Designing More Engaging Serious Games to Support Students' Mental Health: A Pilot Study Based on A CBT-Informed Design Framework
For game designers and mental health educators targeting students and adolescents, this work offers a new design framework that improves engagement and compliance, though the evidence is preliminary due to small sample size.
This study proposes a novel experience-centered framework (TPR-MMF) for designing serious games for mental health education, and develops a prototype game. A small randomized controlled trial (N=28) shows the game significantly outperforms traditional explicit educational games on four aspects of the Intrinsic Motivation Inventory, and players perceive psychological metaphors in game mechanics.
Addressing the issues of dullness, low compliance, and lack of appeal in current digital mental health education and serious games for students and adolescents, this study proposes a novel, experience-centered framework for serious game design: the Therapeutic Procedural Rhetoric and Mechanism Mapping Framework (TPR-MMF). Based on this framework, a side-scrolling serious game prototype, "World + You - World," was developed. This study compared the effectiveness of TPR-MMF-based games with traditional explicit educational serious games through a small-sample randomized controlled trial (N=28). The results of the Intrinsic Motivation Inventory (IMI) showed that the experimental group (playing "World + You - World") significantly outperformed the control group in four aspects. Furthermore, qualitative survey results indicated that players could perceive the psychological metaphors within the game mechanics and spontaneously resonated with real-life experiences. This study provides a highly engaging new development paradigm for gamified mental health education for students and adolescents.