Maria Mercedes Guala, Helene Nygaard Nielsen, Kim Bul, David Clinton, Martina Scarpelli, Regina Christiansen, Finn Skårderud, Anette Søgaard Nielsen
{"title":"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。","authors":"Maria Mercedes Guala, Helene Nygaard Nielsen, Kim Bul, David Clinton, Martina Scarpelli, Regina Christiansen, Finn Skårderud, Anette Søgaard Nielsen","doi":"10.1186/s40337-025-01306-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>' conclusion: </strong>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.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"154"},"PeriodicalIF":4.5000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297834/pdf/","citationCount":"0","resultStr":"{\"title\":\"The journey of playing: a qualitative evaluation of 'Maze Out,' a serious game for eating disorders.\",\"authors\":\"Maria Mercedes Guala, Helene Nygaard Nielsen, Kim Bul, David Clinton, Martina Scarpelli, Regina Christiansen, Finn Skårderud, Anette Søgaard Nielsen\",\"doi\":\"10.1186/s40337-025-01306-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>' conclusion: </strong>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.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"154\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297834/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01306-x\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01306-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
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.
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.