A Serious Game for Patients With Eating Disorders (Maze Out): Pilot User Experience and Acceptance Study

Maria Guala, Kim Bul, Finn Skårderud, Anette Søgaard Nielsen

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Background: Eating disorders (EDs) are severe mental disorders associated with notable impairments in the quality of life. Despite the severity of the disorders and extensive research in the field, effective treatment for EDs is lacking. Digital interventions are gaining an evidence-based position in mental health, providing new perspectives in psychiatric treatment. Maze Out is a serious game coproduced by patients and therapists that focuses on supporting patients with EDs. Objective: The aim of this study was to investigate the experiences of engaging in and acceptability of Maze Out among patients
with EDs and therapists. Methods: This study is a qualitative pilot study involving data collected through focus groups and individual interviews and
user analytics collected through the game. The participants were recruited from the Odense Mental Health Service of the Region of Southern Denmark. Qualitative interviews analyzed by thematical analysis and interpreted by interpretative phenomenological analysis were used to evaluate the acceptance and experience of Maze Out among patients and therapists. The mobile health evidence reporting and assessment checklist was used to describe the content, context, and technical features of the game in a standardized manner for mobile health apps.
Results: The participants found Maze Out to be engaging, easy to use, and a good platform for reflecting on their disorder. They primarily used Maze Out as a conversational tool with their close relationships, giving them insights into the experiences and daily life struggles of someone with EDs. Conclusions: Maze Out seems to be a promising tool supplementing the current ED treatment. Further research should focus on evaluating the effectiveness of the game and its potential to support patients with different types of EDs.
Original languageEnglish
Article numbere40594
Pages (from-to)1-13
Number of pages13
JournalJMIR Formative Research
Publication statusPublished - 27 Jan 2023

Bibliographical note

©Maria Mercedes Guala, Kim Bul, Finn Skårderud, Anette Søgaard Nielsen. Originally published in JMIR Formative Research (https://formative.jmir.org), 27.01.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included


  • coproduction
  • eating disorders
  • mHealth
  • mobile health
  • mobile phone
  • serious games

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Informatics


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