The document discusses using gamification strategies to incentivize desired behaviors at clinical trial sites. It defines gamification as leveraging people's innate desire to compete and be recognized. The document outlines common behaviors to target, such as patient adherence and timeliness of data entry. It recommends using real-time reporting in an eClinical system to display metrics like leaderboards tracking performance. Finally, it provides some example gamification implementations, such as rewarding the clinical site with the highest patient compliance percentage or fastest data entry times.