Co-designing a virtual world with young people to deliver social cognition therapy in early psychosis.

Publisher: Wiley-Blackwell Country of Publication: Australia NLM ID: 101320027 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1751-7893 (Electronic) Linking ISSN: 17517885 NLM ISO Abbreviation: Early Interv Psychiatry Subsets: MEDLINE

Original Publication: Carlton,VIC, Australia : Wiley-Blackwell

Community Participation* ; Interdisciplinary Communication* ; Intersectoral Collaboration* ; Social Cognition*; Cognitive Behavioral Therapy/*organization & administration ; Delivery of Health Care/*organization & administration ; Mental Health Services/*organization & administration ; Psychotic Disorders/*therapy ; Virtual Reality Exposure Therapy/*organization & administration; Adolescent ; Age Factors ; Counseling/organization & administration ; Feedback ; Humans ; Psychotic Disorders/psychology ; United Kingdom ; Young Adult

Aims: Co-design implies genuine partnership in the generation of knowledge between service users and researchers. Service user involvement in research has been encouraged in government policy, but it is rarely achieved, especially at trial initial stages. Co-designed with service users, we adapted existing manualised social cognition intervention for people with a first episode of psychosis to a virtual world environment.
Methods: We invited a group of young people who have used mental health services to co-design a virtual environment to deliver an accessible social cognition intervention to a hard to engage service user group. We used an iterative process with young service users and the design team that included developing initial ideas, creating a prototype and testing the virtual world.
Results: Twenty young service users of local mental healthcare services provided feedback on the design and delivery of the intervention. Reflecting the demographic of the sample, young people felt the virtual environment should be familiar, urban spaces, akin to therapy rooms or classrooms they have used in real-life situations rather than non-traditional therapy spaces that were initially proposed.
Conclusion: The co-design process led to the development of a specific design, approach and protocol to be tested in a proof-of-concept trial. Young service users were integral to an agile and iterative design. Technological innovations should be routinely co-designed and co-produced if they are to realise their potential to deliver acceptable and affordable mental health interventions.
(© 2019 John Wiley & Sons Australia, Ltd.)

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International Department of Health [UK]; International Transforming Mental Health; International University of Warwick

Keywords: co-design, first episode psychosis, psychosis, social cognition therapy, virtual worlds, young people

Date Created: 20190326 Date Completed: 20210205 Latest Revision: 20210205

20240513

10.1111/eip.12804

30908854