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A Pilot Study Evaluating "Dojo," a Videogame Intervention for Youths with Externalizing and Anxiety Problems
Angela A T Schuurmans1,2, Karin S Nijhof1,2, Ignace P R Vermaes1,2
11 Behavioural Science Institute, Radboud University Nijmegen , Nijmegen, The Netherlands .
This pilot study found that the "Dojo" videogame intervention, incorporating cognitive behavioral therapy (CBT) principles, is a feasible and engaging tool for adolescents with externalizing and anxiety problems.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Psychology
- Digital Health Interventions
Background:
- Externalizing problems are a primary driver of youth mental health referrals, often persisting and predicting adverse outcomes.
- Comorbidity with anxiety is common in youth with externalizing problems.
- Conventional cognitive behavioral therapy (CBT) shows moderate effect sizes, indicating a need for treatment innovation.
Purpose of the Study:
- To assess the feasibility of implementing "Dojo," a videogame-based intervention utilizing CBT principles.
- To evaluate the user experience of "Dojo" in adolescents with externalizing and anxiety issues.
- To explore potential improvements over traditional CBT delivery models for difficult-to-treat youth populations.
Main Methods:
- A pilot study involving eight adolescents in residential treatment.
- Utilized "Dojo," an emotion management game designed to help youth recognize and control arousal.
- Explored implementation and user experience through direct observation and participant feedback.
Main Results:
- High participant compliance and positive evaluations of the "Dojo" game.
- Successful implementation with minor challenges in scheduling and reporting.
- Quantitative data indicated a decrease in three out of four measured outcomes.
Conclusions:
- "Dojo" demonstrates significant potential as an innovative intervention due to smooth implementation and high user engagement.
- High user satisfaction and compliance suggest "Dojo" can effectively engage high-risk youth.
- Further randomized controlled trials are warranted to confirm "Dojo" as a cost-effective treatment option.
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