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games for health 2012

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An online tool for preventing social fears

An online tool for preventing social fears


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  • 1. Prevention of social fears A “gamificated” program for shy students Mario Lehenbauer & Birgit U. Stetina Clinical Psychologist & Health Psychologist mario.lehenbauer@univie.ac.at @mariolehenbauer Mario LehenbauerJune 2012 Games for Health Conference www.gamesforhealth.org
  • 2. Clinical PsychologistHealth PsychologistTechnology ”freak”Passionate GamerResearch topics:•(“Serious”) Games for Health•Innovative Technology in Psychology• Compulsive Internet Use and “Online Gaming Addiction”  differentiating between “high engagement” and “addiction”June 2012 Games for Health Conference www.gamesforhealth.org
  • 3. Games I am playing … June 2012 www.gamesforhealth.org
  • 4. Social Anxiety Disorder and Shyness• Social Anxiety Disorder (SAD) • DSM IV: 300.23 • a persistent fear of negative evaluation in social situations • Cognitive symptoms • Behavioral symptoms • Physiological arousal / stress • Life-time prevalence 16-23 % • Shyness: 40-50% • Early age of onset! Between 15-25 yearsJune 2012 www.gamesforhealth.org
  • 5. … some background facts• Onlinestudy: 20% suffer from SAD – Compared to 6-16% offline (Lehenbauer, 2009)• Almost 100% of adolescents are online• 72% of the American households play computer or video games (ESA, 2011)• Social phobia has an early age of onset• Therefore:• Go online and use “new” media!June 2012 www.gamesforhealth.org
  • 6. Our „offline“ training• Funded by Austrian Ministry of Science• Novel aspect: development in cooperation with adolescents• Offline training: 14 lessons (á 50 min.) = 14 weeks – 1-7: Psychoeducation, cognitive restructuring (Joormann & Unnewehr, 2002; Margraf & Schneider, 1990; Stangier, Clark & Ehlers, 2006) – 8 – 12: Social Skills Training (eg, how to say „no“, get in contact with other people, solving conflicts, feedback, ..) (Hinsch & Pfingsten, 2007; Joormann & Unnewehr, 2002; Ullrich & de Muynck, 2001) – 13 – 14: Relapse prevention (Stangier, Clark & Ehlers, 2006) – 2-14: Body relaxation methods (Vaitl & Petermann, 2004) – Highly relevant effects (Lehenbauer & Stetina, 2011a; 2011b)June 2012 www.gamesforhealth.org
  • 7. How can we do THIS online?!?!June 2012 www.gamesforhealth.org
  • 8. Make it online!• Big challenge• Focus groups with young students • Text based informations and quizzes: BORING • How can we bring fun into a serious topic?• One year of planning time and programming! WE WANT FUN!!!June 2012 www.gamesforhealth.org
  • 9. June 2012 www.gamesforhealth.org
  • 10. We need trainers! Development of six avatars with different background storiesJune 2012 www.gamesforhealth.org
  • 11. WELL DONE! THAT WAS AWESOME We need feedback! Emotional reactions of avatars Hmmm... I think you can do better....June 2012 www.gamesforhealth.org
  • 12. Wow it is really hot in Oh my god, how Well, i should go back tohere! I should open the embarrassing. work. See ya later! windows... She has noticed my sweat! My first daywant roleplays online! We at work, I literally create comics... Let‘s know no one here. This is so embarrassing... I could‘ve talked about so many things, I failed. No one likes me here, and all of this on Why do I always turn my first day at work... red and sweat so much, no one will like me!June 2012 www.gamesforhealth.org
  • 13. confident shy We want action for the comics! Start a story with different endingsJune 2012 www.gamesforhealth.org aggressive
  • 14. Scientific evaluation Was it successful?!June 2012 www.gamesforhealth.org
  • 15. Design of our pilot study 14 weeksVoluntarystudents t1 Training t2 • Pretest • Intervention • Post test IG (n=61) group • Several • Several CG (n=47) questionnaires • Online group questionnaires • Control group Dropout rates: IG: 50.4% (Waiting list) CG: 24.19% June 2012 www.gamesforhealth.org
  • 16. Sample 14% Male Female 86% 44% Social Phobia Non SP 56%Age: M = 24.75No significant differences between IG and CG June 2012 www.gamesforhealth.org
  • 17. Social fears I 19,78 20 19,18 18 18,44 IG VG2 16 CG KG2 14 12,91 12 t1 t2 Social Phobia Inventory: F (1, 106) = 23.23, p < .001, d = .94June 2012 www.gamesforhealth.org
  • 18. Social fears II 38 38,24 36 35,78 34 IG VG2 IG CG 32,48 CG KG2 32 30 28 26 26,09 t1 t2 Liebowitz Social Anxiety Scale: F (1, 106) = 11.00, p = .001, d = .65June 2012 www.gamesforhealth.org
  • 19. Summary of results• Significant decrease of social fears – IG: from 44.26% to 28% – CG: from 36% to 35%• Significant increase of social skills – Better problem solving – Better self-esteem and self-worth – Appreciation from other people – General achievement potential – Emotion regulationJune 2012 www.gamesforhealth.org
  • 20. Key take aways• Self-administered programs are effective!• Important: „Fun“ • Bring fun into a „serious“ training• Focus groups: effective instrument• Bugs bugs bugs  tests, tests, tests...• Weekly reminder!June 2012 www.gamesforhealth.org
  • 21. Future challenges and plans• Well evaluated training available• Ethical considerations necessary• Still too textbased: • MAKE A GAME! • „Cooperation with the Faculty of Computer Science, University of Vienna (Univ.-Prof. Helmut Hlavacs, Harald Judt, Leon Beutl)June 2012 www.gamesforhealth.org
  • 22. Thank you! Mario Lehenbauer Clinical Psychologist & Health Psychologist mario.lehenbauer@univie.ac.at @mariolehenbauer Mario Lehenbauer June 12-1, 2013June 2012 www.gamesforhealth.org Boston, MA
  • 23. References• Electronic Entertainment Association (2011). Essential facts about the computer and video game industry Retrieved June 1st, 2012, from http://www.theesa.com/facts/pdfs/ESA_EF_2011.pdf• Erwina, B.A., Turk, C.L., Heimberg, R.G., Fresco, D.M., & Hantula, D.A. (2004). The Internet: home to a severe population of individuals with social anxiety disorder? Journal of Anxiety Disorders, 18, 629-646.• Hinsch, R. & Pfingsten, U. (2007). Gruppentraining sozialer Kompetenzen. Weinheim: Beltz.• Joormann, J. & Unnewehr, S. (2002). Behandlung der sozialen Phobie bei Kindern und Jugendlichen – ein kognitiv-verhaltenstherapeutisches Gruppenprogramm. Göttingen: Hogrefe.• Lehenbauer, M. (2009). Problematischer Internetgebrauch und Sozialphobie: Internetspezifische maladaptive Kognitionen. In B. U. Stetina & I. Kryspin-Exner (Eds.), Gesundheit und neue Medien. Psychologische Aspekte der Interaktion mit Informations- und Kommunikationstechnologien (pp. 261–273). Wien: Springer-Verlag.• Margraf, J. & Schneider, S. (1990). Panik. Angstanfälle und ihre Behandlung. Berlin: Springer.• Stangier, U., Clark, D.M. & Ehlers, A. (2006). Soziale Phobie. Göttingen: Hogrefe.• Ullrich, R. & de Muynck, R. (2001). ATP 1: Einübung von Selbstvertrauen - Bedingungen und Formen sozialer Schwierigkeiten. Stuttgart: Klett-Cotta.• Vaitl, D. & Petermann, F. (2004). Handbuch der Entspannungsverfahren. Weinheim: Beltz VerlagJune 2012 www.gamesforhealth.org