OnTrack>An Online Role-Playing Game

OnTrack>在线角色扮演游戏

• 批准号: 9253043
• 负责人: LISA B. DIXON
• 金额: $ 67.69万
• 依托单位: C4 INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-12 至 2020-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9253043
• 关键词: Address; Adolescent and Young Adult; Affect; Aftercare; Age; Antipsychotic Agents; Attention; Attitude; Behavioral; Caring; Chronic; Communities; Comorbidity; Delusions; Development; Diagnosis; Disease; Disease remission; Early Intervention; Effectiveness; Environment; Family; Foundations; Friends; Game Theory; Hallucinations; Health Personnel; Hospitalization; Individual; Interview; Knowledge; Learning; Libraries; Life; Maryland; Measures; Mediating; Medical; Mental Health; Methods; Modeling; Morbidity - disease rate; Motivation; National Institute of Mental Health; Neurobehavioral Manifestations; New York; Occupational; Participant; Pharmaceutical Preparations; Phase; Play; Principal Investigator; Productivity; Provider; Psychotic Disorders; Quality of life; Questionnaires; Randomized; Randomized Controlled Trials; Recovery; Recruitment Activity; Recurrence; Reporting; Research; Research Personnel; Residual state; Resources; Risk; Role; Role playing therapy; Schizophrenia; Schools; Self Efficacy; Small Business Innovation Research Grant; Social Functioning; Stress; Structure; Symptoms; Technology; Testing; Therapeutic; Unemployment; United States; Universities; Withdrawal; Work; Youth; base; cognitive function; cost; design; early experience; empowerment; expectation; experience; first episode psychosis; follow-up; functional disability; improved; improved functioning; improved outcome; indexing; innovation; intervention program; medical schools; medical specialties; movie; optimism; phase 2 study; post intervention; programs; prototype; psychiatric symptom; psychosocial; psychotic symptoms; rehearsal; response; skills; social; social stigma; standardize measure; tool; web site; young adult; Address; Adolescent and Young Adult; Affect; Aftercare; Age; Antipsychotic Agents; Attention; Attitude; Behavioral; Caring; Chronic; Communities; Comorbidity; Delusions; Development; Diagnosis; Disease; Disease remission; Early Intervention; Effectiveness; Environment; Family; Foundations; Friends; Game Theory; Hallucinations; Health Personnel; Hospitalization; Individual; Interview; Knowledge; Learning; Libraries; Life; Maryland; Measures; Mediating; Medical; Mental Health; Methods; Modeling; Morbidity - disease rate; Motivation; National Institute of Mental Health; Neurobehavioral Manifestations; New York; Occupational; Participant; Pharmaceutical Preparations; Phase; Play; Principal Investigator; Productivity; Provider; Psychotic Disorders; Quality of life; Questionnaires; Randomized; Randomized Controlled Trials; Recovery; Recruitment Activity; Recurrence; Reporting; Research; Research Personnel; Residual state; Resources; Risk; Role; Role playing therapy; Schizophrenia; Schools; Self Efficacy; Small Business Innovation Research Grant; Social Functioning; Stress; Structure; Symptoms; Technology; Testing; Therapeutic; Unemployment; United States; Universities; Withdrawal; Work; Youth; base; cognitive function; cost; design; early experience; empowerment; expectation; experience; first episode psychosis; follow-up; functional disability; improved; improved functioning; improved outcome; indexing; innovation; intervention program; medical schools; medical specialties; movie; optimism; phase 2 study; post intervention; programs; prototype; psychiatric symptom; psychosocial; psychotic symptoms; rehearsal; response; skills; social; social stigma; standardize measure; tool; web site; young adult

Project Summary First episode psychosis is a serious mental health condition that affects youth and young adults, often between the ages of 15 and 30. The illness is marked by hallucinations, delusions, withdrawal, poor organization skills, and diminished cognitive and social functioning. Recent research has demonstrated that programs designed to treat people experiencing early psychosis can reduce hospitalization, decrease psychiatric symptoms, improve quality of life, and result in better social and occupational functioning. Despite this promising picture, few tools have been developed to support optimal engagement and participation in care. In response to this need, the Center for Social Innovation (C4) has partnered with researchers at the Research Foundation for Mental Hygiene, Inc. (RFMH); Columbia University; and the University of Maryland School of Medicine (UMSOM) to develop and test OnTrack>An Online Role-Playing Game (OnTrack>The Game, or OTG). Based on cutting- edge practices in serious gaming, OnTrack>The Game offers players the opportunity to experience a community that includes the player's apartment, treatment provider's office, school, work, gym, parks, and a movie theater that shows videos of hope and recovery from real people who have experienced first episode psychosis. Interactions with family, friends, co-workers, and treatment providers allow players to simulate and rehearse real-life situations in a safe, non-threatening environment. To evaluate the impact of the game, this Phase II study involves a mixed-methods randomized controlled trial in which we will recruit 200 young people from first-episode programs in New York State. Participants will be randomized into 1 of 2 conditions: (1) OnTrack>The Game or (2) Recovery Videos (RV), a website that includes information and videos about first episode psychosis (FEP). We will use standardized measures and semi-structured qualitative interviews to achieve the following aims: 1. Refine, expand, and finalize OnTrack>The Game. Building on the Phase I prototype, we will improve functionality, expand the play spaces and levels, add interaction with non-player characters, include more resources on FEP, and expand the library of videos on hope and recovery. 2. Evaluate the effectiveness of a role-playing game (OnTrack>The Game or OTG) in increasing empowerment, decreasing stigma concerns, and improving treatment engagement. 3. Determine if changes in empowerment and stigma concerns mediate the effect of OnTrack>The Game on treatment engagement. Early intervention for psychosis has emerged as an effective way to improve outcomes for young people, yet few tools exist to connect them with supporting treatment providers and to build confidence in their recovery. OnTrack>The Game has the potential to fill this void and to help improve outcomes for young people with psychosis as they strive to build meaningful lives in community.

项目摘要 第一集精神病是一种严重的心理健康状况，会影响青年和年轻人，通常 15岁和30岁的年龄。疾病以幻觉，妄想，戒断，组织技能不佳， 并降低了认知和社会功能。最近的研究表明，旨在 治疗经历早期精神病的人可以减少住院，减少精神病症状，改善 生活质量，并带来更好的社会和职业功能。尽管有这张有希望的图片，但工具很少 已开发以支持最佳参与和参与护理。为了应对这种需求， 社会创新中心（C4）已与研究基金会的研究人员合作 卫生公司（RFMH）;哥伦比亚大学；马里兰大学医学院（UMSOM） 开发和测试OnTrack>在线角色扮演游戏（OnTrack>游戏或OTG）。基于剪裁 在认真游戏中的边缘实践，ontrack>游戏为玩家提供了体验的机会 包括玩家的公寓，治疗提供商的办公室，学校，工作，健身房，公园和一个社区 电影院显示了经历了第一集的真实人的希望和恢复视频 精神病。与家人，朋友，同事和治疗提供者的互动允许玩家模拟和 在安全，无威胁的环境中排练现实生活。 为了评估游戏的影响，这项第二阶段研究涉及混合方法随机对照试验 在其中，我们将在纽约州的第一集计划中招募200名年轻人。参与者会 随机分为2个条件中的1个：（1）onTrack>游戏或（2）恢复视频（RV），网站 包括有关第一集精神病（FEP）的信息和视频。我们将使用标准措施， 半结构化定性访谈以实现以下目的： 1。完善，扩展和最终确定游戏。在第一阶段原型的基础上，我们将改进 功能，扩展游戏空间和级别，添加与非玩家字符的交互，包括 有关FEP的更多资源，并扩展有关希望和恢复的视频库。 2。评估角色扮演游戏的有效性（ontrack> the Game或otg）增加 赋权，减少污名问题以及改善治疗参与度。 3。确定赋权和污名的变化是否涉及介导OnTrack>游戏的效果 关于治疗参与。 早期的精神病干预已成为改善年轻人预后的有效方法 很少有工具将它们与支持治疗提供者联系起来并建立对康复的信心。 ontrack>游戏有可能填补这一空白，并帮助改善年轻人的成果 当他们努力在社区中建立有意义的生活时，精神病。