Translating cognitive behavioral interventions from bench to bedside: The feasibility and acceptability of cognitive remediation in research as compared to clinical settings

Autor: Alice M. Saperstein, Alice Medalia, Charlotte Soumet-Leman, Matthew D. Erlich
Přispěvatelé: Columbia University Medical Center (CUMC), Columbia University [New York], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), École de Psychologues Praticiens (EPP)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Mental Health Services
medicine.medical_specialty
Biomedical Research
New York
Context (language use)
Ambulatory Care Facilities
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Government Agencies
Randomized controlled trial
law
medicine
Outpatient clinic
Humans
Internal validity
Program Development
Psychiatry
Referral and Consultation
Biological Psychiatry
ComputingMilieux_MISCELLANEOUS
Randomized Controlled Trials as Topic
Cognitive Behavioral Therapy
[SCCO.NEUR]Cognitive science/Neuroscience
Patient Acceptance of Health Care
Mental illness
medicine.disease
Mental health
Cognitive Remediation
030227 psychiatry
3. Good health
Psychiatry and Mental health
Outcome and Process Assessment
Health Care
Psychotic Disorders
Cognitive remediation therapy
Patient Satisfaction
Family medicine
Scale (social sciences)
[SCCO.PSYC]Cognitive science/Psychology
Schizophrenia
Feasibility Studies
Psychology
030217 neurology & neurosurgery
State Government
Zdroj: Schizophrenia Research
Schizophrenia Research, Elsevier, 2019, 203, pp.49-54. ⟨10.1016/j.schres.2017.07.044⟩
ISSN: 0920-9964
DOI: 10.1016/j.schres.2017.07.044⟩
Popis: Cognitive remediation (CR) research typically addresses internal validity, and few studies consider CR in a real-world context. This study evaluated the fit between the program conditions and treatment model in research and clinical settings, with the goal of informing future research on the contextual challenges associated with the implementation of CR. Data was drawn from an initiative by New York State's Office of Mental Health (OMH), to implement CR programs for adults with Serious Mental Illness (SMI) in 16 state operated outpatient clinics. One of these clinics first became a research site for a CR randomized clinical trial, which allowed for a comparison of the feasibility and acceptability of CR in a research as compared to a clinical setting. RESULTS: The research site averaged almost triple the number of referrals as the clinical sites. Over nine months 46.51% of clinic referrals were enrolled in the CR program whereas 64.29% of research referrals were enrolled. Clinical site utilization averaged 70.53% while research site utilization averaged 90.47%. At the clinical sites, 97% of respondents reported CR was an excellent or good experience. There was high treatment fidelity for program structure and content across sites. CONCLUSIONS: This comparison of CR in clinical and research sites highlights the decrease in referrals, enrollment and utilization that occurs when a program moves from a highly controlled setting to the real world. Still, the acceptability, fill rates and utilization indicated that CR can be successfully implemented in large scale, geographically diverse, publically funded clinic settings.
Databáze: OpenAIRE
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