Objectives Adherence to the standardized multimodal Enhanced Recovery After Surgery (ERAS) protocol is significantly associated with improved clinical outcomes. Gamification demonstrated a positive effect on patients’ health by promoting adherence to treatment and patient engagement. Thus, the objective of this work is to propose MobERAS, a mobile App based on gamification designed to monitor and motivate GYO patients to adhere to ERAS principles.

Methods MobERAS was designed and developed with Android Development Kit for the Android platform and provides a real-time database to store peri-operative data by using authentication technologies and the Firebase database management system.

Results MobERAS promotes the motivation of patients by alerts to achieve feeding and mobilization goals. The App also records the oral intake, pain level, nausea and vomiting, urinary volume, intestinal function, as well as measuring the patients’ ambulation. Patient’s data could be assessed in real time by health care providers. As a form of motivation, in order for the patient to continue his role in the process, a punctuation and reward strategy (based on stars) has been added. The flowchart shows the activities monitored and encouraged by the application (figure 2). In addition, an informative and illustrative video was created, containing the ERAS Program guidelines, reproduced at each patient login.

Conclusions Gamification technology has become a powerful tool in delivering healthcare and is an important strategy to improve GYO patient’s engagement to ERAS protocol.