Table 3.

Illustrative Quotes for Themes

Themes	Illustrative quotes
Play	“The game is—well, you learn some, and it teach me a lot, ‘cause it a lot of stuff I didn't know. I liked playing the game.” (P10) “It wasn't hard. It was easy to do, and you did learn some things, so it was all right with me. It's a good teachin’ method, really.” (P13)
	“I thought it was enlightenin', really. You learn stuff.” (P13)
	“I liked everything about the game…” (P14)
Learning preferences	“I do a lotta research on the computer and look stuff up but I did like the game, too.” (P4)
	“I'm a hands-on learner, so me actually sittin' down with my provider, and we sittin' there talkin' about it, and I ask questions just to make sure I understand, like this. It's like you get to actually do somethin'. You learn somethin'. I've learned, actually a lot from this game. I thought I knew pretty much everything when it came to diabetes, but it was, like dang, I didn't know this answer, so it's hands-on.” (P5)
Gaming environment (home vs. clinic)	“I think it would be great to have something like that you can play at home or do at home, because my boyfriend, he's trying to educate himself on what's goin' on with my, and how to help me.” (P29)
	“…people would definitely play it in the waiting room, absolutely.” (P1)
	“I probably would do it more at the clinic, because I'm going there already about my diabetes. If I could do it in the waiting room, kill some time. Wouldn't be just sitting there bored. Man, they need to hurry up. I'd actually be having my mind focused on something. Time would go by. It'd be a win-win.” (P15)
	“…that would give us somethin' to pass the time but also give us somethin' to ask questions about if we had a question once the provider came in.” (P20)
Players  • Individual  • Group  • Family	Group—”….if y'all do it in the clinic, it should be a game day, and we do teams. You could actually discuss what you don't know. You got somebody you can turn around to—it's like, hey, do you know this answer - actually talk about it.” (P5)
	Group—”You got to have a group. That way you can be here to tell your story…” (P28)
	“Play as a group cuz you're learnin' more from each other.” (P30)
	“I would actually suggest people who aren't diabetics to play the game a little bit. That way they can better understand the disease and stuff.” (P22)
	Family—”I would actually let my family play it so that they could learn about diabetes as well.” (P5)
Kaizen Game questions	“A lotta stuff you knew about diabetes, but there was a lotta stuff you didn't know either.” (P14)
	“The game is educational, even though some of the stuff, some of the questions are intuitive, still there's some that's not. Ones you get wrong, that teaches you where you're wrong.” (P9)
	“If you did get it wrong, it's teach you more about what you need to know about your diabetes, and what level you're on.” (P10)
	“I did find some answers in there that I did not know either, and I've been a diabetic for 12 years.” (P5)
	“I'd been diabetic a long time and lotta stuff I just learned today that I didn't know. I'd known about steroids because I can't take steroids because of my sugar.” (P4, P6, P7, or P8; speaker did not identify himself on transcript)
Dislikes • Questions • Features • Usability	“(Felt) a little put upon” with the questions about women (P27)
	Questions appeared “two or three times” (P8)
	Questions were trying to “throw you off” (P20)
	Desire for “ear buds (that will) help you read” (P29)
	Desire for game “characters… like Galaga” (P1)
	Desire for “more interactive with more graphics, something eye-catching” (P33)
	Reports that “on the tablet, it was too slow, and I'd touch it, and it didn't move quick enough. It gave me hesitation, causing me to get kind of like a little frustrated, because I couldn't move as quick as I want to” (P26)
	Complaint about having to “restart it twice” because it bumped her out of the game (P23)
	Complaint about “the print was kinda small” (P14)