Accepted for/Published in: JMIR Mental Health
Date Submitted: Sep 13, 2021
Date Accepted: Jan 10, 2022
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Qualitative findings of a randomized control trial of OnTrack the Game for young people with psychosis
ABSTRACT
Background:
Several studies have shown the benefits of coordinated specialty care (CSC) for individuals with first episode psychosis (FEP), yet 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.
Objective:
This study focuses on qualitative results of a randomized control trial (RCT) comparing OnTrack>An Online Role-Playing Game (OTG) to recovery videos (RV) on engagement, stigma, empowerment, hope, recovery, and understanding of psychosis in clients receiving CSC. Clinicians were also interviewed regarding their perceptions of the interventions and suggestions for improvement.
Methods:
16 clients ages 16-30 with FEP 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 (RITA) method.
Results:
For clients, themes included relatability of game content, an increased sense of hope and the possibility of recovery, decreased self 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.
Conclusions:
Themes emerged which may help inform future research in this area particularly regarding dissemination and implementation of OTG/RV. Clinical Trial: ClinicalTrials.gov ID # NCT03390491
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.