Jankowski Samantha, Ferreira Kathleen, Mascayano Franco, Donovan Effy, Rahim Reanne, Birnbaum Michael L, Yum-Chan Sabrina, Medoff Deborah, Marcogliese Bethany, Fang Lijuan, Nicholson Terriann, Dixon Lisa
Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States.
Department of Research and Evaluation, C4 Innovations, Needham, MA, United States.
JMIR Ment Health. 2022 Apr 6;9(4):e33526. doi: 10.2196/33526.
Several 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.
This 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.
A 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.
For 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.
Themes that may help inform future research in this area, particularly regarding dissemination and implementation of OTG and RV, emerged.
ClinicalTrials.gov NCT03390491; https://clinicaltrials.gov/ct2/show/NCT03390491.
多项研究表明，协调专科护理（CSC）对首发精神病患者有益；然而，护理途径因知识匮乏、耻辱感以及治疗参与困难而受到影响。严肃游戏或视频干预可能提供一种解决这些因素的方法。
本研究聚焦于一项随机对照试验的定性结果，该试验比较了《踏上正轨：游戏》（OTG）与康复视频（RVs）对接受CSC的客户在参与度、耻辱感、赋权、希望、康复以及对精神病的理解方面的影响。还就临床医生对干预措施的看法及改进建议进行了访谈。
共有16名年龄在16 - 30岁、患有首发精神病且参加纽约州CSC项目的客户以及9名临床医生参与了定性访谈。采用从录音中快速识别主题的方法对访谈进行分析。
对于客户而言，主题包括游戏内容的相关性、希望感增强和康复的可能性、自我耻辱感和公众耻辱感降低、对社会支持重要性的理解增加以及OTG组的赋权增加。临床医生更倾向于RV，并提供了传播和实施方面的建议。
出现了可能有助于为该领域未来研究提供信息的主题，特别是关于OTG和RV的传播与实施。
ClinicalTrials.gov NCT03390491；https://clinicaltrials.gov/ct2/show/NCT03390491 。
