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The earliest publication identified dates back to 1989, with an upward trend in research addressing gaming and gambling convergence observed since then (Figure 2), culminating in a peak of 49 publications in 2022. Publications spanned at least 36 countries (excluding those with multinational affiliations), with the highest numbers originating from the United Kingdom (n=53), Australia (n=52), and Canada (n=30).
JMIR Serious Games 2025;13:e59740
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By using mass and interpersonal communication, patients engage in a process that is called “convergence” [3-5]. According to Kreps [3], convergence can be defined as “the sequence of impersonal to interpersonal interactions” (p. 519; type 1 convergence) or the “conduct of interpersonal and peer discussions about health-related issues in virtual discussion spaces of various kinds” (p. 521; type 2 convergence).
J Med Internet Res 2020;22(10):e18303
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