游戏之旅:对一款治疗饮食失调的严肃游戏《Maze Out》的定性评价。

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Maria Mercedes Guala, Helene Nygaard Nielsen, Kim Bul, David Clinton, Martina Scarpelli, Regina Christiansen, Finn Skårderud, Anette Søgaard Nielsen
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引用次数: 0

摘要

背景:坚持和参与数字精神卫生干预措施的一个关键障碍是患者对这些解决方案缺乏认同,这通常是由于设计没有纳入患者的直接需求和观点。我们调查了《Maze Out》的体验,这是一款由饮食失调症(EDs)患者、在EDs领域工作的临床医生和游戏专家共同制作的数字游戏,当它被用作常规治疗(TAU)的辅助治疗时。方法:7名在丹麦治疗机构接受TAU治疗的18岁以上ED患者,以及2名亲属、3名临床医生和2名支持工作者(统称为护理人员)参加了半结构化访谈。对患者和护理人员的数据分别进行分析。分析的重点是玩迷宫的整体体验,它对理解与照顾者的人际关系的影响,以及它对eds相关挑战的潜在见解。此外,我们调查了迷宫是否有助于减少与ed症状和行为相关的羞耻感。结果:患者出现了三个主题:(1)《游戏的乐趣:一个你可以做自己的地方》,(2)“足够好:没有羞耻的自治”,以及(3)“啊哈经验:以不同的方式思考的洞察力和勇气”。对于护理人员,还确定了三个主题:(1)了解你所关心的人的ED世界(2)《见面的地方》和(3)对话与禁忌。结论:我们的研究结果表明,对急诊科进行数字化干预应该能培养患者的幸福感,促进患者的自主性。游戏作为一个过渡对象,使ed的体验和他们的挑战更容易理解和易接近。像Maze Out这样的工具还可以帮助亲属、临床医生和支持工作者更好地了解和获得急症的潜在原因,提高认识和支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The journey of playing: a qualitative evaluation of 'Maze Out,' a serious game for eating disorders.

The journey of playing: a qualitative evaluation of 'Maze Out,' a serious game for eating disorders.

The journey of playing: a qualitative evaluation of 'Maze Out,' a serious game for eating disorders.

Background: A critical barrier to adherence and engagement with digital mental health interventions is the lack of patient identification with these solutions, often due to designs that do not incorporate the patients' direct needs and perspectives. We investigated the experiences of Maze Out, a digital game co-produced by patients with eating disorders (EDs), clinicians working in the EDs field, and game experts when used as a therapeutic adjunct alongside treatment as usual (TAU).

Methods: Seven patients over 18 years old with an ED diagnosis receiving TAU at treatment institutions in Denmark, along with two relatives, three clinicians, and two support workers (collectively referred to as caregivers), participated in semi-structured interviews. Data were analyzed separately for patients and caregivers. The analysis iwas focused on the overall experience of playing Maze Out, its impact on understanding interpersonal relationships with caregivers, and its potential to provide insights into EDs-related challenges. Additionally, we investigated whether Maze Out contributes to reducing the shame associated with EDs symptoms and behaviors.

Results: Three themes emerged for patients: (1) 'Joy of Playing: A Place Where You Can Be Yourself', (2) 'Good Enough: Autonomy Without Shame', and (3) 'Aha Experience: Insight and Courage to Think Differently'. For caregivers, three themes were also identified: (1) 'Understanding the ED Universe of Someone You Care ForFor, (2) 'A Place to Meet, and (3) 'Dialogue & Taboos.

' conclusion: Our findings suggest that digital interventions for EDs should foster joy and promote patient autonomy. The game functioned as a transitional object, making the experience of EDs and their challenges more comprehensible and approachable. Tools like Maze Out can also help relatives, clinicians, and support workers better understand and gain the underlying causes of EDs, improving awareness and support.

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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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