A Motion Videogame for Opioid Relapse Prevention

Abroms, Lorien C.; Leavitt, Leah E.; Alstyne, Judy M. Van; Schindler‐Ruwisch, Jennifer; Fishman, Marc; Greenberg, Daniel

doi:10.1089/g4h.2014.0100

Cited by 11 publications

(14 citation statements)

References 22 publications

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“…SPARX , the game most studied ( 74 – 83 ), was played by youth at all three levels of illness severity (Steps 1, 2-3, 4) and Dojo ( 84 – 86 ) was played at Steps 2-3 and 4, which brings the total game count to 35 taking these repetitions into account. Other games tested in more than one study were: Recovery Warrior ( 87 , 88 ) (Step 4), SmartCAT ( 89 , 90 ) (Steps 2-3), Pesky gNATs ( 91 , 92 ) (Steps 2-3), and REThink ( 93 – 96 ) (Step 0). The remaining games were evaluated in single studies.…”

Section: Resultsmentioning

confidence: 99%

“…Seven games (9/49 studies: 18.4%) were played by youth with severe mental illness in residential institutions or inpatient/outpatient psychiatry units. They included four therapeutic games: The SIMS Life Stories TM ( 113 ) for trauma, SPARX ( 74 ) for depression, Muse ( 112 ) for trauma and RAGE-Control for anger management ( 102 ); two relapse prevention games: Arise ( 99 ) for substance use disorder and Recovery Warrior ( 87 , 88 ) for substance use disorder including opioid or marijuana use disorder, and a biofeedback game, Dojo ( 85 , 86 ), that was used as adjunct to therapy.…”

Section: Resultsmentioning

confidence: 99%

“…Processes (RQ1) involved a full range of methodologies: three RCTs ( 86 , 87 , 112 ), one open trial ( 74 ), two pre-post game assessments ( 85 , 88 ), one pilot survey ( 99 ), one qualitative study ( 113 ), and one single case study ( 102 ). Barriers to implementation included study design/research issues, e.g., lack of time and space in research settings, competing house/ward activities and illness acuity among participants ( 74 , 113 ).…”

Section: Resultsmentioning

confidence: 99%

“…Study outcomes (RQ2) included game impact, effectiveness, sustainability, and equity. On Impact , significant positive associations were identified on key variables for three of the seven games: abstinence from drugs in Recovery Warrior ( 88 ), anxiety and externalizing behavior in Dojo ( 86 ) and post-traumatic symptoms and stress, anxiety, aggression and depression in Muse ( 112 ). Effectiveness was demonstrated for Dojo and Muse in youth residential settings ( 85 , 86 , 112 ), as well as strong acceptability ratings by youth and providers for SPARX ( 74 ) and Arise ( 99 ); strong four-week, self-efficacy scores on resistance to marijuana and 44.4% abstinence with Recovery Warrior ( 88 ), and lower pre-post scores on anxiety and aggressive behavior with Dojo ( 85 , 86 ).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Gaming My Way to Recovery: A Systematic Scoping Review of Digital Game Interventions for Young People's Mental Health Treatment and Promotion

Ferrari

Sabetti

McIlwaine

et al. 2022

Front. Digit. Health

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Nearly all young people use the internet daily. Many youth with mental health concerns, especially since the Covid-19 pandemic, are using this route to seek help, whether through digital mental health treatment, illness prevention tools, or supports for mental wellbeing. Videogames also have wide appeal among young people, including those who receive mental health services. This review identifies the literature on videogame interventions for young people, ages 12-29, and maps the data on game use by those with mental health and substance use problems, focusing on evidence for the capacity of games to support treatment in youth mental health services; how stakeholders are involved in developing or evaluating games; and any potential harms and ethical remedies identified. A systematic scoping review methodology was used to identify and assess relevant studies. A search of multiple databases identified a total of 8,733 articles. They were screened, and 49 studies testing 32 digital games retained. An adapted stepped care model, including four levels, or steps, based on illness manifestation and severity, was used as a conceptual framework for organizing target populations, mental health conditions and corresponding digital games, and study results. The 49 selected studies included: 10 studies (20.4%) on mental health promotion/prevention or education for undiagnosed youth (Step 0: 7 games); 6 studies (12.2%) on at-risk groups or suspected mental problems (Step 1: 5 games); 24 studies (49.0%) on mild to moderate mental conditions (Steps 2-3: 16 games); and 9 studies (18.4%) focused on severe and complex mental conditions (Step 4: 7 games). Two interventions were played by youth at more than one level of illness severity: the SPARX game (Steps 1, 2-3, 4) and Dojo (Steps 2-3 and 4), bringing the total game count to 35 with these repetitions. Findings support the potential integration of digital games in youth services based on study outcomes, user satisfaction, relatively high program retention rates and the potential usefulness of most games for mental health treatment or promotion/prevention. Most studies included stakeholder feedback, and involvement ratings were very high for seven games. Potential harms were not addressed in this body of research. This review provides an important initial repository and evaluation of videogames for use in clinical settings concerned with youth mental health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Gaming My Way to Recovery: A Systematic Scoping Review of Digital Game Interventions for Young People's Mental Health Treatment and Promotion

Ferrari

Sabetti

McIlwaine

et al. 2022

Front. Digit. Health

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show abstract

“…This study builds on an earlier pilot study [14] and examines how a game that runs on an off-the-shelf gaming system (Microsoft Kinect) can be used in SUD treatment by helping patients develop negative associations with drugs and acquire drug-refusal skills [15]. This study is a pilot randomized trial (N=80) of a revised body motion–activated game, Recovery Warrior 2.0, targeting relapse prevention in the context of a community treatment program for SUD among youth.…”

Section: Introductionmentioning

confidence: 99%

A Motion-Activated Video Game for Prevention of Substance Use Disorder Relapse in Youth: Pilot Randomized Controlled Trial

Abroms

Fishman²,

Vo³

et al. 2019

JMIR Serious Games

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Background Body motion-activated video games are a promising strategy for promoting engagement in and adherence to addiction treatment among youth. Objective This pilot randomized trial (N=80) investigated the feasibility of a body motion–activated video game prototype, Recovery Warrior 2.0, targeting relapse prevention in the context of a community inpatient care program for youth. Methods Participants aged 15-25 years were recruited from an inpatient drug treatment program and randomized to receive treatment as usual (control) or game play with treatment as usual (intervention). Assessments were conducted at baseline, prior to discharge, and at 4 and 8 weeks postdischarge. Results The provision of the game play intervention was found to be feasible in the inpatient setting. On an average, participants in the intervention group played for 36.6 minutes and on 3.6 different days. Participants in the intervention group mostly agreed that they would use the refusal skills taught by the game. Participants in the intervention group reported attending more outpatient counseling sessions than those in the control group (10.8 versus 4.8), but the difference was not significant ( P =.32). The game had no effect on drug use at 4 or 8 weeks postdischarge, with the exception of a benefit reported at the 4-week follow-up among participants receiving treatment for marijuana addiction ( P= .04). Conclusions Preliminary evidence indicates that a motion-activated video game for addiction recovery appears to be feasible and acceptable for youth within the context of inpatient treatment, but not outpatient treatment. With further development, such games hold promise as a tool for the treatment of youth substance use disorder. Trial Registration ClinicalTrials.gov NCT03957798; https://clinicaltrials.gov/show/NCT03957798 (Archived by WebCite at http://www.webcitation.org/78XU6ENB4)

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The effects of virtual reality environmental enrichments on craving to food in healthy volunteers

Benvegnù,

Piva,

Cadorin

et al. 2023

Psychopharmacology

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Rationale Environmental enrichment (EE) is a non-pharmacological approach that has been shown to be effective in reducing food-taking in rats. Studies in human volunteers are still in their infancy, given the difficulty to translate the complexity of EE in clinical practice. Virtual reality (VR) is a promising methodological approach, but no study has yet applied it to model and test EE in humans. Objectives The present study is the first to assess the effects of virtual EE on craving for palatable food. Methods Eighty-one healthy volunteers (43 women) were divided into three groups: (i) exposure to a virtual EE (VR-EE), (ii) exposure to a virtual neutral environment (VR-NoEE), and (iii) without exposure to VR (No VR). Craving for palatable food at basal level and evoked by neutral and palatable food images was assessed before and after the VR simulation. Behavior during VR exposure and subjective measures related to the experience were also collected. Results VR-EE group showed a significantly greater decrease in pre-post craving difference compared to No VR for all assessments and at basal level compared to VR-NoEE. Interestingly, an inverse correlation between craving and deambulation in the VR simulation emerged in VR-EE group only. Conclusions The study highlighted the feasibility of exposing human subjects to an EE as a virtual simulation. Virtual EE induced effects on basal craving for food that suggest the potential for further improvements of the protocol to extend its efficacy to palatable food cues.

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A Motion Videogame for Opioid Relapse Prevention

Cited by 11 publications

References 22 publications

Gaming My Way to Recovery: A Systematic Scoping Review of Digital Game Interventions for Young People's Mental Health Treatment and Promotion

Gaming My Way to Recovery: A Systematic Scoping Review of Digital Game Interventions for Young People's Mental Health Treatment and Promotion

A Motion-Activated Video Game for Prevention of Substance Use Disorder Relapse in Youth: Pilot Randomized Controlled Trial

The effects of virtual reality environmental enrichments on craving to food in healthy volunteers

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