Yee Jasmin, Matheson Hannah, Bogie Bryce J M, Du Perron Émilie, Thérond Alexandra, Charest Maëlle, van Driel Catheleine, Goyette Marika, Lei Ya Ting, Noël Chelsea, Ariaratnam Kagusthan, Collins Greg, Gorman Chris, Cretu Ana-Maria, Tremblay Simon, Rivard Marie-Christine, Cullwick Catherine, Morris Crystal, Attwood David G, Baines Alexandra, Stewart Angela, Bouchard Stéphane, Bowie Christopher R, Guimond Synthia
University of Ottawa Institute of Mental Health Research at The Royal, Royal Ottawa Health Care Group, Ottawa, ON, Canada.
Department of Psychology, Carleton University, Ottawa, ON, Canada.
JMIR Ment Health. 2025 Jul 11;12:e69359. doi: 10.2196/69359.
Cognitive remediation improves cognition and psychosocial functioning in individuals with psychotic disorders. The use of virtual reality (VR) to deliver cognitive remediation in immersive environments that mimic real cognitively challenging situations has the potential to increase engagement to treatment and further enhance its impact on functioning.
We aimed to codevelop a cognitive remediation program in VR with individuals with psychotic disorders and health care professionals to identify and address their needs.
Individuals with lived experience of a psychosis-spectrum condition (n=11) met 9 times and the health care professionals (n=7) met 3 times. Participants discussed personal and professional opinions on the challenges associated with cognitive difficulties in individuals with psychotic disorders. They also provided feedback on the program development.
We discerned 4 themes from the content expert working groups: the need for a program to address cognitive impairments, the key program design elements to support cognitive rehabilitation, the importance of leveraging technology as an intervention tool, and the need to improve community functioning. In total, 3 themes were identified for the health care professionals: the need for a clinically relevant program that addresses the research-to-practice gap, the need to improve patient engagement in services, and the need for a program that addresses the limited resources in health care. The needs of our end-user experts were placed at the center of the program development process. When possible, we also integrated their suggestions, like the incorporation of a virtual coach within the immersive environment.
Individuals with lived experience and health care professionals have distinct needs, which have informed the co-design of a novel cognitive remediation program in VR, ThinkTactic VR. To our knowledge, ThinkTactic VR is one of the first co-designed and codeveloped cognitive remediation programs in VR using an iterative, user-centered approach involving both individuals with psychotic disorders and health care professionals.
认知康复可改善精神障碍患者的认知和心理社会功能。利用虚拟现实（VR）在模拟真实认知挑战性情境的沉浸式环境中提供认知康复，有可能提高治疗参与度，并进一步增强其对功能的影响。
我们旨在与精神障碍患者及医疗保健专业人员共同开发一个VR认知康复项目，以识别并满足他们的需求。
有精神病谱系疾病生活经历的个体（n = 11）会面9次，医疗保健专业人员（n = 7）会面3次。参与者讨论了关于精神障碍患者认知困难相关挑战的个人和专业观点。他们还对项目开发提供了反馈。
我们从内容专家工作组中识别出4个主题：需要一个解决认知障碍的项目、支持认知康复的关键项目设计要素、利用技术作为干预工具的重要性以及改善社区功能的必要性。总共为医疗保健专业人员识别出3个主题：需要一个解决研究与实践差距的临床相关项目、提高患者服务参与度的必要性以及需要一个解决医疗保健资源有限问题的项目。我们最终用户专家的需求被置于项目开发过程的中心。在可能的情况下，我们还整合了他们的建议，比如在沉浸式环境中加入虚拟教练。
有生活经历的个体和医疗保健专业人员有不同的需求，这些需求为VR中一个新颖的认知康复项目ThinkTactic VR的协同设计提供了依据。据我们所知，ThinkTactic VR是首批使用迭代式、以用户为中心的方法，由精神障碍患者和医疗保健专业人员共同设计和开发的VR认知康复项目之一。
