Young people and parents' views towards individual cognitive remediation therapy-qualitative findings from a feasibility randomised controlled trial.

Autor: Giombini L; Rhodes Wood Hospital, Elysium Healthcare, Shepherd's way, Brookmans Park, Hatfield, London, AL96NN, UK. lucia.giombini@kcl.ac.uk.; Institute of Psychiatry, Psychology and Neuroscience, Psychological Medicine, PO59 King's College London, London, SE58AF, UK. lucia.giombini@kcl.ac.uk., Nesbitt S; Rhodes Wood Hospital, Elysium Healthcare, Shepherd's way, Brookmans Park, Hatfield, London, AL96NN, UK., Kusosa R; Rhodes Wood Hospital, Elysium Healthcare, Shepherd's way, Brookmans Park, Hatfield, London, AL96NN, UK., Hinallas K; Rhodes Wood Hospital, Elysium Healthcare, Shepherd's way, Brookmans Park, Hatfield, London, AL96NN, UK., Fabian C; Rhodes Wood Hospital, Elysium Healthcare, Shepherd's way, Brookmans Park, Hatfield, London, AL96NN, UK., Easter A; Department of Women and Children's Health, School of Life Course Science, Faculty of Life Sciences and Medicine, King's College London, London, UK., Tchanturia K; Institute of Psychiatry, Psychology and Neuroscience, Psychological Medicine, PO59 King's College London, London, SE58AF, UK.; Department of Psychology, Illia University Tbilisi Georgia, Tbilisi, Georgia.; South London and Maudsley NHS Foundation Trust, Eating Disorders National Service, London, UK.
Jazyk: angličtina
Zdroj: Eating and weight disorders : EWD [Eat Weight Disord] 2022 Aug; Vol. 27 (6), pp. 2237-2244. Date of Electronic Publication: 2022 Jan 17.
DOI: 10.1007/s40519-021-01346-7
Abstrakt: Purpose: Cognitive Remediation Therapy (CRT) has been used mostly in adults. Randomised Controlled Trials (RCTs) in anorexia nervosa (AN) have shown that CRT enhances cognitive flexibility, abstract thinking and is associated with quality-of-life improvement. More research is needed in younger populations.
Methods: A single-centre feasibility RCT with young people (YP) with AN was conducted in an inpatient setting. A secondary aim of this study was to explore patient satisfaction and parents' views towards CRT to inform further development and implementation of CRT in YP. YP were asked to complete a therapy feedback questionnaire and write a letter with their views on CRT. Parents were asked to complete a questionnaire exploring their perceptions of CRT. Data were analysed using inductive thematic and deductive content analysis.
Results: Both YP and parents valued CRT. Its engaging and pragmatic nature and its focus on thinking styles were perceived as a novel aspect. Parents expressed the need to be involved in the sessions to be able to continue to support their children at home.
Conclusions: This study confirms previous qualitative findings. Should a fully powered RCT be conducted, it would be important to take into account these findings to further adapt the content of the CRT sessions to the YP needs and to consider their parents' involvement in the sessions, which could also increase the likelihood of parents' engagement in providing their feedback.
Level of Evidence: Level I: Evidence obtained from one randomized controlled trial.
(© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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