Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study

BackgroundCognitive remediation improves cognition and psychosocial functioning in individuals with psychotic disorders. The use of virtual reality (VR) to deliver cognitive remediation in immersive environments that mimic real cognitively challenging situations has the poten...

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Main Authors: Jasmin Yee, Hannah Matheson, Bryce J M Bogie, Émilie Du Perron, Alexandra Thérond, Maëlle Charest, Catheleine van Driel, Marika Goyette, Ya Ting Lei, Chelsea Noël, Kagusthan Ariaratnam, Greg Collins, Chris Gorman, Ana-Maria Cretu, Simon Tremblay, Marie-Christine Rivard, Catherine Cullwick, Crystal Morris, David G Attwood, Alexandra Baines, Angela Stewart, Stéphane Bouchard, Christopher R Bowie, Synthia Guimond
Format: Article
Language:English
Published: JMIR Publications 2025-07-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2025/1/e69359
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author Jasmin Yee
Hannah Matheson
Bryce J M Bogie
Émilie Du Perron
Alexandra Thérond
Maëlle Charest
Catheleine van Driel
Marika Goyette
Ya Ting Lei
Chelsea Noël
Kagusthan Ariaratnam
Greg Collins
Chris Gorman
Ana-Maria Cretu
Simon Tremblay
Marie-Christine Rivard
Catherine Cullwick
Crystal Morris
David G Attwood
Alexandra Baines
Angela Stewart
Stéphane Bouchard
Christopher R Bowie
Synthia Guimond
author_facet Jasmin Yee
Hannah Matheson
Bryce J M Bogie
Émilie Du Perron
Alexandra Thérond
Maëlle Charest
Catheleine van Driel
Marika Goyette
Ya Ting Lei
Chelsea Noël
Kagusthan Ariaratnam
Greg Collins
Chris Gorman
Ana-Maria Cretu
Simon Tremblay
Marie-Christine Rivard
Catherine Cullwick
Crystal Morris
David G Attwood
Alexandra Baines
Angela Stewart
Stéphane Bouchard
Christopher R Bowie
Synthia Guimond
author_sort Jasmin Yee
collection DOAJ
description BackgroundCognitive remediation improves cognition and psychosocial functioning in individuals with psychotic disorders. The use of virtual reality (VR) to deliver cognitive remediation in immersive environments that mimic real cognitively challenging situations has the potential to increase engagement to treatment and further enhance its impact on functioning. ObjectiveWe aimed to codevelop a cognitive remediation program in VR with individuals with psychotic disorders and health care professionals to identify and address their needs. MethodsIndividuals with lived experience of a psychosis-spectrum condition (n=11) met 9 times and the health care professionals (n=7) met 3 times. Participants discussed personal and professional opinions on the challenges associated with cognitive difficulties in individuals with psychotic disorders. They also provided feedback on the program development. ResultsWe discerned 4 themes from the content expert working groups: the need for a program to address cognitive impairments, the key program design elements to support cognitive rehabilitation, the importance of leveraging technology as an intervention tool, and the need to improve community functioning. In total, 3 themes were identified for the health care professionals: the need for a clinically relevant program that addresses the research-to-practice gap, the need to improve patient engagement in services, and the need for a program that addresses the limited resources in health care. The needs of our end-user experts were placed at the center of the program development process. When possible, we also integrated their suggestions, like the incorporation of a virtual coach within the immersive environment. ConclusionsIndividuals with lived experience and health care professionals have distinct needs, which have informed the co-design of a novel cognitive remediation program in VR, ThinkTactic VR. To our knowledge, ThinkTactic VR is one of the first co-designed and codeveloped cognitive remediation programs in VR using an iterative, user-centered approach involving both individuals with psychotic disorders and health care professionals.
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spelling doaj-art-57b05a56d4964bc0bd2bc8df613a96ad2025-07-11T17:01:20ZengJMIR PublicationsJMIR Mental Health2368-79592025-07-0112e6935910.2196/69359Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment StudyJasmin Yeehttps://orcid.org/0000-0002-8525-9032Hannah Mathesonhttps://orcid.org/0000-0003-1198-962XBryce J M Bogiehttps://orcid.org/0000-0002-3590-3221Émilie Du Perronhttps://orcid.org/0009-0002-5843-5958Alexandra Thérondhttps://orcid.org/0000-0002-2647-7320Maëlle Charesthttps://orcid.org/0009-0001-5586-6472Catheleine van Drielhttps://orcid.org/0000-0001-7741-244XMarika Goyettehttps://orcid.org/0009-0003-0662-3110Ya Ting Leihttps://orcid.org/0009-0004-2772-6917Chelsea Noëlhttps://orcid.org/0000-0002-7330-4078Kagusthan Ariaratnamhttps://orcid.org/0009-0001-1022-4548Greg Collinshttps://orcid.org/0009-0006-6125-1999Chris Gormanhttps://orcid.org/0009-0008-5962-2679Ana-Maria Cretuhttps://orcid.org/0000-0002-0434-1393Simon Tremblayhttps://orcid.org/0009-0007-7696-6898Marie-Christine Rivardhttps://orcid.org/0009-0007-8931-6405Catherine Cullwickhttps://orcid.org/0009-0005-2359-8214Crystal Morrishttps://orcid.org/0009-0003-0238-3789David G Attwoodhttps://orcid.org/0009-0003-6357-4132Alexandra Baineshttps://orcid.org/0000-0001-7107-2392Angela Stewarthttps://orcid.org/0009-0005-4211-2259Stéphane Bouchardhttps://orcid.org/0000-0002-5995-340XChristopher R Bowiehttps://orcid.org/0000-0002-1983-8861Synthia Guimondhttps://orcid.org/0000-0002-1582-725X BackgroundCognitive remediation improves cognition and psychosocial functioning in individuals with psychotic disorders. The use of virtual reality (VR) to deliver cognitive remediation in immersive environments that mimic real cognitively challenging situations has the potential to increase engagement to treatment and further enhance its impact on functioning. ObjectiveWe aimed to codevelop a cognitive remediation program in VR with individuals with psychotic disorders and health care professionals to identify and address their needs. MethodsIndividuals with lived experience of a psychosis-spectrum condition (n=11) met 9 times and the health care professionals (n=7) met 3 times. Participants discussed personal and professional opinions on the challenges associated with cognitive difficulties in individuals with psychotic disorders. They also provided feedback on the program development. ResultsWe discerned 4 themes from the content expert working groups: the need for a program to address cognitive impairments, the key program design elements to support cognitive rehabilitation, the importance of leveraging technology as an intervention tool, and the need to improve community functioning. In total, 3 themes were identified for the health care professionals: the need for a clinically relevant program that addresses the research-to-practice gap, the need to improve patient engagement in services, and the need for a program that addresses the limited resources in health care. The needs of our end-user experts were placed at the center of the program development process. When possible, we also integrated their suggestions, like the incorporation of a virtual coach within the immersive environment. ConclusionsIndividuals with lived experience and health care professionals have distinct needs, which have informed the co-design of a novel cognitive remediation program in VR, ThinkTactic VR. To our knowledge, ThinkTactic VR is one of the first co-designed and codeveloped cognitive remediation programs in VR using an iterative, user-centered approach involving both individuals with psychotic disorders and health care professionals.https://mental.jmir.org/2025/1/e69359
spellingShingle Jasmin Yee
Hannah Matheson
Bryce J M Bogie
Émilie Du Perron
Alexandra Thérond
Maëlle Charest
Catheleine van Driel
Marika Goyette
Ya Ting Lei
Chelsea Noël
Kagusthan Ariaratnam
Greg Collins
Chris Gorman
Ana-Maria Cretu
Simon Tremblay
Marie-Christine Rivard
Catherine Cullwick
Crystal Morris
David G Attwood
Alexandra Baines
Angela Stewart
Stéphane Bouchard
Christopher R Bowie
Synthia Guimond
Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study
JMIR Mental Health
title Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study
title_full Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study
title_fullStr Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study
title_full_unstemmed Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study
title_short Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study
title_sort cognitive remediation for psychosis in virtual reality thinktactic vr qualitative iterative and user centered codevelopment study
url https://mental.jmir.org/2025/1/e69359
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