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Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered

Jasmin Yee1,2, Hannah Matheson3, Bryce J M Bogie1,4

  • 1University of Ottawa Institute of Mental Health Research at The Royal, Royal Ottawa Health Care Group, Ottawa, ON, Canada.

JMIR Mental Health
|July 11, 2025
PubMed
Summary
This summary is machine-generated.

This study co-developed a virtual reality cognitive remediation program, ThinkTactic VR, with individuals experiencing psychosis and healthcare professionals. The program addresses distinct user needs to improve cognitive function and community engagement.

Keywords:
cognitive remediationcommunity functioningneurocognitionsocial cognitionuser-centered approachvirtual reality

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Area of Science:

  • Psychiatry and Mental Health
  • Human-Computer Interaction
  • Rehabilitation Science

Background:

  • Cognitive remediation is vital for improving cognition and psychosocial functioning in individuals with psychotic disorders.
  • Virtual reality (VR) offers immersive environments to enhance engagement and effectiveness in cognitive remediation.
  • Integrating VR into cognitive remediation holds promise for better treatment outcomes.

Purpose of the Study:

  • To co-develop a virtual reality cognitive remediation program tailored to the needs of individuals with psychotic disorders and healthcare professionals.
  • To identify and address specific challenges and requirements for an effective VR-based cognitive intervention.

Main Methods:

  • A user-centered design approach was employed, involving individuals with lived experience of psychosis (n=11) and healthcare professionals (n=7).
  • Multiple working group sessions were conducted to gather opinions on cognitive difficulties and provide feedback on program development.
  • An iterative process integrated end-user feedback and suggestions into the VR program design.

Main Results:

  • Four key themes emerged from individuals with lived experience: need for cognitive impairment focus, essential design elements for rehabilitation, leveraging technology, and improving community functioning.
  • Healthcare professionals identified three themes: need for clinical relevance bridging research-to-practice, enhancing patient engagement, and addressing resource limitations.
  • Distinct needs of both user groups were prioritized, leading to the integration of features like a virtual coach.

Conclusions:

  • The co-design process resulted in ThinkTactic VR, a novel cognitive remediation program in virtual reality.
  • ThinkTactic VR is among the first VR cognitive remediation programs developed through a user-centered, iterative approach involving both patients and clinicians.
  • This collaborative method ensures the program effectively addresses the multifaceted needs of individuals with psychotic disorders and the healthcare system.