OnTrack>An Online Role-Playing Game

项目摘要 首发精神病是一种严重的精神健康状况，影响青年和年轻人，通常在 15岁和30岁之间。这种病的特征是幻觉，妄想，退缩，组织能力差， 认知和社交功能下降最近的研究表明，旨在 治疗经历早期精神病的人可以减少住院，减少精神症状，改善 生活质量，并导致更好的社会和职业功能。尽管这一前景看好，但很少有工具 旨在支持最佳的护理参与。为了满足这一需求， 社会创新中心（C4）与心理研究基金会的研究人员合作， Hygiene，Inc.（RFMH）;哥伦比亚大学;和马里兰州医学院（UMSOM）， 开发和测试OnTrack>在线角色扮演游戏（OnTrack>游戏，或OTG）。基于切割- OnTrack> The Game为玩家提供了一个体验游戏的机会， 社区，包括球员的公寓，治疗提供者的办公室，学校，工作，健身房，公园，和一个 一家电影院，放映经历过第一集的真实的人们的希望和康复的视频 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 在一个安全的、没有威胁的环境中排练真实的生活场景。 为了评估游戏的影响，这项II期研究包括一项混合方法的随机对照试验 我们将从纽约州的第一集节目中招募200名年轻人。参与者将被 随机分为两种情况之一：（1）OnTrack>游戏或（2）恢复视频（RV），一个网站， 包括有关精神病首次发作（FEP）的信息和视频。我们将使用标准化的措施， 半结构化定性访谈，以实现以下目标： 1.优化、扩展和最终确定OnTrack>游戏。在第一阶段原型的基础上， 功能，扩大游戏空间和水平，增加与非玩家角色的互动，包括 提供更多关于家庭暴力方案的资源，并扩大关于希望和康复的视频库。 2.评估角色扮演游戏（OnTrack> The Game或OTG）在增加 赋权，减少污名化问题，改善治疗参与。 3.确定授权和耻辱问题的变化是否介导OnTrack> The Game的效果 关于治疗参与。 精神病的早期干预已成为改善年轻人结局的有效方法， 几乎没有什么工具可以将他们与支助治疗提供者联系起来，并建立对他们康复的信心。 OnTrack>游戏有可能填补这一空白，并帮助改善年轻人的结果， 精神病，因为他们努力在社区中建立有意义的生活。

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.