A Video Game Intervention to Prevent Opioid Misuse Among Older Adolescents: Development and Preimplementation Study.
A Video Game Intervention to Prevent Opioid Misuse Among Older Adolescents: Development and Preimplementation Study.
复制标题
DOI：
10.2196/46912
复制
发表时间：
2023-11-03
影响因子：
4
通讯作者：
Fiellin, Lynn E.
中科院分区：
文献类型：
--
作者：
Aneni, Kammarauche;Fernandes, Claudia-Santi F.;Hoerner, Lily A.;Szapary, Claire;Boomer, Tyra M. Pendergrass;Fiellin, Lynn E.
阿片类药物滥用和精神障碍是高度合并症。美国青少年中持续存在的药物滥用和心理健康危机强调了广泛可扩展的药物滥用预防干预措施的重要性，这些干预措施也可以解决心理健康风险。严肃的电子游戏为提供和实施预防性干预措施提供了一种引人入胜、可广泛扩展的方法。然而，目前还没有电子游戏干预措施专注于预防老年青少年滥用阿片类药物，而且解决心理健康问题的现有电子游戏干预措施也很有限。本研究旨在开发并实施视频游戏干预的形成性评估，以防止阿片类药物滥用，促进16-19岁青少年的心理健康（PlaySmart）。我们为随后的随机对照试验做了准备工作。我们通过个人访谈和多个利益相关者（青少年：n=103；学校卫生保健提供者：n=51；成瘾治疗提供者：n=6）的焦点小组，将PlaySmart的开发和形成性评估分为3个阶段（开发、游戏测试和预执行）。PlaySmart的内容开发以健康信念模型、计划行为理论和社会认知理论为依据。以用户为中心的设计原则影响了开发和游戏测试的方法。探索、准备、实施和可持续性框架为实施前活动提供了信息。主题分析用于从访谈和焦点小组中确定主题，从而为PlaySmart的游戏内容和未来执行方法提供信息。我们为年龄较大的青少年开发了一款新颖的视频游戏PlaySmart，该游戏解决了阿片类药物滥用和心理健康的风险和保护因素。从提供游戏内容信息的焦点小组中产生了9个主题。游戏测试揭示了游戏中需要改进的地方，并在最终游戏中进行了修改。实施前焦点小组确定了在学校环境中实施PlaySmart的潜在障碍和促进因素。PlaySmart提供了一种有希望的数字干预措施，以可扩展的方式解决当前青少年中的阿片类药物和心理健康危机。
Opioid misuse and mental disorders are highly comorbid conditions. The ongoing substance misuse and mental health crises among adolescents in the United States underscores the importance of widely scalable substance misuse preventive interventions that also address mental health risks. Serious video games offer an engaging, widely scalable method for delivering and implementing preventive interventions. However, there are no video game interventions that focus on preventing opioid misuse among older adolescents, and there are limited existing video game interventions that address mental health. This study aims to develop and conduct a formative evaluation of a video game intervention to prevent opioid misuse and promote mental health among adolescents aged 16-19 years (PlaySmart). We conducted formative work in preparation for a subsequent randomized controlled trial. We conducted development and formative evaluation of PlaySmart in 3 phases (development, playtesting, and preimplementation) through individual interviews and focus groups with multiple stakeholders (adolescents: n=103; school-based health care providers: n=51; and addiction treatment providers: n=6). PlaySmart content development was informed by the health belief model, the theory of planned behavior, and social cognitive theory. User-centered design principles informed the approach to development and play testing. The Exploration, Preparation, Implementation, and Sustainability framework informed preimplementation activities. Thematic analysis was used to identify themes from interviews and focus groups that informed PlaySmart game content and approaches to future implementation of PlaySmart. We developed a novel video game PlaySmart for older adolescents that addresses the risk and protective factors for opioid misuse and mental health. Nine themes emerged from the focus groups that provided information regarding game content. Playtesting revealed areas of the game that required improvement, which were modified for the final game. Preimplementation focus groups identified potential barriers and facilitators for implementing PlaySmart in school settings. PlaySmart offers a promising digital intervention to address the current opioid and mental health crises among adolescents in a scalable manner.
登录
查看更多内容
影响因子：
2.2
作者：
Derksen ME;Jaspers MW;van Strijp S;Fransen MP
通讯作者：
Fransen MP
影响因子：
4.4
作者：
Camenga, D. R.;Fiellin, L. E.;Hieftje, K.
通讯作者：
Hieftje, K.
影响因子：
2.2
作者：
Birrell, Louise;Furneaux-Bate, Ainsley;Debenham, Jennifer;Spallek, Sophia;Newton, Nicola;Chapman, Catherine
通讯作者：
Chapman, Catherine
影响因子：
4
作者：
Metcalf M;Rossie K;Stokes K;Tallman C;Tanner B
通讯作者：
Tanner B
影响因子：
3.6
作者：
Duncan, Lindsay R.;Hieftje, Kimberly D.;Fiellin, Lynn E.
通讯作者：
Fiellin, Lynn E.