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Acceptability, feasibility, and preliminary evaluation of an animated VR game for reducing mental health stigma in health-care students and trainees: a mixed-method study

Raul Szekely (School of Psychology, University of Surrey, Guildford, UK)
Oliver Mason (School of Psychology, University of Surrey, Guildford, UK)
David M. Frohlich (Digital World Research Centre, University of Surrey, Guildford, UK and School of Psychology, University of Surrey, Guildford, UK)
Elizabeth Alexandra Barley (School of Health Sciences, University of Surrey, Guildford, UK)

Mental Health and Digital Technologies

ISSN: 2976-8756

Article publication date: 24 June 2024

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Abstract

Purpose

This study aims to pilot-test the acceptability, feasibility, preliminary efficacy and user experience of an animated virtual reality (VR) game (“Goliath: Playing with Reality”) aimed at reducing stigma related to psychosis and schizophrenia among health-care students and trainees.

Design/methodology/approach

A mixed-methods design was used. Sixteen trainee clinical psychologists with experience working with service users with psychosis/schizophrenia engaged with the VR game using a headset and controllers, and completed measures before and after. Quantitative measures assessing intervention acceptability, appropriateness and feasibility were collected and analysed descriptively. These were complemented by qualitative feedback on user experience, analysed through content analysis. Pre- and post-intervention mental health stigma-related measures were also collected and analysed inferentially.

Findings

Most participants found the VR game acceptable, appropriate and feasible for reducing mental health stigma. Although there were no significant changes in stigma-related measures, participants were impressed by the immersive storytelling and the symbolic portrayal of psychosis. Participants also valued the educational aspect, empathised with people living with psychosis/schizophrenia and experienced a range of emotional reactions. However, participants noted usability concerns, and suggestions for improvement were made.

Originality/value

This is one of the first studies to show the potential of “Goliath: Playing with Reality” as a mental health educational intervention for health-care students and trainees. Drawing on narrative theory and immersive-interactive storytelling techniques, the VR game provides experiences that can foster narrative engagement and emotional connection, potentially enhancing its effectiveness in mental health stigma reduction efforts.

Keywords

Acknowledgements

Funding: The authors extend their thanks to the participants for their time and contributions to this research. They are also grateful to Anagram for granting them permission to use the screen captures from the VR game in this publication. The research presented here received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Citation

Szekely, R., Mason, O., Frohlich, D.M. and Barley, E.A. (2024), "Acceptability, feasibility, and preliminary evaluation of an animated VR game for reducing mental health stigma in health-care students and trainees: a mixed-method study", Mental Health and Digital Technologies, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/MHDT-03-2024-0010

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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