<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "http://dtd.nlm.nih.gov/publishing/2.0/journalpublishing.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" article-type="retraction" dtd-version="2.0">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">ResProt</journal-id>
      <journal-id journal-id-type="nlm-ta">JMIR Res Protoc</journal-id>
      <journal-title>JMIR Research Protocols</journal-title>
      <issn pub-type="epub">1929-0748</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v15i1e109242</article-id>
      <article-id pub-id-type="pmid">42617165</article-id>
      <article-id pub-id-type="doi">10.2196/109242</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Retraction</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Retraction</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Retraction: Gamification of Incentive Spirometry in Trauma Patients: Protocol for a Prospective, Observational Feasibility Study</article-title>
      </title-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes">
          <collab>JMIR Publications Editorial Office</collab>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>JMIR Publications</institution>
            <addr-line>130 Queens Quay East, Suite 1100-1102</addr-line>
            <addr-line>Toronto, ON</addr-line>
            <phone>1 4165832040</phone>
            <email>ed-support@jmir.org</email>
          </address>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>JMIR Publications</institution>
        <addr-line>Toronto, ON</addr-line>
      </aff>
      <author-notes>
        <corresp>Corresponding Author:  JMIR Publications Editorial Office <email>ed-support@jmir.org</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2026</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>19</day>
        <month>8</month>
        <year>2026</year>
      </pub-date>
      <volume>15</volume>
      <elocation-id>e109242</elocation-id>
      <history>
        <date date-type="received">
          <day>10</day>
          <month>8</month>
          <year>2026</year>
        </date>
        <date date-type="accepted">
          <day>10</day>
          <month>8</month>
          <year>2026</year>
        </date>
      </history>
      <copyright-statement>©JMIR Publications Editorial Office. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 19.08.2026.</copyright-statement>
      <copyright-year>2026</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.researchprotocols.org/2026/1/e109242" xlink:type="simple"/>
      <related-article related-article-type="retracted-article" id="v14i1e75871" ext-link-type="doi" xlink:href="10.2196/75871" vol="14" page="e75871" xlink:type="simple" xlink:title="Retraction of:">https://www.researchprotocols.org/2025/1/e75871</related-article>
    </article-meta>
  </front>
  <body>
    <p>The JMIR Publications Editorial Office is retracting the article “Gamification of Incentive Spirometry in Trauma Patients: Protocol for a Prospective, Observational Feasibility Study” [<xref ref-type="bibr" rid="ref1">1</xref>] due to concerns regarding the involvement of a third party during the submission process.</p>
    <p>Author Areen Al-Dhoon responded, stating that the identified individual did not contribute to the manuscript. Authors Aarti Sarwal, Carma Goldstein, Peter Spronk, R Shayn Martin, and Arthur Grimes expressed that they had no knowledge of these circumstances at the time of submission or revision. However, the Editorial Office has determined that there is sufficient evidence that the submission process was compromised to proceed with a retraction due to a loss of editorial confidence.</p>
    <p>The authors disagreed with the decision to retract the article.</p>
  </body>
  <back>
    <app-group/>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Al-Dhoon</surname>
              <given-names>Areen</given-names>
            </name>
            <name name-style="western">
              <surname>Grimes</surname>
              <given-names>Arthur</given-names>
            </name>
            <name name-style="western">
              <surname>Goldstein</surname>
              <given-names>Carma</given-names>
            </name>
            <name name-style="western">
              <surname>Spronk</surname>
              <given-names>Peter</given-names>
            </name>
            <name name-style="western">
              <surname>Martin</surname>
              <given-names>R Shayn</given-names>
            </name>
            <name name-style="western">
              <surname>Sarwal</surname>
              <given-names>Aarti</given-names>
            </name>
          </person-group>
          <article-title>Gamification of incentive spirometry in trauma patients: protocol for a prospective, observational feasibility study</article-title>
          <source>JMIR Res Protoc</source>
          <year>2025</year>
          <month>08</month>
          <day>01</day>
          <volume>14</volume>
          <fpage>e75871</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.researchprotocols.org/2025//e75871/"/>
          </comment>
          <pub-id pub-id-type="doi">10.2196/75871</pub-id>
          <pub-id pub-id-type="medline">40749187</pub-id>
          <pub-id pub-id-type="pii">v14i1e75871</pub-id>
          <pub-id pub-id-type="pmcid">PMC12357117</pub-id>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
