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The design limitations, which were analyzed in detail in Kleschnitzki et al [68], are primarily due to the voluntary assignment of the participants to the groups. The lack of randomization is an artifact of the practical implementation.
The most important limitation of this study, however, is the sample size, which implies that the results cannot necessarily be generalized. However, there were at least 30 participants in each study group, which allowed for statistical methods.
JMIR Serious Games 2022;10(2):e36768
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