Feasibility and acceptability of remotely accessed cognitive remediation for schizophrenia in public health settings.

Psychiatry Research
Alice MedaliaLeopoldo J Cabassa

Abstract

Cognitive remediation (CR) is an evidence-based therapy used to improve cognition in people with schizophrenia. However, it often requires multiple in-person clinic sessions per week, which can limit scalability. This mixed methods study considered the feasibility and acceptability of a hybrid approach, which allowed for half the sessions to be conducted remotely as homework, without the clinician present. Individuals with schizophrenia were randomized to either all in-clinic or hybrid conditions and completed questionnaires and individual interviews about their experience. CR clinicians provided feedback in complement. Because of limited access to technology, most Hybrid CR participants had to come to clinic to access computers and often sought clinician support to do their homework. Participants in the two conditions were equally satisfied per the Client Satisfaction Questionnaire, and the majority reported perceived benefit and enjoyment. Both CR participants and clinicians identified access to technology as a barrier to program feasibility, while availability of clinician support positively impacted acceptability. Suggestions to improve CR highlighted adopting a flexible approach to providing CR that accounts for participan...Continue Reading

References

Dec 1, 2006·Neuropsychiatric Disease and Treatment·Christopher R Bowie, Philip D Harvey
Aug 30, 2012·The Psychiatric Clinics of North America·Mario Álvarez-JiménezPatrick D McGorry
Jan 8, 2013·Schizophrenia Research·Joseph VenturaGerhard S Hellemann
Feb 15, 2016·European Archives of Psychiatry and Clinical Neuroscience·Wolfgang GaebelJürgen Zielasek
Dec 8, 2016·American Journal of Public Health·Alice Medalia, Matthew Erlich
Apr 3, 2018·Psychiatric Services : a Journal of the American Psychiatric Association·C Soumet-LemanM D Erlich
May 3, 2018·CNS Spectrums·Alice MedaliaLloyd I Sederer
Nov 9, 2019·Schizophrenia Research·Christopher R BowieTil Wykes
Apr 25, 2020·Schizophrenia Research·John Torous, Matcheri Keshavan

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