JMIR Publications

ABSTRACT

Background:

Physical activity (PA) and sleep prescriptions are indicated for the treatment of psychiatric disorders among youth. However, there is limited clinical adoption of these practices.

Objective:

Aims were to gain feedback from practicing clinicians on adopting GamerFit, an app-based intervention that incorporates exergames, step and sleep tracking, and online coaching to promote PA and sleep, as a tool within treatment plans for youth with psychiatric disorders.

Methods:

Mental health clinicians participated in two online focus groups. A semi-structured interview was used to gather information on perceptions of the importance of PA and sleep, considerations for using GamerFit with clients, and approaches for incorporating GamerFit into standard care. Qualitative analysis included hierarchical thematic coding system of isolated quotes, with the structure, frequency, and interrelationships of coded quotes used for analysis. The process included inductive and deductive analysis.

Results:

All clinicians (8/8) endorsed PA and sleep prescriptions as important interventions, and most perceived eHealth approaches positively (7/8). Clinicians were optimistic about the feasibility of using GamerFit. The exergame and health coaching aspects of GamerFit were perceived favorably. Clinicians desired to access app data in electronic health systems to incorporate in therapeutic sessions and recommended use in residential settings with home continuation after discharge. Clinicians expressed concern regarding implementation of GamerFit with families with low technology literacy. They also suggested increased variety of exergame and features to increase adolescents’ engagement.

Conclusions:

Clinicians perceived GamerFit as a feasible and acceptable clinical approach to PA and sleep prescriptions for youth with psychiatric disorders.