Results from a pilot study of a computer-based role-playing game for young people with psychosis

Early Interv Psychiatry. 2019 Aug;13(4):767-772. doi: 10.1111/eip.12556. Epub 2018 Mar 15.

Abstract

Aim: Recent research on first episode psychosis (FEP) has demonstrated the effectiveness of coordinated specialty care (CSC) models to support young adults and their families, yet few tools exist to promote engagement in care. This study aimed to develop a prototype computer-based role-playing game (RPG) designed for young people who have experienced FEP, and conduct a pilot study to determine feasibility and test whether the game improves consumers' attitudes toward treatment and recovery.

Methods: Twenty young people with FEP who were receiving services at a CSC program enrolled in the study and played the game for 1 hour. Pre- and post-quantitative assessments measured change in hope, recovery, stigma, empowerment and engagement in treatment. Qualitative interviews explored participants' experience with the game and ideas for further product development.

Results: Participants showed significant increase in positive attitudes toward recovery. The qualitative findings further demonstrated the game's positive impact across these domains. Of all game features, participants most highly valued video testimonials of other young adults with FEP telling their stories of hope and recovery.

Conclusions: These findings provide modest support for the potential benefits of this type of computer-based RPG, if further developed for individuals experiencing psychosis.

Keywords: coordinated specialty care; first episode psychosis; recovery; serious gaming; therapeutic gaming.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Patient Acceptance of Health Care / psychology
  • Pilot Projects
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*
  • Qualitative Research
  • Role Playing*
  • Therapy, Computer-Assisted / methods*
  • Young Adult