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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
Summary
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.
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.
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