Klein Schaarsberg Renée E, Klinkhamer Nicole, van Dam Levi, Bouwmeester Samantha, Lindauer Ramón J L, Popma Arne
Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Amsterdam Public Health, Mental Health, Amsterdam, The Netherlands.
Res Child Adolesc Psychopathol. 2025 Apr 14. doi: 10.1007/s10802-025-01313-1.
Street Temptations is a virtual reality-enhanced training program developed as an add-on intervention for adolescents with disruptive behavior problems. Using mentalization as a primary treatment mechanism, the program aims to address cognitive distortions and increase motivation for behavior change. This study provides an initial evaluation of Street Temptations in a forensic youth care setting, utilizing both quantitative and qualitative data within an A-B-A' single-case experimental design. Throughout a baseline, intervention, and follow-up phase, adolescents completed daily measurements on cognitive distortions and motivation for behavior change. Secondary outcomes were assessed before baseline, after intervention, and after follow-up, which included mentalization and perspective-taking. Qualitative data were collected after the intervention through separate interviews with adolescents and Street Temptations therapists. A total of 8 adolescents were included in the study, 5 of whom dropped out, leaving 3 who provided sufficient data for visual inspection of the outcomes. The observed patterns suggested an increase in adolescents' awareness of others' perspectives during participation in Street Temptations, potentially indicating a positive effect on cognitive distortions. However, daily assessments did not show an increase in adolescents' motivation for behavior change. Positive effects of Street Temptations and virtual reality, as well as areas for improvement, were highlighted in all interviews. Recommendations for further development and implementation are discussed. Overall, this study provides preliminary support for the use of Street Temptations as an add-on intervention in forensic youth care.
“街头诱惑”是一个虚拟现实增强训练项目，它是作为对有破坏性行为问题的青少年的一种附加干预措施而开发的。该项目以心理化作为主要治疗机制，旨在解决认知扭曲问题，并增强行为改变的动机。本研究在青少年司法护理环境中对“街头诱惑”进行了初步评估，采用A - B - A'单案例实验设计，运用了定量和定性数据。在基线期、干预期和随访期，青少年完成了关于认知扭曲和行为改变动机的每日测量。次要结果在基线前、干预后和随访后进行评估，包括心理化和换位思考。干预后通过分别对青少年和“街头诱惑”治疗师进行访谈收集定性数据。共有8名青少年参与了该研究，其中5人退出，剩下3人提供了足够的数据用于对结果进行直观检查。观察到的模式表明，青少年在参与“街头诱惑”期间对他人观点的认知有所增加，这可能表明对认知扭曲有积极影响。然而，每日评估并未显示青少年行为改变的动机有所增加。所有访谈都强调了“街头诱惑”和虚拟现实的积极影响以及改进的方面。讨论了进一步发展和实施的建议。总体而言，本研究为在青少年司法护理中使用“街头诱惑”作为附加干预措施提供了初步支持。
