ArticleFrontiers in public health2026
From immersion to burnout: anxiety mechanisms and pathways to motivational exhaustion in gamified health education.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Gamified health education is increasingly used to sustain learners' motivation, yet its underlying psychological mechanisms remain insufficiently understood. Drawing on self-determination theory, flow theory, and resource-depletion perspectives, the present study employed a cross-sectional survey to examine how immersion, anxiety, and motivational depletion jointly shape learning burnout in gamified health education contexts. Data were collected from 350 university students who reported regular engagement with gamified health learning activities. Structural equation modeling revealed that immersion was negatively associated with anxiety (
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