The co-creation design process of ‘You &amp; I’: a serious game to support mentalizing and stress-regulating abilities in adults with mild to borderline intellectual disabilities

Derks, Suzanne; Willemen, A.M.; Wouda, Mirjam; Meekel, Mark; Sterkenburg, P.S.

doi:10.1080/0144929x.2021.1968034

Cited by 10 publications

(9 citation statements)

References 24 publications

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“…The social validity scale showed that before (expectations) and after (experiences) the intervention, the participants rate playing the game as useful, pleasant, and suitable for improving mentalising and stress regulation. The co‐creation process of the serious game ‘You & I’ (Derks et al, 2022) aimed to develop an effective intervention aligned to the needs and wishes of the end‐users. This may have contributed to the indications of the game as ‘fun to play’ and ‘an apt way to learn and develop mentalising and stress regulation’.…”

Section: Discussionmentioning

confidence: 99%

“…This information was provided to the participants before the start of the game. For more comprehensive details on the co‐creation process of the serious game ‘You & I’, see the associated article (Derks et al, 2022).…”

Section: Methodsmentioning

confidence: 99%

“…The serious game 'You & I' was developed by a researcher who coordinated the co-creation process and did not participate in this RCT study. The last author was the supervisor during the development of the game and the first and second author were not involved in the development of the game (Derks et al, 2022). The game aims to improve mentalising and stress regulation in adults with mild to borderline intellectual disabilities.…”

Section: Interventionmentioning

confidence: 99%

“…With the intention to improve mentalising and stress regulation of adults with mild to borderline intellectual disabilities, the serious game ‘You & I’ was developed (Derks et al, 2022) in co‐operation with people with mild to borderline intellectual disabilities. In the present study, we examined the effectiveness of the serious game ‘You & I’ through a parallel superiority randomised controlled trial (RCT), asking the following questions: (a) Does the serious game ‘You & I’ significantly improve mentalising of adults with mild to borderline intellectual disabilities?…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of the mentalisation‐based serious game ‘You & I’ for adults with mild to borderline intellectual disabilities: A randomised controlled trial

Derks,

Willemen,

Wouda

et al. 2023

Research Intellect Disabil

Self Cite

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BackgroundMentalising and stress regulation pose challenges for adults with mild to borderline intellectual disabilities (MBID), emphasising the importance of an intervention program. The study examined the effectiveness and social validity of the serious game ‘You & I’ in enhancing mentalising and stress regulation among adults with MBID.MethodA randomised controlled superiority trial with experimental and waitlist‐control groups was conducted with 159 adults with MBID (Mage = 36) at baseline, post‐test, and follow‐up. Analyses investigated the effects on aspects of mentalising, stress regulation, and social validity.ResultsThe experimental group showed decreased stress from negative interpersonal relations, while the control group experienced increased stress (d = 0.26). There were no significant effects on mentalising, but positive user expectations and experiences were reported.ConclusionsThis initial study on ‘You & I’ provides limited evidence of its effectiveness for people with MBID, warranting further examination of the potential of serious games.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of the mentalisation‐based serious game ‘You & I’ for adults with mild to borderline intellectual disabilities: A randomised controlled trial

Derks,

Willemen,

Wouda

et al. 2023

Research Intellect Disabil

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this way, the projection of the creative thinking onto the physiological signals and testing of the same protocol to game users could reveal the transferability of the designer’s intentions to the gamers via the similarity of the related acquired signals. This could be used as a measure to optimize the game design and create a dynamic cocreation process [ 45 - 48 ], which could adapt to the specific characteristics of the designer and the target group of the serious game users [ 49 - 53 ].…”

Section: Discussionmentioning

confidence: 99%

2D-ME: A conceptual framework for explaining self-first and self-third person views of prototyping dynamics in serious games design (Preprint)

Hadjileontiadou¹,

Dias²,

Hadjileontiadis³

2022

JMIR Serious Games

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Background Design dynamics that evolve during a designer’s prototyping process encapsulate important insights about the way the designer is using his or her knowledge, creativity, and reflective thinking. Nevertheless, the capturing of such dynamics is not always an easy task, as they are built through alternations between the self–first and self–third person views. Objective This study aimed at introducing a conceptual framework, namely 2D-ME, to provide an explainable domain that could express the dynamics across the design timeline during a prototyping process of serious games. Methods Within the 2D-ME framework, the Technological-Pedagogical-Content Knowledge (TPACK), its adaptation to the serious games (TPACK-Game), and the activity theory frameworks were combined to produce dynamic constructs that incorporate self–first and self–third person extension of the TPACK-Game to Games TPACK, rules, division of labor, and object. The dynamic interplay between such constructs was used as an adaptation engine within an optimization prototype process, so each sequential version of the latter could converge to the designer’s initial idea of the serious game. Moreover, higher-order thinking is scaffolded with the internal Activity Interview Script proposed in this paper. Results An experimental case study of the application of the 2D-ME conceptual framework in the design of a light reflection game was showcased, revealing all the designer’s dynamics, both from internal (via a diary) and external (via the prototype version) views. The findings of this case study exemplified the convergence of the prototyping process to an optimized output, by minimizing the mean square error between the conceptual (initial and updated) idea of the prototype, following explainable and tangible constructs within the 2D-ME framework. Conclusions The generic structure of the proposed 2D-ME framework allows its transferability to various levels of expertise in serious games mastering, and it is used both for the designer’s process exploration and training of the novice ones.

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Intelligence and Treatment Outcome of Mentalization‐Based Treatment in Borderline Personality Disorder

Muskens,

Bouwmeester,

Nooijen

et al. 2024

Clin Psychology and Psychoth

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BackgroundMentalization‐based treatment (MBT) is an evidence based treatment for patients diagnosed with borderline personality disorder (BPD). Although MBT is effective, on average, for individuals with BPD, there are large individual differences in treatment outcomes. Research on predictors of the treatment effect of MBT, such as intelligence, is needed to determine which treatment is most effective for which ‘category’ of BPD patients, providing more knowledge about optimal indications.ObjectiveThe study aimed to investigate whether intelligence is associated with MBT outcomes in patients with BPD and exploratively studying the difference between two variants of MBT.Methods and ProceduresA pre‐post intervention design was used to examine the effects of MBT on BPD severity. Personal and social recovery were measured as secondary outcome measures. The association between intelligence and the degree of recovery was examined.ResultsNo significant correlation was found between intelligence level and treatment efficacy. In addition, a negative correlation between IQ and personal and social recovery was found, indicating that, as IQ increased, the level of recovery decreased. Secondary subanalyses showed the treatment effect of MBT was large and significant in reducing BPD symptoms (Cohen's d = 1.5) and that there was no significant difference between the 2‐day MBT and 3‐day MBT programmes in terms of a decrease in BPD severity. However, a significant medium positive correlational relationship was found between intelligence and a decrease in BPD severity level for the 3‐day MBT, which was not found for the 2‐day MBT programme. This indicates that in the 3‐day MBT programme, the higher the IQ, the higher the decrease in BPD severity level.Conclusions and ImplicationsThis study is the first to examine the association between intelligence and the outcome of MBT in BPD patients. It shows that patients with a wide range of intelligence (72–124) can equally benefit from MBT and that effectiveness of MBT was not influenced negatively by lower intelligence. Secondary subanalyses showed that this was particularly evident when the intervention was delivered within the context of a 2‐day MBT programme. Nevertheless, further randomized studies are required to ascertain the relationship between IQ and treatment effectiveness, as well as other predictors of MBT outcomes.

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The co-creation design process of ‘You & I’: a serious game to support mentalizing and stress-regulating abilities in adults with mild to borderline intellectual disabilities

Abstract: Sterkenburg (2021): The co-creation design process of 'You & I': a serious game to support mentalizing and stress-regulating abilities in adults with mild to borderline intellectual disabilities, Behaviour & Information Technology,

Cited by 10 publications

References 24 publications

Effectiveness of the mentalisation‐based serious game ‘You & I’ for adults with mild to borderline intellectual disabilities: A randomised controlled trial

Effectiveness of the mentalisation‐based serious game ‘You & I’ for adults with mild to borderline intellectual disabilities: A randomised controlled trial

2D-ME: A conceptual framework for explaining self-first and self-third person views of prototyping dynamics in serious games design (Preprint)

Intelligence and Treatment Outcome of Mentalization‐Based Treatment in Borderline Personality Disorder

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