My Cosmos: development, clinical protocol, and preliminary usability of a gamified transdiagnostic digital CBT platform - Summary - MDSpire

My Cosmos: development, clinical protocol, and preliminary usability of a gamified transdiagnostic digital CBT platform

  • By

  • Sasha Del Vecchio

  • Tommaso Barlattani

  • Antonino Carcione

  • Francesca Pacitti

  • Marco Recchioni

  • April 10, 2026

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Objective:

To develop and evaluate the usability of My Cosmos, a gamified digital cognitive-behavioral therapy (dCBT) platform aimed at enhancing engagement and adherence in mental health treatment, addressing a significant challenge in the field.

Key Findings:
  • Users found My Cosmos intuitive, engaging, and supportive for self-regulation, indicating a positive user experience that may enhance adherence.
  • Mental health professionals recognized its value for homework support and progress monitoring, suggesting practical applications in clinical settings.
  • Both groups agreed on the importance of blended care, where the platform complements traditional therapy, highlighting its potential role in integrated treatment approaches.
Interpretation:

The findings suggest that My Cosmos effectively integrates gamification into dCBT, enhancing user engagement and supporting therapeutic processes, with potential implications for clinical practice.

Limitations:
  • The study's sample was limited to university students and mental health professionals, which may not represent the broader population, potentially affecting the generalizability of the findings.
  • Initial usability insights do not provide comprehensive data on long-term engagement or clinical outcomes, indicating a need for further research.
Conclusion:

My Cosmos represents a promising advancement in digital mental health interventions, with ongoing optimization planned for future testing of clinical effectiveness and engagement, paving the way for a randomized controlled trial.

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