Your new experience awaits. Try the new design now and help us make it even better

BRIEF RESEARCH REPORT article

Front. Digit. Health

Sec. Human Factors and Digital Health

This article is part of the Research TopicDesigning for Engagement in Digital Health for Chronic and Long-Term CareView all 15 articles

From Engagement to Empowerment: Integrating Gamification and Living Lab Methodology in Child-Centered Health Innovation

Provisionally accepted
  • Luleå University of Technology, Luleå, Sweden

The final, formatted version of the article will be published soon.

This paper presents the design, development, and field testing of Save the World, a gamified healthcare application aimed at promoting health awareness and environmental literacy among children aged 8–10 years. Developed within the Horizon Europe SynAir-G project, the application combines game-based mechanics with an iterative Living Lab (LL) methodology to foster engagement, inclusivity, and real-world learning. The app was co-created with children, parents, teachers, healthcare professionals, and developers through a multistakeholder, co-creative process involving workshops in Sweden and Denmark. Drawing on LL principles; such as stakeholder engagement, real-life experimentation, and continuous feedback; this research enhanced the contextual relevance and usability of game features while addressing ethical considerations and diverse user needs. Field-testing results show that the integration of gamification and LL methodologies significantly improved user engagement, educational value, and technical performance. The study demonstrates how LL and gamification can reinforce one another in creating meaningful, child-centered digital innovations, aligning with broader European goals around sustainability, digital inclusion, and participatory design.

Keywords: Gamification, Living Lab, healthcare, Participatory Design, Child Care

Received: 13 Aug 2025; Accepted: 11 Nov 2025.

Copyright: © 2025 Habibipour. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Abdolrasoul Habibipour, abdolrasoul.habibipour@ltu.se

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.