A Virtual Reality Game (The Secret Trail of Moon) for Treating Attention-Deficit/Hyperactivity Disorder: Development and Usability Study

Rodrigo-Yanguas, María; Martín-Moratinos, Marina; Menéndez-García, Ángela; González-Tardón, Carlos; Royuela, Ana; Blasco-Fontecilla, Hilario

doi:10.2196/26824

Cited by 31 publications

(56 citation statements)

References 49 publications

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“…In addition, there is effectiveness with a medication-treated pediatric ADHD population and note of the need for pragmatic RCTs to build the evidence generation complemented by qualitative humancentered investigations [80]. An RCT tested the effectiveness of a serious video game (i.e., development and usability) and found that it may complement the current multimodal approach for treating ADHD [127].…”

Section: Immersive Technologiesmentioning

confidence: 99%

Human-Computer Interaction in Digital Mental Health

Balcombe

Leo

2022

Informatics

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Human-computer interaction (HCI) has contributed to the design and development of some efficient, user-friendly, cost-effective, and adaptable digital mental health solutions. But HCI has not been well-combined into technological developments resulting in quality and safety concerns. Digital platforms and artificial intelligence (AI) have a good potential to improve prediction, identification, coordination, and treatment by mental health care and suicide prevention services. AI is driving web-based and smartphone apps; mostly it is used for self-help and guided cognitive behavioral therapy (CBT) for anxiety and depression. Interactive AI may help real-time screening and treatment in outdated, strained or lacking mental healthcare systems. The barriers for using AI in mental healthcare include accessibility, efficacy, reliability, usability, safety, security, ethics, suitable education and training, and socio-cultural adaptability. Apps, real-time machine learning algorithms, immersive technologies, and digital phenotyping are notable prospects. Generally, there is a need for faster and better human factors in combination with machine interaction and automation, higher levels of effectiveness evaluation and the application of blended, hybrid or stepped care in an adjunct approach. HCI modeling may assist in the design and development of usable applications, and to effectively recognize, acknowledge, and address the inequities of mental health care and suicide prevention and assist in the digital therapeutic alliance.

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Section: Immersive Technologiesmentioning

confidence: 99%

Human-Computer Interaction in Digital Mental Health

Balcombe

Leo

2022

Informatics

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“… IDEAL-Games framework [ 22 ] adapted to create a general guide for game-based attention deficit hyperactivity disorder treatment. …”

Section: Ideal-games Frameworkmentioning

confidence: 99%

“…In our example, TSTM [ 21 ] was based on the models proposed by Russell Barkley [ 32 ] and Thomas Brown [ 33 ]. See Rodrigo-Yanguas et al [ 21 , 22 ] for a description of the general characteristics of TSTM.…”

Section: Ideal-games Frameworkmentioning

confidence: 99%

“…The inclusion of these factors can enhance the patient’s motivation, isolate the patient from outside distractions, or complement the development of other qualities, which can in turn increase the effectiveness of the treatment. For instance, TSTM uses Playstation VR [ 22 ], Benzing and Schmidt [ 35 ] used Microsoft Kinect to develop an exergame, and Lim et al [ 36 ] developed an attention training game where children play via the signals detected by electroencephalogram electrodes.…”

Section: Ideal-games Frameworkmentioning

confidence: 99%

“…The UCD methodology also allows for recording user performance; collecting this preliminary data with real users allows for closer adjustment to the patient’s needs. In the development of TSTM [ 21 , 22 ], there were two events that emerged in user testing. Enigma had to be refined to improve the impact on working memory, and for Smasher, including a bug representing a distractor (a bird flying in a strange way), psychologists suggested that this incoherent stimulus could be more distracting and was incorporated as an advanced distractor.…”

Section: Ideal-games Frameworkmentioning

confidence: 99%

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Developing Serious Video Games to Treat Attention Deficit Hyperactivity Disorder: Tutorial Guide

Sújar¹,

Martín-Moratinos²,

Rodrigo-Yanguas³

et al. 2022

JMIR Serious Games

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Video game–based therapeutic interventions have demonstrated some effectiveness in decreasing the symptoms of attention deficit hyperactivity disorder (ADHD). Compared with more traditional strategies within the multimodal treatment of ADHD, video games have certain advantages such as being comfortable, flexible, and cost-efficient. However, establishing the most appropriate type(s) of video games that should be used for this treatment remains a matter of debate, including the commercial existing video games or serious video games that are specifically constructed to target specific disorders. This guide represents a starting point for developing serious video games aimed at treating ADHD. We summarize the key points that need to be addressed to generate an effective and motivating game-based treatment. Following recommendations from the literature to create game-based treatments, we describe the development stages of a serious video game for treating ADHD. Game design should consider the interests of future users; game mechanics should be based on cognitive exercises; and therapeutic mechanisms must include the control of difficulty, engagement, motivation, time constraints, and reinforcement. To elaborate upon this guide, we performed a narrative review focused on the use of video games for the treatment of ADHD, and were inspired by our own experience during the development of the game “The Secret Trail of Moon.”

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Adherence, frequency, and long‐term follow‐up of video game‐based treatments in patients with attention‐deficit/hyperactivity disorder: A systematic review

Caselles‐Pina,

Sújar,

Quesada‐López

et al. 2023

Brain and Behavior

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BackgroundAttention‐deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children and adolescents. Recent studies show that video games have great potential for the treatment and rehabilitation of ADHD patients.The aim of the present review is to systematically review the scientific literature on the relationship between video games and ADHD, focusing on adherence to treatment, frequency of the intervention, and the long‐term follow‐up of video games in children and adolescents with ADHD.MethodsThe preferred reporting items for systematic reviews and meta‐analyses guidelines were adopted. The review protocol was registered in PROSPERO database. We searched in three databases, PubMed, Medline, and Web of Science to identify studies examining the association between video game interventions in ADHD patients.ResultsA total of 18 empirical studies met the established inclusion criteria. The results showed that video games‐based interventions can be used to improve ADHD symptoms and display high adherence to treatment. In addition, in the studies reviewed, the most common intervention frequency is 30 min three to five times per week. However, there is little evidence from studies with video games showing long‐term effects in patients with ADHD.ConclusionVideo games are useful and effective interventions that can complement traditional treatments in patients with ADHD.

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A Virtual Reality Game (The Secret Trail of Moon) for Treating Attention-Deficit/Hyperactivity Disorder: Development and Usability Study

Cited by 31 publications

References 49 publications

Human-Computer Interaction in Digital Mental Health

Human-Computer Interaction in Digital Mental Health

Developing Serious Video Games to Treat Attention Deficit Hyperactivity Disorder: Tutorial Guide

Adherence, frequency, and long‐term follow‐up of video game‐based treatments in patients with attention‐deficit/hyperactivity disorder: A systematic review

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