Russell Pine, James Mbinta, Lisa Te Morenga, Theresa Fleming
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Participants were invited to play Match Emoji for 15 minutes, 2-3 times a week over 2 weeks (a total of 60 minutes). Acceptability was assessed through the frequency and duration of use (analytics analyzed at the end of the 2-week intervention period and at weeks 4 and 6) and through participant reports. The Child and Adolescent Mindfulness Measure (CAMM), General Help-Seeking Questionnaire (GHSQ), Flourishing Scale (FS), and Revised Children's Anxiety and Depression Scale (RCADS) were assessed at baseline and week 2 to indicate possible effects. Focus groups were held in week 4.</p><p><strong>Results: </strong>Most participants (n=39, 87%) used Match Emoji for at least 60 minutes over the 2-week intervention, with 80% (36/45) continuing to play the game after the intervention period. Mean change (from baseline to 2 weeks) on each measure was 1.38 (95% CI -0.03 to 2.79; P=.06) for CAMM; 0.8 (95% CI -2.71 to 4.31; P=.64) for GHSQ; -1.09 (95% CI -2.83 to 0.66; P=.21) for FS; and -3.42 (95% CI -6.84 to -0.001; P=0.49) for RCADS. Focus group feedback suggested that Match Emoji was enjoyable and helpful.</p><p><strong>Conclusions: </strong>The casual video game with mental health content appeared to be acceptable and provided a promising indication of possible therapeutic effects. 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引用次数: 0
摘要
背景：青少年时期是早期干预和预防心理健康问题的关键时期。休闲电子游戏很受欢迎，有望成为一种接触青少年的新机制，但这种潜力还很少被发掘：本研究旨在探讨青少年在玩过一款专门制作的、内容简单的心理健康和幸福感新颖休闲视频游戏（Match Emoji）后的接受度、可行性和可能的治疗变化指标：我们对 12 至 14 岁的在校学生（45 人；26 [57%] 新西兰欧裔，12 [26%] 毛利人；7 [15%] 亚洲或太平洋裔；27 [60%] 男孩，3 [6%] 非二元）进行了《Match Emoji》单臂、非随机试验。参与者被邀请在两周内每周玩 2-3 次《Match Emoji》，每次 15 分钟（共 60 分钟）。通过使用频率和持续时间（在 2 周干预期结束时以及第 4 周和第 6 周进行分析）以及参与者的报告来评估可接受性。在基线和第 2 周对儿童和青少年正念测量（CAMM）、一般求助问卷（GHSQ）、幸福量表（FS）和修订版儿童焦虑抑郁量表（RCADS）进行了评估，以显示可能的效果。第 4 周举行了焦点小组讨论：大多数参与者（39 人，87%）在为期两周的干预中至少使用了 60 分钟的《火柴表情符号》游戏，80%（36/45）的参与者在干预期结束后继续玩游戏。每项测量指标的平均变化（从基线到两周）为：CAMM 1.38 (95% CI -0.03 to 2.79; P=.06)；GHSQ 0.8 (95% CI -2.71 to 4.31; P=.64)；FS -1.09 (95% CI -2.83 to 0.66; P=.21)；RCADS -3.42 (95% CI -6.84 to -0.001; P=0.49)。焦点小组的反馈表明，《Match Emoji》令人愉悦，而且很有帮助：结论：含有心理健康内容的休闲视频游戏似乎是可以接受的，并为可能的治疗效果提供了一个有希望的迹象。这种方法值得进一步研究：RR2-10.2196/31588。
A Novel Casual Video Game With Simple Mental Health and Well-Being Concepts (Match Emoji): Mixed Methods Feasibility Study.
Background: Adolescence is a crucial phase for early intervention and prevention of mental health problems. Casual video games are popular and have promise as a novel mechanism for reaching young people, but this potential has seldom been explored.
Objective: This study aimed to explore the acceptability, feasibility, and possible indicators of therapeutic changes after playing a purpose-built novel casual video game (Match Emoji) with simple mental health and well-being content among young adolescents.
Methods: We conducted a single-arm, nonrandomized trial of Match Emoji with 12- to 14-year-old school students (N=45; 26 [57%] New Zealand European, 12 [26%] Māori; 7 [15%] Asian or Pacific; 27 [60%] boys, 3 [6%] non-binary). Participants were invited to play Match Emoji for 15 minutes, 2-3 times a week over 2 weeks (a total of 60 minutes). Acceptability was assessed through the frequency and duration of use (analytics analyzed at the end of the 2-week intervention period and at weeks 4 and 6) and through participant reports. The Child and Adolescent Mindfulness Measure (CAMM), General Help-Seeking Questionnaire (GHSQ), Flourishing Scale (FS), and Revised Children's Anxiety and Depression Scale (RCADS) were assessed at baseline and week 2 to indicate possible effects. Focus groups were held in week 4.
Results: Most participants (n=39, 87%) used Match Emoji for at least 60 minutes over the 2-week intervention, with 80% (36/45) continuing to play the game after the intervention period. Mean change (from baseline to 2 weeks) on each measure was 1.38 (95% CI -0.03 to 2.79; P=.06) for CAMM; 0.8 (95% CI -2.71 to 4.31; P=.64) for GHSQ; -1.09 (95% CI -2.83 to 0.66; P=.21) for FS; and -3.42 (95% CI -6.84 to -0.001; P=0.49) for RCADS. Focus group feedback suggested that Match Emoji was enjoyable and helpful.
Conclusions: The casual video game with mental health content appeared to be acceptable and provided a promising indication of possible therapeutic effects. This approach is worthy of further investigation.
International registered report identifier (irrid): RR2-10.2196/31588.
期刊介绍：
JMIR Serious Games (JSG, ISSN 2291-9279) is a sister journal of the Journal of Medical Internet Research (JMIR), one of the most cited journals in health informatics (Impact Factor 2016: 5.175). JSG has a projected impact factor (2016) of 3.32. JSG is a multidisciplinary journal devoted to computer/web/mobile applications that incorporate elements of gaming to solve serious problems such as health education/promotion, teaching and education, or social change.The journal also considers commentary and research in the fields of video games violence and video games addiction.
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