn:nbn:se:oru:diva-107413 (URN)10.3389/feduc.2023.1212994 (DOI)001033753500001 ()2-s2.0-85165584923 (Scopus ID)
Available from: 2023-08-08 Created: 2023-08-08 Last updated: 2023-08-14Bibliographically approved
Bärkås, A., Kharko, A., Blease, C., Cajander, Å., Johansen Fagerlund, A., Huvila, I., . . . Hägglund, M. (2023). Errors, Omissions, and Offenses in the Health Record of Mental Health Care Patients: Results from a Nationwide Survey in Sweden. Journal of Medical Internet Research, 25, Article ID e47841.
Open this publication in new window or tab >>Errors, Omissions, and Offenses in the Health Record of Mental Health Care Patients: Results from a Nationwide Survey in Sweden
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2023 (English)In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 25, article id e47841Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may feel worried or offended by the content of the notes. Moreover, existing research has focused on specific mental health diagnoses, excluding the larger PAEHR userbase with experience in MHC.

OBJECTIVE: The objective of this study is to establish if and how the experiences of patients with and those without MHC differ in using their PAEHRs by (1) comparing patient characteristics and differences in using the national patient portal between the 2 groups and (2) establishing group differences in the prevalence of negative experiences, for example, rates of errors, omissions, and offenses between the 2 groups.

METHODS: Our analysis was performed on data from an online patient survey distributed through the Swedish national patient portal as part of our international research project, NORDeHEALTH. The respondents were patient users of the national patient portal 1177, aged 15 years or older, and categorized either as those with MHC experience or with any other health care experience (nonmental health care [non-MHC]). Patient characteristics such as gender, age, education, employment, and health status were gathered. Portal use characteristics included frequency of access, encouragement to read the record, and instances of positive and negative experiences. Negative experiences were further explored through rates of error, omission, and offense. The data were summarized through descriptive statistics. Group differences were analyzed through Pearson chi-square.

RESULTS: Of the total sample (N=12,334), MHC respondents (n=3131) experienced errors (1586/3131, 50.65%, and non-MHC 3311/9203, 35.98%), omissions (1089/3131, 34.78%, and non-MHC 2427/9203, 26.37%) and offenses (1183/3131, 37.78%, and non-MHC 1616/9203, 17.56%) in the electronic health record at a higher rate than non-MHC respondents (n=9203). Respondents reported that the identified error (MHC 795/3131, 50.13%, and non-MHC 1366/9203, 41.26%) and omission (MHC 622/3131, 57.12%, and non-MHC 1329/9203, 54.76%) were "very important," but most did nothing to correct them (MHC 792/3131, 41.29%, and non-MHC 1838/9203, 42.17%). Most of the respondents identified as women in both groups.

CONCLUSIONS: About 1 in 2 MHC patients identified an error in the record, and about 1 in 3 identified an omission, both at a much higher rate than in the non-MHC group. Patients with MHC also felt offended by the content of the notes more commonly (1 in 3 vs 1 in 6). These findings validate some of the worries expressed by health care professionals about providing patients with MHC with PAEHRs and highlight challenges with the documentation quality in the records.

Place, publisher, year, edition, pages
JMIR Publications, 2023
Keywords
EHR, ORA, PAEHR, electronic health records, mental health, mental health care, national survey, online records access, open notes, patient-accessible electronic health record, patients, user experiences
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-109583 (URN)10.2196/47841 (DOI)001104378500001 ()37921861 (PubMedID)2-s2.0-85176200077 (Scopus ID)
Funder
NordForsk, 100477Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01229
Available from: 2023-11-06 Created: 2023-11-06 Last updated: 2024-02-20Bibliographically approved
Thangavel, G., Memedi, M., Moll, J. & Hedström, K. (2023). Management of social isolation and loneliness in Parkinson’s disease: Design principles. In: ICIS 2023 Proceedings: . Paper presented at 2023 International Conference on Information Systems (ICIS 2023), Hyderabad, India, December 10-13, 2023. AIS eLibrary, Article ID 2169.
Open this publication in new window or tab >>Management of social isolation and loneliness in Parkinson’s disease: Design principles
2023 (English)In: ICIS 2023 Proceedings, AIS eLibrary , 2023, article id 2169Conference paper, Published paper (Refereed)
Abstract [en]

Persons with Parkinson’s disease (PwPs) may have difficulty participating in social activities due to motor and non-motor symptoms that may lead to social isolation and loneliness. This paper addresses how to manage social isolation and loneliness among PwPs using digital solutions. Information and Communication Technologies (ICT) have the potential to address social isolation and loneliness, but there are no current solutions that specifically target these issues among PwPs. In this paper, we present an ongoing project based on design science research (DSR) combined with a user-centered approach to identify challenges, requirements, and design objectives. The empirical work includes data from interviews and focus groups with PwPs and healthcare professionals. Based on the empirical material, we formulated design principles on identified challenges and requirements, which were instantiated into a high-fidelity prototype. This initial cycle serves as a foundation for ongoing improvements and evaluations in a continuous DSR process.

Place, publisher, year, edition, pages
AIS eLibrary, 2023
Keywords
Social isolation, loneliness, Information and Communication Technologies, design science research, user-centered design, design principles
National Category
Gerontology, specialising in Medical and Health Sciences Interaction Technologies
Research subject
Informatics; Human-Computer Interaction
Identifiers
urn:nbn:se:oru:diva-111049 (URN)9781958200070 (ISBN)
Conference
2023 International Conference on Information Systems (ICIS 2023), Hyderabad, India, December 10-13, 2023
Funder
EU, Horizon 2020, 754285
Available from: 2024-01-25 Created: 2024-01-25 Last updated: 2024-01-31Bibliographically approved
Hägglund, M., Kharko, A., Hagström, J., Bärkås, A., Blease, C., Cajander, Å., . . . Johansen, M. A. (2023). The NORDeHEALTH 2022 Patient Survey: Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia. Journal of Medical Internet Research, 25, Article ID e47573.
Open this publication in new window or tab >>The NORDeHEALTH 2022 Patient Survey: Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia
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2023 (English)In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 25, article id e47573Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Although many surveys have been conducted on patients accessing their own health records in recent years, there is a limited amount of nationwide cross-country data available on patients' views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project, NORDeHEALTH.

OBJECTIVE: We aimed to investigate the sociodemographic characteristics and experiences of patients who accessed their electronic health records (EHRs) through national patient portals in Norway, Sweden, Finland, and Estonia.

METHODS: A cross-sectional web-based survey was distributed using the national online health portals. The target participants were patients who accessed the national patient portals at the start of 2022 and who were aged ≥15 years. The survey included a mixture of close-ended and free-text questions about participant sociodemographics, usability experience, experiences with health care and the EHR, reasons for reading health records online, experience with errors, omissions and offense, opinions about security and privacy, and the usefulness of portal functions. In this paper, we summarized the data on participant demographics, past experience with health care, and the patient portal through descriptive statistics. RESULTS: In total, 29,334 users completed the survey, of which 9503 (32.40%) were from Norway, 13,008 (44.35%) from Sweden, 4713 (16.07%) from Finland, and 2104 (7.17%) from Estonia. National samples were comparable according to reported gender, with about two-thirds identifying as women (19,904/29,302, 67.93%). Age distributions were similar across the countries, but Finland had older users while Estonia had younger users. The highest attained education and presence of health care education varied among the national samples. In all 4 countries, patients most commonly rated their health as "fair" (11,279/29,302, 38.48%). In Estonia, participants were more often inclined to rate their health positively, whereas Norway and Sweden had the highest proportion of negative health ratings. Across the whole sample, most patients received some care in the last 2 years (25,318/29,254, 86.55%). Mental health care was more common (6214/29,254, 21.24%) than oncological care (3664/29,254, 12.52%). Overall, most patients had accessed their health record "2 to 9 times" (11,546/29,306, 39.4%), with the most frequent users residing in Sweden, where about one-third of patients accessed it "more than 20 times" (4571/13,008, 35.14%).

CONCLUSIONS: This is the first large-scale international survey to compare patient users' sociodemographics and experiences with accessing their EHRs. Although the countries are in close geographic proximity and demonstrate similar advancements in giving their residents online records access, patient users in this survey differed. We will continue to investigate patients' experiences and opinions about national patient-accessible EHRs through focused analyses of the national and combined data sets from the NORDeHEALTH 2022 Patient Survey.

Place, publisher, year, edition, pages
JMIR Publications, 2023
Keywords
electronic health record, health data, national survey, online medical record, online records access, patient access, patient portal, patient-accessible electronic health record
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-109757 (URN)10.2196/47573 (DOI)001106906500004 ()37955963 (PubMedID)2-s2.0-85176787931 (Scopus ID)
Funder
NordForsk, 100477Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01229
Note

This work was supported by NordForsk through funding to Nordic eHealth for Patients: Benchmarking and Developing for the Future, NORDeHEALTH (project #100477), the Swedish Research Council for Health, Working Life and Welfare (Forskningsrådet for hälsa, arbetsliv och välfärd [FORTE]) through the funding to äBeyond Implementation of eHealth (project #2020-01229), the Strategic Research Council at the Academy of Finland (project #352501 and #352503), and the Norwegian Centre for E-health Research. CB was supported by a Keane Scholar Award. 

Available from: 2023-11-20 Created: 2023-11-20 Last updated: 2024-01-17Bibliographically approved
Hellberg, A.-S. & Moll, J. (2022). An effective online learning for complex theoretical content: experience of Community of Inquiry. In: 2022 IEEE Frontiers in Education Conference (FIE): . Paper presented at Frontiers in Education, Uppsala, Sweden, October 8-11, 2022. IEEE
Open this publication in new window or tab >>An effective online learning for complex theoretical content: experience of Community of Inquiry
2022 (English)In: 2022 IEEE Frontiers in Education Conference (FIE), IEEE, 2022Conference paper, Published paper (Refereed)
Abstract [en]

In this research to practice full paper we describe our implementation of CoI (Community of Inquiry). CoI is a framework for designing an effective online learning environment. It originates from Charles Sanders Pierce’s ideas that knowledge can only be created in a community through inquiry. We applied the framework in a highly interactive course that was forced to be held online because of the pandemic. The theoretical core of the course is cognitive psychology, a topic considered difficult to learn in a short time. Besides describing our implementation, we evaluate the results of the students’ inquiries and compare it with results from the previous year when we did not use CoI for this part of the course. Our findings show that the most important instructional strategy is to facilitate for students to work individually according to a scientific inquiry and then, in a community, use the knowledge gained in critical discourse to build an overall understanding. When the students worked according to this, the results exceeded our expectations, both regarding the depth of understanding and ability to apply the knowledge in ongoing course projects. Because more teaching will likely take place at a distance in the future, as a side effect of the pandemic, we believe that this could be a way to meet an increasing demand for online instruction, especially when designing educational settings for complex theoretical content.

Place, publisher, year, edition, pages
IEEE, 2022
Series
Proceedings - Frontiers in Education Conference, ISSN 1539-4565, E-ISSN 2377-634X
Keywords
Community of Inquiry, Information technology, Course design, User-centered design, Distance learning, Problem-based learning, Engagement, Learning management systems, Higher education
National Category
Educational Sciences
Research subject
Informatics
Identifiers
urn:nbn:se:oru:diva-102621 (URN)10.1109/FIE56618.2022.9962553 (DOI)9781665462440 (ISBN)9781665462457 (ISBN)
Conference
Frontiers in Education, Uppsala, Sweden, October 8-11, 2022
Available from: 2022-12-08 Created: 2022-12-08 Last updated: 2023-02-14Bibliographically approved
Moll, J. & Gao, S. (2022). Awarding bonus points as a motivator for increased engagement in course activities in a theoretical system development course. In: 2022 IEEE Frontiers in Education Conference (FIE): . Paper presented at Frontiers in Education, Uppsala, Sweden, October 8-11, 2022. IEEE
Open this publication in new window or tab >>Awarding bonus points as a motivator for increased engagement in course activities in a theoretical system development course
2022 (English)In: 2022 IEEE Frontiers in Education Conference (FIE), IEEE, 2022Conference paper, Published paper (Refereed)
Abstract [en]

This research to practice full paper focuses on gamification in a theoretical university course. Gamification has been applied in many different educational contexts as a means to motivate students to engage with course material. One commonly used gamification element is bonus points. This study aimed to investigate the use of bonus points as a motivator for increased engagement in course activities in a theoretical system development course in higher education. A mixed method approach, based on statistical analysis of course achievement, survey data and student group interviews has been applied to address this aim. According to the results, we found that awarding bonus points in the course seminars had positive effects on students’ learning motivation and engagement, as well as students’ achievements on the final course examination. This study contributes to the current literature of gamification in education by studying the implementation of bonus points in a theoretical course in higher education – two areas where there is currently a lack of studies. Furthermore, practical insights in how to implement a bonus points system in higher education have been highlighted.

Place, publisher, year, edition, pages
IEEE, 2022
Series
Proceedings - Frontiers in Education Conference, ISSN 1539-4565, E-ISSN 2377-634X
Keywords
bonus points, gamification, higher education, motivation, theory course
National Category
Educational Sciences
Research subject
Informatics
Identifiers
urn:nbn:se:oru:diva-103444 (URN)10.1109/FIE56618.2022.9962540 (DOI)2-s2.0-85143833110 (Scopus ID)9781665462440 (ISBN)9781665462457 (ISBN)
Conference
Frontiers in Education, Uppsala, Sweden, October 8-11, 2022
Available from: 2023-01-24 Created: 2023-01-24 Last updated: 2023-01-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4772-4730

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