我國高齡化趨勢與平均壽命不斷提升，使活躍老化議題越來越熱門，已知為了提升身體健康與生活品質，熟齡族群需維持穩定的運動習慣。如何提升現有相關運動服務以促進熟齡者的參與和滿意度，以及對於運動的看法與行為是重要探討方向。本研究旨在從熟齡學員與運動服務提供者的看法、需求與痛點出發，在不直接影響運動課程內容的基礎下，探討可以如何調整服務以正向影響熟齡學員的運動動機與行為，並設計可實際應用的服務項目以供參考。
本研究以觀察與訪談發覺運動課程中的機會點以及熟齡學員的運動相關行為與需求，藉由遊戲化角色類型了解學員們的運動動機，探討遊戲化與視覺化介入的可能性，以此為基礎設計出四個遊戲化服務項目：運動成果圖、重要叮嚀、結業證書與成就徽章，並於課堂期間介入。後以問卷、狩野分析與訪談得出熟齡學員對課程與服務項目的看法、滿意度及建議。結果顯示熟齡學員對含有競爭、比較、徽章和獎勵的遊戲化元素持保留態度；然而，他們認為將運動成果透過視覺化方式呈現是既吸引人又能增強成就感和學習印象的有效服務，肯定了回饋、進步、成就的遊戲化元素之效用。運動成果圖、重要叮嚀與結業證書的介入雖未發現對運動行為有直接影響，但皆帶來了正面感受與激勵。本研究也發展服務項目的設計指引與使用優先順序供服務提供者參考，以及未來研究建議，期待提高熟齡學員對運動課程服務之參與度與滿意度，進一步促進運動動機與行為。

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As Taiwan grapples with an aging population and increased lifespan, active aging and joyful retirement have become crucial. Recognizing the importance of stable exercise routines in preventing disease and improving mental and physical health for the elderly is essential. This research looks into the elderly's exercise motivation and barriers to enhancing their engagement and habituation in physical activity by adding value to existing services. Without altering existing exercise programs, the study seeks to realign services with elderly needs, suggesting gamification-based enhancements. Observational and interview data guided the creation of four service items: performance infographics, guidance records, certifications, and achievement badges, tailored to encourage participation and motivation. Questionnaires, Kano analysis, and semi-structured interviews revealed reservations among the elderly toward competitive and reward-based gamification in exercise, preferring services that visually present exercise outcomes to boost achievement and recall. The findings have been converted into actionable recommendations for providers, aiming to increase elderly engagement and satisfaction in exercise, ultimately fostering better health behaviors

王治平（2005）。中老年人運動社會支持、知覺運動障礙對運動參與程度與生活滿意度關係研究。國立體育學院體育研究所碩士論文，未出版，桃園縣。

李文題（2018）. 高齡學習課程之探討—以臺中市樂齡學習中心為例. 臺灣教育評論月刊, 7(5), 279-284.

吳秋燕（2003）。老年人身體活動、心肺適能與生活品質之相關研究。未出版之碩士論文，臺北市，國立臺灣師範大學體育研究所。

吳淑瓊, & 莊坤洋（2001)。在地老化: 台灣二十一世紀長期照護的政策方向. 台灣公共衛生雜誌, 20(3), 192-201.

林季樺（2011）。臺北市市民運動中心高齡者休閒運動動機、涉入與阻礙之研究〔碩士論文，國立臺灣師範大學〕。

林麗惠（2016）。全國樂齡學習服務 效益分析及需求調查計畫。

周嘉琪, & 王俊明（2011）。運動社會支持, 運動享樂對中年運動參與者幸福感之影響. 臺灣體育學術研究,(50), 21-36.

洪致瑩（2019）。臺灣高齡者休閒運動涉入之研究。休閒與社會研究，(19)，27-36。

洪淑宜（2012）。中高齡者對於活躍老化課程認知與學習參與差異之研究: 以新北市樂齡學習中心為例.

許樹淵（2000）。運動生理心理學。台北：師大書苑。

陳依靈、楊孟華、侯堂盛（2013）。跨理論模式應用於老年人健身運動行為改變之探討。嘉大體育健康休閒期刊，12(1)，136-141。

陳清暉（2001）。影響網路問卷表現與紙筆問卷表現差異因素之探討。輔仁大學心理學系碩士論文，新北市。

陳靜敏, 李碧霞, 張淑卿, & 莊瑞菱（2001）。社區健康意識量表之發展與測試. 新臺北護理期刊, 3(2), 77-87.

陳怡如, 黃滄海, 林麗娟（2011）。老年人的肌肉適能變化與彈力帶阻力訓練. 大專體育, (113), 77-86.

張珈瑛（2014）。樂齡族群舞蹈運動課程參與動機與滿意度之研究-以臺中樂齡大學為例. 亞洲高齡健康休閒及教育學刊, (3), 1-11.

張量懿、黃清雲（2015）。樂齡運動指導之動機模式與應用。嘉大體育健康休閒期刊，14(1) ，233-245。

中華民國人口推估，台北：國家發展委員會，2020。

蔡英美、王俊明（2013）。銀髮族休閒運動參與動機、運動參與程度及幸福感之 研究。南開學報，329，47-51。

鍾東蓉（2000）。台北市立高中導師運動行為及其影響因素調查研究。國立臺灣
師範大學衛生教育研究所碩士論文，未出版，臺北市。

Altmeyer, M., Lessel, P., Muller, L., & Krüger, A. (2019). Combining behavior change intentions and user types to select suitable gamification elements for persuasive fitness systems. In Persuasive Technology: Development of Persuasive and Behavior Change Support Systems: 14th International Conference, PERSUASIVE 2019, Limassol, Cyprus, April 9–11, 2019, Proceedings 14 (pp. 337-349). Springer International Publishing.

American College of Sports Medicine (Acsm). (2003). ACSM's Guidelines for Exercise Testing and Prescription 9th. Pennsylvania: Lippincott Williams & Wilkins

Bartle, R. (1996). Hearts, clubs, diamonds, spades: Players who suit MUDs. Journal of MUD research, 1(1), 19.

Berehil, M. (2022). Boosting Students Motivation Through Gamified Hybrid Learning Environments Bleurabbit Case Study. In Networking, Intelligent Systems and Security (pp. 561-576). Springer, Singapore.

Berglund, A., Jedel, I., Orädd, H., Fallström, J., & Berglund, E. (2023). Liopep: A Gamified Casual Exergame Application to help Office Workers not be Active Couch Potatoes. In 2023 IEEE 11th International Conference on Serious Games and Applications for Health (SeGAH) (pp. 1-8). IEEE.

Bertin, J. (1983). Semiology of graphics. University of Wisconsin press.

Bethancourt, H. J., Rosenberg, D. E., Beatty, T., & Arterburn, D. E. (2014). Barriers to and facilitators of physical activity program use among older adults. Clinical medicine & research, 12(1-2), 10-20.

Biegel, L. (1984). physical fitness and the old person: a guide to exercise for health care professionals. Maryland.

Bitner, M. J., Ostrom, A. L., & Morgan, F. N. (2008). Service blueprinting: a practical technique for service innovation. California management review, 50(3), 66-94.

Boyd, M. P., & Yin, Z. (1996). Cognitive-affective sources of sport enjoyment in adolescent sport participants. Adolescence, 31(122), 383.

Bravo, G., Gauthier, P., Roy, P., Payette, H., Gaulin, P., Harvey, M., Peloquin, L., & Dubois, M. (1996). Impact of a 12-month exercise program on the physical and psychological health of osteopenic women. Journal of the American Geriatrics Society, 44, 756-762.

Buchner, D. (1997). Physical activity and quality of life in older adults. Journal of the American Medical Association, 277, 64-66.

Buchem, I., Merceron, A., Kreutel, J., Haesner, M., & Steinert, A. (2015). Gamification designs in wearable enhanced learning for healthy ageing. In 2015 international conference on interactive mobile communication technologies and learning (IMCL) (pp. 9-15). IEEE.

Buckley, P., & Doyle, E. (2016). Gamification and student motivation. Interactive learning environments, 24(6), 1162-1175.

Buman, M. P., Yasova, L. D., & Giacobbi Jr, P. R. (2010). Descriptive and narrative reports of barriers and motivators to physical activity in sedentary older adults. Psychology of sport and exercise, 11(3), 223-230.

Card, S. K., Mackinlay, J., & Shneiderman, B. (Eds.). (1999). Readings in information visualization: using vision to think. Morgan Kaufmann.

Carless, D., & Boud, D. (2018). The development of student feedback literacy: Enabling uptake of feedback. Assessment & Evaluation in Higher Education, 43(8).

Cassilhas, R. C., Viana, V. A., Grassmann, V., Santos, R. T., Santos, R. F., Tufik, S. E. R. G. I. O., & Mello, M. T. (2007). The impact of resistance exercise on the cognitive function of the elderly. Medicine and science in sports and exercise, 39(8), 1401.

Cohen, S. (2004). Social relationships and health. American psychologist, 59(8), 676.

Chen, Y. H., & Su, C. T. (2006). A Kano-CKM model for customer knowledge discovery. Total Quality Management & Business Excellence, 17(5), 589-608.

Crawford, D. W., & Godbey, G. (1987). Reconceptualizing barriers to family leisure. Leisure sciences, 9(2), 119-127.

Dacey, M., Baltzell, A., & Zaichkowsky, L. (2008). Older adults' intrinsic and extrinsic motivation toward physical activity. American journal of health behavior, 32(6), 570-582.

Dafna, M., Carmen, C., Kamalesh, V., & Adrian, B. (2012). How diverse was the leisure time physical activity of older Australians over the past decade?. Journal of Science and Medicine in Sport, 15(3), 213-219.

David S. Wallace , Sylvia Wandell Conner West , Anne Ware & Donald F. Dansereau (1998). The Effect of Knowledge Maps That Incorporate Gestalt Principles on Learning, The Journal of Experimental Education, 67:1, 5-16,

Deci, E. L., & Ryan, R. M. (2000). The“what ”and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4),227-268.

Deci, E. L., & Ryan, R. M. (2008). Self-determination theory: A macrotheory of human motivation, development, and health. Canadian Psychology, 49(3), 182-185.

Denk, H., & Pache, D. (1999). The Bonn study of sport for the aged: an investigation of the motivation and attitude of old people toward sport and movement activities. Sportwissenschaft, 29(3), 324-342.

Deterding, S., Dixon, D., Khaled, R., & Nacke, L. (2011, September). From game design elements to gamefulness: defining" gamification". In Proceedings of the 15th international academic MindTrek conference: Envisioning future media environments (pp. 9-15).

Dishman, R. K. (1994). Motivating older adults to exercise. Southern medical journal, 87(5), S79-82.

Evans, W. J. (1999). Exercise training guidelines for the elderly. Medicine and science in sports and exercise, 31(1), 12-17.

Ekeocha, T. C. (2015). The Effects of Visualization & Guided Imagery in Sports Performance. Texas State University.

Ettinger, W. H., Burns, R., Messier, S. P., Applegate, W., Rejeski, W. J., Morgan, T., ... & Craven, T. (1997). A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis: the Fitness Arthritis and Seniors Trial (FAST). Jama, 277(1), 25-31.

Fan, C., Forlizzi, J., & Dey, A. K. (2012, September). A spark of activity: exploring informative art as visualization for physical activity. In Proceedings of the 2012 ACM Conference on Ubiquitous Computing (pp. 81-84).

Few, S. (2006). Information dashboard design: The effective visual communication of data. O’Reilly Media Inc.

Fox, K. R. (2000). The Effects of Exercise on Self-Perceptions and Self-Esteem [Efectos del ejercicio en el autoconcepto y autoestima. En SJH Biddle, KR Fox y SH Boutcher (Eds.), Physical Activity and Psychological Well-Being [Actividad física y Bienestar psicológico](pp. 88-117).

Frederick, C. M., Morrison, C., & Manning, T. (1996). Motivation to participate, exercise affect, and outcome behaviors toward physical activity. Perceptual and Motor Skills, 82(2), 691-701.

Gay, L. R. (1992). Educational research competencies for analysis and application. Macmillan, New York.

Green, J., & Crouse, S. (1995). The effects of endurance training on functional capacity in the elderly: A meta-analysis. Mediane and Science in Sports and Exercise, 32, 920926.

Gustavo F. Tondello, Alberto Mora, and Lennart E. Nacke. 2017. Elements of Gameful Design Emerging from User Preferences. In Proceedings of the Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '17). –27, 28

Hamari, J., Koivisto, J., & Sarsa, H. (2014, January). Does gamification work?--a literature review of empirical studies on gamification. In 2014 47th Hawaii international conference on system sciences (pp. 3025-3034). Ieee.

Hill, K., Schwarz, J., Kalogeropolulos, ?., & Gibson, S. (1996). Fear of falling revisited. Archives of Physical Mediane and Rehabilitation, 77, 1025-1029.

Hofstede, G. (1983). National cultures in four dimensions: A research-based theory of cultural differences among nations. International studies of management & organization, 13(1/2), 46-74.

Huang, X. (2022, October). Data Visualization Design Strategies for Promoting Exercise Motivation in Self-Tracking Applications. In Proceedings of the 40th ACM International Conference on Design of Communication (pp. 78-89).

Huotari, K., Hamari, J.: Defining gamification: a service marketing perspective. In: Proceedings of 16th International Academic MindTrek Conference, pp. 17–22. ACM, New York (2012).

Hsieh, P.S., Feng, W.T. & Tu, R.T. (2022). Can Gamification Increase Users’Continued Use Intention of Fitness App? Compare the Effectiveness of Intrinsic and Extrinsic Game. Journal of Information Management, 29(3), 277-301.

Jette, A. M., Harris, B. A., Sleeper, L., Lachman, M. E., Heislein, D., Giorgetti, M., & Levenson, C. (1996). A home‐based exercise program for nondisabled older adults. Journal of the American Geriatrics society, 44(6), 644-649.

Johnson, D., Deterding, S., Kuhn, K. A., Staneva, A., Stoyanov, S., & Hides, L. (2016). Gamification for health and wellbeing: A systematic review of the literature. Internet interventions, 6, 89-106.

Kano, N. (1984). Attractive quality and must-be quality. Hinshitsu (Quality, The Journal of Japanese Society for Quality Control), 14, 39-48.

Kappen, D. L., & Orji, R. (2017). Gamified and persuasive systems as behavior change agents for health and wellness. XRDS: Crossroads, The ACM Magazine for, Students 24(1), 52-55.

Kappen, D.L., Mirza-Babaei, P., & Nacke, L.E. (2018). Gamification of older adults’ physical activity: an eight-week study..

Kappen, D.L., Mirza-Babaei, P., & Nacke, L.E. (2019). Motivational affordances for older adults’ physical activity technology: an expert evaluation. In Human Aspects of IT for the Aged Population.

Kappen, D.L., Mirza-Babaei, P., Nacke, L.E. (2020). Older Adults’ Motivation for Physical Activity Using Gamified Technology: An Eight-Week Experimental Study. In: Gao, Q., Zhou, J. (eds) Human Aspects of IT for the Aged Population. Healthy and Active Aging. HCII 2020.

Kaushal, N., Rhodes, R.E.: Exercise habit formation in new gym members: a longitudinal study. J. Behav. Med. 38, 652–663 (2015)

Kelly, J. R., & Godbey, G. (1992). The sociology of leisure. Venture Publishing Inc..

King, A., Blair, S., BiId, D., Dishman, R., Dubbert, P., Marcus, B., Oldridge, N., Paffenbarger, R., Powell, K., & Yeager, K. (1992). Determinants of physical activity and interventions in adults. Mediane and Sdence in Sports and Exerdse, 24, 32213223.

Kleinspehn-Ammerlahn, A., Kotter-Grühn, D., & Smith, J. (2008). Self-perceptions of aging: Do subjective age and satisfaction with aging change during old age?. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(6), P377-P385.

Klock, A. C. T., Gasparini, I., Pimenta, M. S., & Hamari, J. (2020). Tailored gamification: A review of literature. International Journal of Human-Computer Studies, 144, 102495.

Koivula, N. (1999). Sport Participation: Differences in Motivation and Actual. Journal of Sport Behavior, 22(3).

Kuo, Y. F. (2004). Integrating Kano’s model into web-community service quality. Total Quality Management & Business Excellence, 15(7), 925-939.

Lachman, M. E., Neupert, S. D., Bertrand, R., & Jette, A. M. (2006). The effects of strength training on memory in older adults. Journal of aging and physical activity, 14(1), 59-73.

Link, M. W., Lai, J., & Bristol, K. (2014). Not so fun? The challenges of applying gamification to smartphone measurement. In Design, User Experience, and Usability. User Experience Design Practice: Third International Conference, DUXU 2014, Held as Part of HCI International 2014, Heraklion, Crete, Greece, June 22-27, 2014, Proceedings, Part IV 3 (pp. 319-327).

Lindsay, S., Jackson, D., Schofield, G., & Olivier, P. (2012, May). Engaging older people using participatory design. In Proceedings of the SIGCHI conference on human factors in computing systems (pp. 1199-1208).

Loos, E., & Kaufman, D. (2018, July). Positive impact of exergaming on older adults’ mental and social well-being: in search of evidence. In International Conference on Human Aspects of IT for the Aged Population (pp. 101-112). Springer, Cham.

Martinson, B.C., et al.: Maintaining physical activity among older adults: 24-month outcomes of the Keep Active Minnesota randomized controlled trial. Prev. Med. (Baltim) 51, 37–44 (2010)

Martinho, D., Carneiro, J., Corchado, J. M., & Marreiros, G. (2020). A systematic review of gamification techniques applied to elderly care. Artificial Intelligence Review, 53(7), 4863-4901.

Morgan, K., & Bath, P. A. (1998). Customary physical activity and psychological wellbeing: a longitudinal study. Age and ageing, 27(suppl_3), 35-40.

Noriaki, K. (2001, September). Life cycle and creation of attractive quality. In Proceedings of the 4th QMOD Conference, Linkoping, Sweden (pp. 12-14).

Nimphius, S., & Jordan, M. J. (2020). Show Me the Data, Jerry! Data Visualization and Transparency, International Journal of Sports Physiology and Performance, 15(10), 1353-1355.

Orji, R. (2017,). Why are persuasive strategies effective? Exploring the strengths and weaknesses of socially-oriented persuasive strategies. In international conference on persuasive technology (pp. 253-266). Springer, Cham.

Orji, R., Nacke, L. E., & Di Marco, C. (2017). Towards personality-driven persuasive health games and gamified systems. In Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems (pp. 1015-1027).

Orji, R., Tondello, G. F., & Nacke, L. E. (2018). Personalizing persuasive strategies in gameful systems to gamification user types. In Proceedings of the 2018 CHI conference on human factors in computing systems (pp. 1-14).

Ostir, G. V., Cohen-Mansfield, J., Leveille, S., Volpato, S., & Guralnik, J. M. (2003). The Association of Positive and Negative Affect and Exercise Self-Efficacy in Older Adults. Journal of Aging & Physical Activity, 11(2).

Pandey, A. V., Manivannan, A., Nov, O., Satterthwaite, M., and Bertini, E. 2014. The persuasive power of data visualization. IEEE transactions on visualization and computer graphics, 20(12), 2211-2220. 31 Dec. 2014.

Park S, Kim S, Patterns Among 754 Gamification Cases: Content Analysis for Gamification Development, JMIR Serious Games 2018;6(4):e11336

Peterson, D. A. (1983). Facilitating education for older learners. Jossey-Bass Inc., Publishers, PO Box 62425, San Francisco, CA 94162.

Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2006). Health promotion in nursing practice.

Province, M., Hadley, E., Hornbrook, M., Lipsitz, L., Miller, J., Mulrow, C, Ory, M., Sattin, R., Tinetti, M., & Wolf, S. (1995). The effects of exercise on falls in elderly patients. Journal of the American Medical Association, 273, 1341-1347.

Prochaska, J. O., & Marcus, B. H. (1994). The transtheoretical model: Applications to exercise. In R. K. Dishman (Ed.), Advances in exercise adherence (pp. 161-180). Champaign, IL: Human kinetics.

Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological monographs: General and applied, 80(1), 1.

Ryan, R. M., & LaGuardia, J. G. (2000). What is being optimized: Self-determination theory and basic psychological needs. In S. H. Qualls & N. Abeles (Eds.), Psychology and the aging revolution: How we adapt to longer life (pp. 145-172).

Sallis, J. F., Grossman, R. M., Pinski, R. B., Patterson, T. L., & Nader, P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive medicine, 16(6), 825-836.

Santos, A. C. G., Oliveira, W., Hamari, J., Rodrigues, L., Toda, A. M., Palomino, P. T., & Isotani, S. (2021). The relationship between user types and gamification designs. User modeling and user-adapted interaction, 31(5), 907-940.

Sardi, L., Idri, A., & Fernández-Alemán, J. L. (2017). A systematic review of gamification in e-Health. Journal of biomedical informatics, 71, 31-48.

Schutzer, K. A., & Graves, B. S. (2004). Barriers and motivations to exercise in older adults. Preventive medicine, 39(5), 1056-1061.

Sharpe, P., Jackson, K., White, C, Vaca, Y, Hickey, T., Gu, J., & Otterness, C. (1997). Effects of a one-year physical activity intervention for older adults at congregate nutrition sites. The Gerontologist, 37, 208-215.

Sorapure, Madeleine., 2019. Text, Image, Data, Interaction: Understanding Information Visualization. Computers and Composition, Volume 54.

Teixeira, P.J., Carraça, E.V., Markland, D. et al. Exercise, physical activity, and self-determination theory: A systematic review. Int J Behav Nutr Phys Act 9, 78 (2012).

Tolsdorf, C. C. (1976). Social networks, support, and coping: An exploratory study. Family process, 15(4), 407-417.

Thelwell, R. C., & Greenlees, I. A. (2003). Developing competitive endurance performance using mental skills training. The Sport Psychologist, 17(3), 318-337.

Thornton, H. R., Delaney, J. A., Duthie, G. M., & Dascombe, B. J. (2019). Developing athlete monitoring systems in team sports: data analysis and visualization. International journal of sports physiology and performance, 14(6), 698-705.

Tizuka, M. M., Clua, E. W. G., & de Castro Salgado, L. C. (2020, August). Investigating m-health gamification rewards elements for adults 50+. In 2020 IEEE 8th International Conference on Serious Games and Applications for Health (SeGAH) (pp. 1-8). IEEE. –16 20 21

Toda, A. M., Klock, A. C., Oliveira, W., Palomino, P. T., Rodrigues, L., Shi, L., ... & Cristea, A. I. (2019). Analysing gamification elements in educational environments using an existing Gamification taxonomy. Smart Learning Environments, 6(1), 1-14.

Tondello, G. F., Wehbe, R. R., Diamond, L., Busch, M., Marczewski, A., & Nacke, L. E. (2016, October). The gamification user types hexad scale. In Proceedings of the 2016 annual symposium on computer-human interaction in play (pp. 229-243).

Uzor, S., & Baillie, L. (2013, April). Exploring & designing tools to enhance falls rehabilitation in the home. In Proceedings of the SIGCHI conference on human factors in computing systems (pp. 1233-1242).

Van der Kooij, K., Van Dijsseldonk, R., Van Veen, M., Steenbrink, F., De Weerd, C., & Overvliet, K. E. (2019). Gamification as a sustainable source of enjoyment during balance and gait exercises. Frontiers in Psychology, 10, 294.

Wang, X., & Yao, X. (2020). Fueling pro-environmental behaviors with gamification design: identifying key elements in ant forest with the kano model. Sustainability, 12(6), 2213.

Wang, H., & Sun, C. T. (2011, September). Game reward systems: Gaming experiences and social meanings. In DiGRA conference (Vol. 114).

Wankel, L. M. (1993). The importance of enjoyment to adherence and psychological benefits from physical activity. International Journal of Sport Psychology.

White, R. W. (1959). Motivation reconsidered: the concept of competence. Psychological review, 66(5), 297.

Wisniewski, B., Zierer, K., & Hattie, J. (2020). The power of feedback revisited: A meta-analysis of educational feedback research. Frontiers in Psychology, 10, 3087.

Witell, L., & Löfgren, M. (2007). Classification of quality attributes. Managing Service Quality: An International Journal.

World Health Organization, 2010. Global Recommendations on Physical Activity for Health. http://whqlibdoc.who.int/publications/2010/978924 1599979_eng.pdf.

Wu, M. (2006). Hofstede's cultural dimensions 30 years later: A study of Taiwan and the United States. Intercultural communication studies, 15(1), 33.）

Yin, S., Cai, X., Wang, Z., Zhang, Y., Luo, S., & Ma, J. (2022). Impact of gamification elements on user satisfaction in health and fitness applications: A comprehensive approach based on the Kano model. Computers in Human Behavior, 128, 107106.

Zuckerman, O., Gal-Oz, A. Deconstructing gamification: evaluating the effectiveness of continuous measurement, virtual rewards, and social comparison for promoting physical activity. Pers Ubiquit Comput 18, 1705–1719 (2014).