Gamified elements are not the only ones built into the system to support and motivate. As a matter of fact, we have an entire Motivation Center dedicated to the pursuit of keeping a recovering patient motivated. In addition to Progress & Rewards, there are ways to ensure that patients do not feel alone on their journey.
There is a support group consisting of the care team, motivators, and family. Sometimes it all comes down to people around you.
Power-ups are another way to nudge someone in the right direction. A power-up is a brief message that adds some pep to the patient's adherence, anytime.
There are also communities of people who share the same journey or interests, and these hubs bring them together. They allow such groups to communicate through discussion boards, among other things.