*6.2. Future Research*

Future research efforts to develop complex and integrative platforms such as the platform described in this study should incorporate user input and co-design approaches and rigorous quality assurance testing before being subjected to user evaluation studies. The ideal of a user-centered design process, common to the field of human-computer interaction, that engages target users early and often [46] is sometimes hard to realize but considered necessary for successful design. Future studies should also address issues of deployment by engaging with key stakeholders in healthcare in addition to patients as end-users to facilitate the ultimate success of the technology in "real world" settings. In terms of methodology, future research on platforms such as the PERGAMON platform in this study, should be conducted with larger groups of patients/users (including those recently diagnosed) with rigorous research designs and in a hospital setting over a longer period to see if indeed gamification helps patients to automate self-care behaviours. If proven effective, further studies should aim to examine and clarify which features and game elements contribute to a positive user experience and increase self-care for patients with a chronic condition.
