Research Article
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Published Online: 1 November 2016

Acceptance of Serious Games in Psychotherapy: An Inquiry into the Stance of Therapists and Patients

Publication: Telemedicine and e-Health
Volume 22, Issue Number 11

Abstract

Background: Serious games are computer or video games that contain elements that are specifically designed for the purpose of education or training. Serious games are increasingly being used within healthcare, but their introduction into and application in psychotherapeutic settings as an e-mental health treatment modality raises questions for both patients and therapists. Current research demonstrates the potential role and effectiveness of serious games within a psychotherapeutic context. However, a limited understanding of patients' and therapists' existing knowledge and experience of serious games, as well as of their readiness to utilize and apply them for the treatment of psychological conditions, requires further investigation. Materials and Methods: Acceptance, experience, and requirements for the utilization of serious games in therapeutic contexts were assessed through online surveys with German-speaking patients (n = 260) and psychotherapists (n = 234). Respondents' answers were analyzed by a combination of descriptive and inferential statistics by using SPSS. Results: Current knowledge regarding serious games was very limited, with only 10.4% of patients and 11.5% of therapists reporting existing knowledge. However, a general openness toward the concept was observed: 88% of patients and 90% of therapists could envisage a therapeutic use. Patients (rs = 0.169, p = 0.006) who self-rated their level of computer and video game expertise as high were more likely to consider use within psychotherapy, compared with patients who self-rated their expertise as low. Therapists who currently play computer and video games perceive fewer disadvantages of serious game application in a psychotherapeutic context (p = 0.097). Consideration of serious game use was differentiated by the therapeutic approach (p = 0.003), specific mental disorders (highest rated relevant cases: anxiety disorders, affective disorders, disorders regarding impulse control, and adjustment disorders), and patient age (i.e., use with young adults was deemed the most appropriate by 91.8% of therapists). Conclusion: The application of serious games is conceivable for patients and therapists, especially as a complementary element to traditional face-to-face psychotherapy. Acceptance is strongly related to therapeutic context. Only a small number of therapists and patients agree on the possibility of using a serious game instead of face-to-face therapy.

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References

1.
Marsh T. Serious games continuum: Between games for purpose and experiential environments for purpose. Entertain Comput 2011;2:61–68.
2.
Michael DR, Chen S. Serious Games: Games that educate, train and inform. Boston: Thomson Course Technology, 2006.
3.
DeSmet A, Van Ryckeghem D, Compernolle S, Baranowski T, Thompson D, Crombez G, et al. A meta-analysis of serious digital games for healthy lifestyle promotion. Prev Med 2014;69:95–107.
4.
Rego P, Moreira PM, Reis LP. Serious games for rehabilitation: A survey and classification towards a taxonomy. Information Systems and Technologies (CISTI), 2010 5th Iberian Conference. New York: IEEE, 2010:1–6.
5.
Djaouti D, Alvarez J, Jessel J-P, Rampnoux O. Origins of serious games. In: Ma M, Oikonomou A, Jain LC, eds. Serious games and edutainment applications. London: Springer, 2011:25–43.
6.
Eichenberg C, Wolters C, Brähler E. The Internet as a mental health advisor in Germany—Results of a national survey. PLoS One 2013;8:e79206.
7.
Aljafari A, Rice C, Gallagher J, Hosey M. An oral health education video game for high caries risk children: Study protocol for a randomized controlled trial. Trials 2015;16:237.
8.
Tárrega S, Castro-Carreras L, Fernández-Aranda F, Granero R, Giner-Bartolomé C, Aymamí N, et al. A serious videogame as an additional therapy tool for training emotional regulation and impulsivity control in severe gambling disorder. Front Psychol 2015;6:1721.
9.
Bowen E, Walker K, Mawer M, Holdsworth E, Sorbring E, Helsing B, et al. “It's like you're actually playing as yourself”: Development and preliminary evaluation of ‘Green Acres High’, a serious game-based primary intervention to combat adolescent dating violence. Psychoso Interv 2014;23:43–55.
10.
Khanna MS, Kendall PC. Computer-assisted cognitive behavioral therapy for child anxiety: Results of a randomized clinical trial. J Consult Clin Psychol 2010;78:737–745.
11.
Bower K, Louie J, Landesrocha Y, Seedy P, Gorelik A, Bernhardt J. Clinical feasibility of interactive motion-controlled games for stroke rehabilitation. J Neuroeng Rehabil 2015;12:63.
12.
Schmidt U, Wykes T. E-mental health—A land of unlimited possibilities. J Mental Health 2012;21:327–331.
13.
Fleming TM, Cheek C, Merry SN, Thabrew H, Bridgman H, Stasiak K, et al. Serious games for the treatment or prevention of depression: A systematic review. Rev Psicopatol Psicol Clin 2014;19:227–242.
14.
Merry SN, Stasiak K, Shepherd M, Frampton C, Fleming T, Lucassen MFG, et al. The effectiveness of SPARX, a computerized self help intervention for adolescents seeking help for depression: Randomized controlled non-inferiority trial. BMJ 2012;344:e2598.
15.
Kandalaft MR, Didehbani N, Krawczyk DC, Allen TT, Chapman SB. Virtual reality social cognition training for young adults with high-functioning autism. J Autism Dev Disord 2012;43:34–44.
16.
Eichenberg C, Schott M. Serious Games for Psychotherapy and Psychosomatic Rehabilitation: A Systematic Review of their Effectiveness. International Society for Research on Internet Interventions, 7th Scientific Meeting, Valencia, Spain. 23–25October, 2014.
17.
Li J, Theng Y, Foo S. Game-based digital interventions for depression therapy: A systematic review and meta-analysis. Cyberpsychol Behav Soc Netw 2014;17:519–527.
18.
Kato P. Video games in health care: Closing the gap. Rev Gen Psychol 2010;14:113–121.
19.
Fernández-Aranda F, Jiménez-Murcia S, Santamaría J, Gunnard K, Soto A, Kalapanidas E, et al. Video games as a complementary therapy tool in mental disorders: PlayMancer, a European multicentre study. J Mental Health 2012;21:364–374.
20.
Lee Y, Heeter C, Magerko B, Medler B. Gaming mindsets: Implicit theories in serious game learning. Cyberpsychol Behav Soc Netw 2012;15:190–194.
21.
Kreutzer C, Bowers C. Attitudes toward a game-based approach to mental health. Cyberpsychol Behav Soc Netw 2015;18:20–24.
22.
Annetta L. The “I's” have it: A framework for serious educational game design. Rev Gen Psychol 2010;14:105–112.
23.
Eichenberg C, Marx S. Serious games: Zum einsatz und nutzen in der psychotherapie. VPP 2014;4:1007–1017.
24.
Cheek C, Bridgman H, Fleming T, Cummings E, Ellis L, Lucassen M, et al. Views of young people in rural Australia on SPARX, a fantasy world developed for New Zealand youth with depression. JMIR Serious Games 2014;2:e3.
25.
Schwartzman D, Segal R, Drapeau M. Perceptions of virtual reality among therapists who do not apply this technology in clinical practice. Psychol Serv 2012;9:310–315.
26.
Maheu M, Pulier M, McMenamin J, Posen L. Future of telepsychology, telehealth, and various technologies in psychological research and practice. Prof Psychol Res Pract 2012;43:613–621.
27.
Mayring P. Qualitative inhaltsanalyse: Grundlagen und techniken. Weinheim: Beltz, 2015.
28.
Wangberg S, Gammon D, Spitznogle K. In the eyes of the beholder: Exploring psychologists' attitudes towards and use of e-therapy in Norway. Cyberpsychol Behav 2007;10:418–442.
29.
Eichenberg C, Kienzle K. Psychotherapeuten und Internet: Einstellung zu und nutzung von therapeutischen online-angeboten im behandlungsalltag. Psychotherapeut 2013;58:485–493.
30.
Rozental A, Andersson G, Boettcher J, Ebert DD, Cuijpers P, Knaevelsrud C, Carlbring P. Consensus statement on defining and measuring negative effects of Internet interventions. Internet Interv 2014;1:12–19.
31.
Johansson R, Frederick R, Andersson G. Using the Internet to provide psychodynamic psychotherapy. Psychodyn Psychiatry 2013;41:513–540.

Information & Authors

Information

Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 22Issue Number 11November 2016
Pages: 945 - 951
PubMed: 27045452

History

Published in print: November 2016
Published online: 1 November 2016
Published ahead of print: 5 April 2016
Accepted: 13 February 2016
Revision received: 13 February 2016
Received: 2 January 2016

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Authors

Affiliations

Christiane Eichenberg, Prof. Dr.
Department of Psychology, Sigmund Freud University, Vienna, Austria.
Gloria Grabmayer, BSc
Department of Psychology, Sigmund Freud University, Vienna, Austria.
Nikos Green, BSc, MSc, PhD
Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.

Notes

Address correspondence to:Prof. Dr. Christiane EichenbergDepartment of PsychologySigmund Freud UniversityFreudplatz 1Vienna A-1020Austria
E-mail: [email protected]

Disclosure Statement

No competing financial interests exist.

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