A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial

BackgroundSeveral studies have shown the benefits of coordinated specialty care (CSC) for individuals with first episode psychosis; however, pathways to care are marred by lack of knowledge, stigma, and difficulties with treatment engagement. Serious games or video interventi...

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Main Authors: Samantha Jankowski, Kathleen Ferreira, Franco Mascayano, Effy Donovan, Reanne Rahim, Michael L Birnbaum, Sabrina Yum-Chan, Deborah Medoff, Bethany Marcogliese, Lijuan Fang, Terriann Nicholson, Lisa Dixon
Format: Article
Language:English
Published: JMIR Publications 2022-04-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2022/4/e33526
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author Samantha Jankowski
Kathleen Ferreira
Franco Mascayano
Effy Donovan
Reanne Rahim
Michael L Birnbaum
Sabrina Yum-Chan
Deborah Medoff
Bethany Marcogliese
Lijuan Fang
Terriann Nicholson
Lisa Dixon
author_facet Samantha Jankowski
Kathleen Ferreira
Franco Mascayano
Effy Donovan
Reanne Rahim
Michael L Birnbaum
Sabrina Yum-Chan
Deborah Medoff
Bethany Marcogliese
Lijuan Fang
Terriann Nicholson
Lisa Dixon
author_sort Samantha Jankowski
collection DOAJ
description BackgroundSeveral studies have shown the benefits of coordinated specialty care (CSC) for individuals with first episode psychosis; however, pathways to care are marred by lack of knowledge, stigma, and difficulties with treatment engagement. Serious games or video interventions may provide a way to address these factors. ObjectiveThis study focuses on qualitative results of a randomized controlled trial comparing OnTrack>The Game (OTG) with recovery videos (RVs) on engagement, stigma, empowerment, hope, recovery, and understanding of psychosis in clients receiving CSC. Clinicians are also interviewed regarding their perceptions of the interventions and suggestions for improvement. MethodsA total of 16 clients aged 16-30 years, with first episode psychosis attending a CSC program in New York State, and 9 clinicians participated in the qualitative interviews. Interviews were analyzed using the rapid identification of themes from audio recordings method. ResultsFor clients, themes included relatability of game content, an increased sense of hope and the possibility of recovery, decreased self-stigma and public stigma, increased understanding of the importance of social support, and increased empowerment in the OTG group. Clinicians had a preference for RV and provided suggestions for dissemination and implementation. ConclusionsThemes that may help inform future research in this area, particularly regarding dissemination and implementation of OTG and RV, emerged. Trial RegistrationClinicalTrials.gov NCT03390491; https://clinicaltrials.gov/ct2/show/NCT03390491
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spelling doaj.art-3495704e25d74783a13815c83f4996b82023-08-28T21:20:40ZengJMIR PublicationsJMIR Mental Health2368-79592022-04-0194e3352610.2196/33526A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled TrialSamantha Jankowskihttps://orcid.org/0000-0003-4744-6029Kathleen Ferreirahttps://orcid.org/0000-0003-1811-2783Franco Mascayanohttps://orcid.org/0000-0002-3118-504XEffy Donovanhttps://orcid.org/0000-0002-5118-4300Reanne Rahimhttps://orcid.org/0000-0001-5935-4944Michael L Birnbaumhttps://orcid.org/0000-0002-4285-7868Sabrina Yum-Chanhttps://orcid.org/0000-0001-6057-9091Deborah Medoffhttps://orcid.org/0000-0003-2511-9529Bethany Marcogliesehttps://orcid.org/0000-0001-7178-4656Lijuan Fanghttps://orcid.org/0000-0002-1261-8233Terriann Nicholsonhttps://orcid.org/0000-0001-6339-1297Lisa Dixonhttps://orcid.org/0000-0002-1928-5152 BackgroundSeveral studies have shown the benefits of coordinated specialty care (CSC) for individuals with first episode psychosis; however, pathways to care are marred by lack of knowledge, stigma, and difficulties with treatment engagement. Serious games or video interventions may provide a way to address these factors. ObjectiveThis study focuses on qualitative results of a randomized controlled trial comparing OnTrack>The Game (OTG) with recovery videos (RVs) on engagement, stigma, empowerment, hope, recovery, and understanding of psychosis in clients receiving CSC. Clinicians are also interviewed regarding their perceptions of the interventions and suggestions for improvement. MethodsA total of 16 clients aged 16-30 years, with first episode psychosis attending a CSC program in New York State, and 9 clinicians participated in the qualitative interviews. Interviews were analyzed using the rapid identification of themes from audio recordings method. ResultsFor clients, themes included relatability of game content, an increased sense of hope and the possibility of recovery, decreased self-stigma and public stigma, increased understanding of the importance of social support, and increased empowerment in the OTG group. Clinicians had a preference for RV and provided suggestions for dissemination and implementation. ConclusionsThemes that may help inform future research in this area, particularly regarding dissemination and implementation of OTG and RV, emerged. Trial RegistrationClinicalTrials.gov NCT03390491; https://clinicaltrials.gov/ct2/show/NCT03390491https://mental.jmir.org/2022/4/e33526
spellingShingle Samantha Jankowski
Kathleen Ferreira
Franco Mascayano
Effy Donovan
Reanne Rahim
Michael L Birnbaum
Sabrina Yum-Chan
Deborah Medoff
Bethany Marcogliese
Lijuan Fang
Terriann Nicholson
Lisa Dixon
A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial
JMIR Mental Health
title A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial
title_full A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial
title_fullStr A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial
title_full_unstemmed A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial
title_short A Serious Game for Young People With First Episode Psychosis (OnTrack>The Game): Qualitative Findings of a Randomized Controlled Trial
title_sort serious game for young people with first episode psychosis ontrack gt the game qualitative findings of a randomized controlled trial
url https://mental.jmir.org/2022/4/e33526
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