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Updated: Jan 10, 2026

Measuring Engagement of Spectators of Social Digital Games
Published on: July 3, 2021
Beyond counting clicks: rethinking engagement in digital mental health
Andrea Cipriani1,2,3, Thomas Ward4,5, Sinéad Lambe2,6
1Department of Psychiatry, University of Oxford, UK.
None:
User engagement remains a challenge in digital mental health. This editorial reconsiders engagement as a process rather than an outcome, introducing a four-step model to define, measure and link engagement to outcomes. The approach promotes standardisation, interpretability and scalability, advancing the science and implementation of digital health interventions.
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