Verslaving

, Volume 13, Issue 3, pp 150–161 | Cite as

Serious games inzetten bij drinkende jongeren

Verslag van een promotieonderzoek
  • Wouter J. Boendermaker
  • Margot Peeters
  • Reinout W. Wiers
Artikel
First Online:

Samenvatting

De adolescentie kenmerkt zich veelal door een toename van risicogedrag, zoals het experimenteren met grote hoeveelheden alcohol. Hoewel dit soort gedrag niet per se tot problemen hoeft te leiden, kan overmatig drankgebruik op deze leeftijd wel gezondheidsproblemen of schooluitval veroorzaken en vergroot het de kans op verslaving op latere leeftijd. Daarom is het belangrijk dat er vroeg wordt ingegrepen, zodat escalatie kan worden voorkomen. Uit onderzoek is gebleken dat het trainen van bepaalde controlerende cognitieve processen (zoals het werkgeheugen en inhibitievermogen) effectief kan zijn om jongeren meer grip te laten krijgen op hun alcoholgebruik. Bovendien kan een aantal meer automatische processen (zoals selectieve aandacht voor alcohol) opnieuw worden hertraind. Hoewel deze beide vormen van training, uitgevoerd op de computer, bewezen effectief zijn bevonden, worden ze ook vaak ervaren als lang en saai. Om jongeren extra te motiveren de cognitieve trainingen te voltooien, kunnen serious games wellicht uitkomst bieden. In dit artikel wordt een promotieonderzoek beschreven waarin dit is bestudeerd. Allereerst wordt een raamwerk beschreven waarbinnen deze serious games kunnen worden ontwikkeld, waarna er diverse gametrainingen aan bod komen. Het blijkt dat serious games inderdaad een motiverende rol kunnen spelen bij het trainen van jongeren. De omstandigheden waaronder dat precies gebeurt, zullen nog nader onderzocht moeten worden.

Using serious games to train cognition in drinking adolescents

Results from a phd research project

Abstract

Adolescence is a developmental period in which an increase in risk taking behavior, such as experimenting with large amounts of alcohol, is common. Although this kind of behavior does not always lead to problematic behavior, excessive use of alcohol at this age can cause significant health problems and school drop-out, and it increases the chance of developing addiction-related problems later in life. It is therefore important to intervene at an early stage, to prevent escalation. Previous research has shown that training certain cognitive control processes, such as working memory and inhibition, can be effective means to help adolescents to get more grip on their alcohol use. Additionally, several relatively automatic processes, such as selective attention for alcohol, can be re-trained. Although both forms of computerized training have been shown to be effective, they are also often seen as long and boring. Serious games may provide a way to motivate adolescents to complete these cognitive training tasks. In this article, we describe the results from a PhD research project in which this was studied. First, we describe a framework for the development of such serious games, with several examples of game-training tasks, that we have developed. It can be concluded that serious games can indeed play an important motivating role in cognitive training of adolescents, although the specific circumstances under which this works optimally do need further study.

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Literatuur

  1. Boendermaker, W. J., Boffo, M., & Wiers, R. W. (2015). Exploring elements of fun to motivate youth to do cognitive bias modification. Games for Health Journal, 4, 434–443. doi: 10.1089/g4h.2015.0053.CrossRefPubMedGoogle Scholar
  2. Boendermaker, W.J., Gladwin, T.E., Peeters, M., & Wiers, R.W. (2016). Evaluating working memory training with serious game elements in adolescents: a randomized controlled trial. Manuscript submitted for publication.Google Scholar
  3. Boendermaker, W.J., Nikolaou, K., & Wiers, R.W. (2016). Cognitive training in adolescents: a comparison of training reinforcements. Manuscript in preparation for publication.Google Scholar
  4. Boendermaker, W. J., Prins, P. J. M., & Wiers, R. W. (2013). Documentation of the CityBuilder game. Theoretical background and parameters. Amsterdam: University of Amsterdam.Google Scholar
  5. Boendermaker, W. J., Prins, P. J. M., & Wiers, R. W. (2015). Cognitive bias modification for adolescents with substance use problems: can serious games help? Journal of Behavioral Therapy and Experimental Psychiatry, 49, 13–20. doi: 10.1016/j.jbtep.2015.03.008.CrossRefGoogle Scholar
  6. Boendermaker, W. J., Sanchez Maceiras, S., Boffo, M., & Wiers, R. W. (2016). Attentional bias modification with serious game elements: evaluating the shots game. Journal of Medical Internet Research: Serious Games, 4, e20. doi: 10.2196/games.6464.Google Scholar
  7. Boendermaker, W. J., Veltkamp, R., Beun, R. J., Schoot, R. van de, & Peeters, M. (2016). Introducing The Fling, an innovative serious game to train behavioral control in adolescents: protocol of a randomized controlled trial. In R. Bottino, J. Jeuring & R. C. Veltkamp (red.), Proceedings of the 2016 Games and Learning Alliance (GALA) Conference Lecture Notes in Computer Science (LNCS 10056). (pag. 120–129). Berlin Heidelberg: Springer.Google Scholar
  8. Boer, A. de, Peeters, M., & Koning, H. M. (2016). An experimental study of risk taking behavior among adolescents: a closer look at peer and sex influences. Journal of Early Adolescence doi: 10.1177/0272431616648453.Google Scholar
  9. Clarke, P. J. F., Notebaert, L., & Macleod, C. (2014). Absence of evidence or evidence of absence: reflecting on therapeutic implementations of attentional bias modification. BMC Psychiatry, 14, 8. doi: 10.1186/1471-244X-14-8.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Deursen, D. S. van, Salemink, E., Smit, F., Kramer, J., & Wiers, R. W. (2013). Web-based cognitive bias modification for problem drinkers: protocol of a randomized controlled trial with a 2x2x2 factorial design. BMC Public Health, 13, 674. doi: 10.1186/1471-2458-13-674.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Eberl, C., Wiers, R. W., Pawelczack, S., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2013). Approach bias modification in alcohol dependence: do clinical effects replicate and for whom does it work best? Developmental Cognitive Neuroscience, 4, 38–51. doi: 10.1016/j.dcn.2012.11.002.CrossRefPubMedGoogle Scholar
  12. Foxcroft, D. R., & Tsertsvadze, A. (2012). Cochrane review: universal school-based prevention programs for alcohol misuse in young people. Evidence-Based Child Health: A Cochrane Review Journal, 7, 450–575. doi: 10.1002/14651858.CD009113.CrossRefGoogle Scholar
  13. Gladwin, T. E., Figner, B., Crone, E. A., & Wiers, R. W. (2011). Addiction, adolescence, and the integration of control and motivation. Developmental Cognitive Neuroscience, 1, 364–376. doi: 10.1016/j.dcn.2011.06.008.CrossRefPubMedGoogle Scholar
  14. Jensen, C. D., Cushing, C. C., Aylward, B. S., Craig, J. T., Sorell, D. M., & Steele, R. G. (2011). Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review. Journal of Consulting and Clinical Psychology, 79, 433–440. doi: 10.1037/a0023992.CrossRefPubMedGoogle Scholar
  15. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2012). Monitoring the future: national survey results on drug use, 1975–2012. In Secondary school students NIH Publication No. 10-7584, band I. Ann Arbor: University of Michigan, National Institute on Drug Abuse (NIDA).Google Scholar
  16. Klingberg, T. (2010). Training and plasticity of working memory. Trends in Cognitive Sciences, 14, 317–324. doi: 10.1016/j.tics.2010.05.002.CrossRefPubMedGoogle Scholar
  17. Koning, I. M., Vollebergh, W. A. M., Smit, F., Verdurmen, J. E. E., Eijnden, R. J. J. M. van den, Bogt, T. F. M. ter, Stattin, H., & Engels, R. C. M. E. (2009). Preventing heavy alcohol use in adolescents (PAS): clusters randomized trial of a parent and a student intervention offered separately and simultaneously. Addiction, 104, 1669–1678. doi: 10.1111/j.1360-0443.2009.02677.x.CrossRefPubMedGoogle Scholar
  18. Kuntsche, E., Rossow, I., Simons-Morton, B., Bogt, T. ter, Kokkevi, A., & Godeau, E. (2013). Not early drinking but early drunkenness is a risk factor for problem behaviors among adolescents from 38 European and North American countries. Alcoholism Clinical and Experimental Research, 37, 308–314. doi: 10.1111/j.1530-0277.2012.01895.x.CrossRefGoogle Scholar
  19. Larimer, M. E., & Cronce, J. M. (2007). Identification, prevention and treatment revisited: individual-focused college drinking prevention strategies 1999–2006. Addictive Behaviors, 32, 2439–2468. doi: 10.1016/j.addbeh.2007.05.006.CrossRefPubMedGoogle Scholar
  20. Logan, G. D., & Cowan, W. B. (1984). On the ability to inhibit thought and action: a theory of an act of control. Psychological Review, 91, 295–327. doi: 10.1037/0033-295X.91.3.295.CrossRefGoogle Scholar
  21. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: helping people change (3e druk.). New York: Guilford.Google Scholar
  22. Saunders, J. B., Aasland, O. G., Babor, T. F., Fuente, J. R. de la, & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88, 791–804. doi: 10.1111/j.1360-0443.1993.tb02093.x.CrossRefPubMedGoogle Scholar
  23. Teunissen, H. A., Kuntsche, E., Scholte, R. H., Spijkerman, R., Prinstein, M. J., & Engels, R. C. (2016). Friends’ drinking norms and male adolescents’ alcohol consumption: the moderating role of performance-based peer influence susceptibility. Journal of Adolescence, 53, 45–54. doi: 10.1016/j.adolescence.2016.08.017.CrossRefPubMedGoogle Scholar
  24. Thatcher, D. L., & Clark, D. B. (2008). Adolescents at risk for substance use disorders. Alcohol Research and Health, 31, 168–176.PubMedPubMedCentralGoogle Scholar
  25. Wiers, R. W., Bartholow, B. D., Wildenberg, E. van den, Thush, C., Engels, R. C. M. E., Sher, K. J., et al. (2007). Automatic and controlled processes and the development of addictive behaviors in adolescents: a review and a model. Pharmacology, Biochemistry, and Behavior, 86, 263–283. doi: 10.1016/j.pbb.2006.09.021.CrossRefPubMedGoogle Scholar
  26. Wiers, R. W., Eberl, C., Rinck, M., Becker, E., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psychological Science, 22, 490–497. doi: 10.1177/0956797611400615.CrossRefPubMedGoogle Scholar
  27. Wiers, R. W., Gladwin, T. E., Hofmann, W., Salemink, E., & Ridderinkhof, K. R. (2013). Cognitive bias modification and cognitive control training in addiction and related psychopathology: mechanisms, clinical perspectives, and ways forward. Clinical Psychological Science, 1, 192–212. doi: 10.1177/2167702612466547.CrossRefGoogle Scholar
  28. Wiers, R. W., Rinck, M., Kordts, R., Houben, K., & Strack, F. (2010). Retraining automatic action-tendencies to approach alcohol in hazardous drinkers. Addiction, 105, 279–287. doi: 10.1111/j.1360-0443.2009.02775.x.CrossRefPubMedGoogle Scholar

Copyright information

© Bohn Stafleu van Loghum, onderdeel van Springer Media B.V. 2017

Authors and Affiliations

  • Wouter J. Boendermaker
    • 1
  • Margot Peeters
    • 1
  • Reinout W. Wiers
    • 2
  1. 1.UtrechtNederland
  2. 2.AmsterdamNederland

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