If We Build It, Will They Come? A Qualitative Study of Key Stakeholder Opinions on the Implementation of a Videogame Intervention for Risk Reduction in Adolescents

Pendergrass, Tyra; Hieftje, Kimberly; Crusto, Cindy A.; Montanaro, Erika; Fiellin, Lynn E.

doi:10.1089/g4h.2015.0092

Cited by 6 publications

(8 citation statements)

References 18 publications

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“…In the other 6 studies, the information collected regarded user preferences for the mode of care administration: in person or via DHI. Furthermore, 3 studies found that adolescents preferred DHIs over the in-person approach, as they helped avoid possible stigma related to mental health care and reduced anxiety through teleconferencing with a psychiatrist [ 38 , 43 , 50 ]. Another 3 studies found that adolescents preferred the in-person setting to a DHI [ 24 , 39 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…The second was an internet site; participants preferred using it to in-person encounters, as it avoided mental health stigma [ 38 ]. The third DHI was a video game that delivered mental and general health education; participants indicated that they preferred its recreational dimension to traditional classes [ 43 ]. Logically, the preference between in-person interventions and DHIs should be explored only when the proposed service already exists in an in-person setting.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

d'Halluin¹,

Costa²,

Morgiève³

et al. 2023

J Med Internet Res

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Background The prevalence of mental health problems in children and adolescents is high. As these problems can impact this population’s developmental trajectories, they constitute a public health concern. This situation is accentuated by the fact that children and adolescents infrequently seek help. Digital health interventions (DHIs) offer an opportunity to bridge the treatment gap between health care needs and patient engagement in care. Additional detailed research is needed to identify how children and adolescents can be empowered to access help through DHIs. In this context, an understanding of their attitudes toward digital health appears to be a necessary first step in facilitating the effective implementation of DHIs. Objective This study aimed to establish an inventory of children’s, adolescents’, and their parents’ attitudes toward DHIs. Methods A scoping review following PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) recommendations was performed using the MEDLINE, Embase, and PsycINFO databases. This research was conducted using 3 key concepts: “child and adolescent mental health service users,” “digital health interventions,” and “attitudes.” Data extracted included the name of the publishing journal, the methodology used, the target population, the DHI studied, and the principal results. Results Of 1548 studies found, 30 (1.94%) were included in our analysis. Among these, 13 concerned satisfaction, 24 concerned preferences, 22 concerned the use of DHI, 11 concerned perception, and 10 concerned needs. Conclusions The results of this study provide a better understanding of the factors influencing children’s and adolescents’ attitudes toward digital health and DHIs. The continued growth of DHIs can help reduce barriers to mental health care. Future research on these interventions should investigate the needs of the targeted populations to increase their engagement in care.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

d'Halluin¹,

Costa²,

Morgiève³

et al. 2023

J Med Internet Res

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“…In one study, school staff reported confidence in discussing sexuality, but reported varying levels of support for comprehensive sex education from parents (42%), community leaders (53%), and school officials (50%) [ 60 ]. In contrast, our qualitative study of key stakeholders implementing PlayForward in real-world settings demonstrated support for the game intervention’s potential role in sexual health education in schools [ 62 ]. PlayForward offers potential implementation advantages over other school-based interventions because it does not involve intensive training requiring significant human and financial resources, and it provides a level of fidelity in the delivery of content.…”

Section: Discussionmentioning

confidence: 99%

Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled Trial

Fiellin¹,

Hieftje²,

Pendergrass³

et al. 2017

J Med Internet Res

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BackgroundHuman immunodeficiency virus (HIV) disproportionately impacts minority youth. Interventions to decrease HIV sexual risk are needed.ObjectiveWe hypothesized that an engaging theory-based digital health intervention in the form of an interactive video game would improve sexual health outcomes in adolescents.MethodsParticipants aged 11 to 14 years from 12 community afterschool, school, and summer programs were randomized 1:1 to play up to 16 hours of an experimental video game or control video games over 6 weeks. Assessments were conducted at 6 weeks and at 3, 6, and 12 months. Primary outcome was delay of initiation of vaginal/anal intercourse. Secondary outcomes included sexual health attitudes, knowledge, and intentions. We examined outcomes by gender and age.ResultsA total of 333 participants were randomized to play the intervention (n=166) or control games (n=167): 295 (88.6%) were racial/ethnic minorities, 177 (53.2%) were boys, and the mean age was 12.9 (1.1) years. At 12 months, for the 258 (84.6%) participants with available data, 94.6% (122/129) in the intervention group versus 95.4% (123/129) in the control group delayed initiation of intercourse (relative risk=0.99, 95% CI 0.94-1.05, P=.77). Over 12 months, the intervention group demonstrated improved sexual health attitudes overall compared to the control group (least squares means [LS means] difference 0.37, 95% CI 0.01-0.72, P=.04). This improvement was observed in boys (LS means difference 0.67, P=.008), but not girls (LS means difference 0.06, P=.81), and in younger (LS means difference 0.71, P=.005), but not older participants (LS means difference 0.03, P=.92). The intervention group also demonstrated increased sexual health knowledge overall (LS means difference 1.13, 95% CI 0.64-1.61, P<.001), in girls (LS means difference 1.16, P=.001), boys (LS means difference 1.10, P=.001), younger (LS means difference 1.18, P=.001), and older (LS means difference=1.08, P=.002) participants. There were no differences in intentions to delay the initiation of intercourse between the two groups (LS means difference 0.10, P=.56).ConclusionsAn interactive video game intervention improves sexual health attitudes and knowledge in minority adolescents for at least 12 months.Trial RegistrationClinicaltrials.gov NCT01666496; https://clinicaltrials.gov/ct2/show/NCT01666496 (Archived by WebCite at http://www.webcitation.org/6syumc9C0).

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“…Unlike other interventions, serious games can be delivered with consistent fidelity; they also have the advantage of requiring minimal additional personnel and support while being easily delivered and distributed. The play2PREVENT 1 Lab has a wealth of experience in developing, evaluating, and disseminating easily accessible videogame interventions that target a range of health behaviors in adolescents [25][26][27][28][29][30][31][32][33][34][35][36][37].…”

Section: Introductionmentioning

confidence: 99%

A digital health game to prevent opioid misuse and promote mental health in adolescents in school-based health settings: Protocol for the PlaySmart game randomized controlled trial

Pendergrass Boomer,

Hoerner,

Fernandes

et al. 2023

PLoS ONE

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Adolescents who engage in non-opioid substance misuse and/or experience mental health symptoms are at greater risk of misusing opioids and/or developing opioid use disorder. Adolescence is a critical developmental period to both prevent the initiation of opioid misuse and target mental health. To date, there are no digital health games targeting both conditions. We describe the protocol for a randomized controlled trial designed to assess the efficacy of an original digital health game, PlaySmart. Five hundred and thirty-two adolescents aged 16–19 years old, who are at greater risk for initiating opioid misuse are recruited from 10 Connecticut school-based health sites. Participants are randomized to PlaySmart or a set of time/attention control videogames. Randomization was stratified by sex at birth and school grade. Participants play their assigned game or games for up to six weeks (300 minutes) and complete assessment questions over a 12-month period (baseline, post-gameplay, 3, 6, and 12 months). The primary outcome is perception of risk of harm of opioid misuse at 3 months. Secondary outcome measures specific to opioid misuse include intentions, self-efficacy, attitudes, knowledge, and perceived norms. Mental health outcomes include measures of depression (Patient Health Questionnaire-8), anxiety (Generalized Anxiety Disorder-7), help-seeking behaviors, stigma, measures of self-regulation, self-efficacy to seek professional help for mental health, and knowledge around coping skills. PlaySmart has the potential to significantly reduce the risk of initiation of opioid misuse, improve mental health outcomes, and given its high levels of engagement and accessibility, holds the promise for extensive reach, scale, and impact for adolescents. Trial registration: ClinicalTrials.gov: NCT04941950. Registered on 23 June 2021.

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If We Build It, Will They Come? A Qualitative Study of Key Stakeholder Opinions on the Implementation of a Videogame Intervention for Risk Reduction in Adolescents

Cited by 6 publications

References 18 publications

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled Trial

A digital health game to prevent opioid misuse and promote mental health in adolescents in school-based health settings: Protocol for the PlaySmart game randomized controlled trial

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