Cognitive Bias Modification for adolescents with substance use problems – Can serious games help?

Boendermaker, Wouter J.; Prins, Pier J. M.; Wiers, Reinout W.

doi:10.1016/j.jbtep.2015.03.008

Cited by 104 publications

(109 citation statements)

References 65 publications

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“…Furthermore, gamification did not have a (negative) influence on the usability of the system. So, in this study, the gamified elements did not seem to add more complexity to the system as observed in other studies [41].…”

Section: Discussionsupporting

confidence: 75%

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment (Preprint)

Kelders¹,

Sommers‐Spijkerman²,

Goldberg³

2018

Preprint

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Background: Gamification is a promising strategy to increase engagement and effectiveness of online mental health interventions by enhancing motivation. However, as most studies focus on the longer term effects of gamification (e.g. effectiveness or adherence at the end of the intervention period), there is limited insight in how gamification may enhance motivation. Research implies that gamification has a direct impact at the time of use of the intervention which changes the experience of the users and thereby motivated users. However, it is unclear what this direct impact of gamification might be and how it can be measured.

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Section: Discussionsupporting

confidence: 75%

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment (Preprint)

Kelders¹,

Sommers‐Spijkerman²,

Goldberg³

2018

Preprint

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“…The authors reported gamification helped improve engagement in the short and longer term and made the task more attractive. Other studies have found increased self-empowerment (16) and improved existing skills sets (16 (17) reviewed how gamification might help address one of the core challenges of conventional interventions, that of motivation to train; these tasks tend to be highly repetitive, with a need for multiple training sessions. Wouter J et al (2015) (17) highlighted several potential gamification strategies and explored how they have been used in some studies.…”

Section: Introductionmentioning

confidence: 99%

“…Other studies have found increased self-empowerment (16) and improved existing skills sets (16 (17) reviewed how gamification might help address one of the core challenges of conventional interventions, that of motivation to train; these tasks tend to be highly repetitive, with a need for multiple training sessions. Wouter J et al (2015) (17) highlighted several potential gamification strategies and explored how they have been used in some studies. The gamification approaches used include that of the addition of gaming elements to existing tasks; the transformation of a conventional task into a serious game; identification of an underlying theory of the intervention and developing a game; the addition of a full gaming approach to a conventional task; both intrinsic and extrinsic combination and lastly, the use of over the shelf entertainment games.…”

Section: Introductionmentioning

confidence: 99%

Gamified Cognitive Bias Modification Interventions for Psychiatric Disorders: Review (Preprint)

Zhang¹,

Ying²,

Song³

et al. 2018

Preprint

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“…It is not essential to use any digital technology in gamification but smart phones make the implementation easier and the outreach wider. As regards the efficacy of gamification in preventing substance use among adolescents, Boendermaker and colleagues [27] found that game elements (authors label them as "serious games") can help to motivate youngsters to do a Cognitive Bias Modification (CBM) training, which might reduce substance consumption. However, research is still lacking to draw further conclusions about the efficacy of gamification.…”

Section: Introductionmentioning

confidence: 99%

Potential of an Interactive Drug Prevention Mobile Phone App (Once Upon a High): Questionnaire Study Among Students (Preprint)

Kapitány-Fövény¹,

Vagdalt²,

Ruttkay³

et al. 2018

Preprint

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BACKGROUND:In recent years, drug prevention networks and drug education programs started to utilize web-based or smartphone applications as novel prevention tools, testing their efficacy as compared to face-to-face prevention. OBJECTIVE: Our study aimed to assess potentials of an interactive application called Once Upon a High (VoltEgySzer). METHODS: Students of two vocational and two high schools filled in a questionnaire at a baseline (T0) and a two month follow-up (T1) data collection session. Students of one vocational (VS1) and one high school (HS1) downloaded the Once Upon a High app (app group), whereas students from the other vocational (VS2) and high school (HS2) did not (nonapp group). T0 and T1 questionnaires contained demographic variables, items regarding substance use characteristics with regard to both legal and illegal substances, including novel psychoactive substances (NPS), exercise habits, knowledge about psychoactive substances, attitudes toward substance users and validated instruments measuring the severity of tobacco (Fagerström Test for Nicotine Dependence), alcohol (AUDIT), cannabis (CAST) and synthetic cannabinoid (sCAST) consumption. Beliefs about substance use (BASA) and perceived self-efficacy (GSE) were also measured. At T1, members of the app group provided additional evaluation of the application. RESULTS: 386 students participated in T0 session and followed by a drop-out, 246 students took part in T1 data collection procedure. Alcohol was the most frequently consumed psychoactive substance (92.1% lifetime use), followed by tobacco (68% lifetime use) and cannabis (13.2% lifetime use). Synthetic cannabinoids were the most commonly used NPS (7.2%). Decreased self-efficacy (Beta= -0.29, p<0.05) and increased daily physical exercise frequencies (Beta= 0.04, p<0.001) predicted higher frequencies of past month energy drink consumption, whereas elevated past month alcohol consumption was mainly predicted by a decrease in negative attitudes toward substance users (Beta= -0.13, p<0.05). Once Upon a High was found to be effective in increasing a) knowledge about the risks of psychoactive substances and b) perceived self-efficacy but not in reducing substance use. The roleplay module of the application was found to be the most preferred and beneficial aspect of the app. CONCLUSIONS: Once Upon a High app can be a useful tool to assist preventive intervention programs by increasing knowledge and self-efficacy, however, its efficacy in reducing or preventing substance use needs to be improved and further studied. Additional potentials of the app need testing.

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Cognitive Bias Modification for adolescents with substance use problems – Can serious games help?

Abstract: Gamified CBM may be a promising way to reach at risk youth, but the term "game" should be used with caution. Suggestions are made for future research.

Cited by 104 publications

References 65 publications

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment (Preprint)

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment (Preprint)

Gamified Cognitive Bias Modification Interventions for Psychiatric Disorders: Review (Preprint)

Potential of an Interactive Drug Prevention Mobile Phone App (Once Upon a High): Questionnaire Study Among Students (Preprint)

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