Feasibility and acceptability of remotely accessed cognitive remediation for schizophrenia in public health settings
| Autor: | Min Qian, Leopoldo J. Cabassa, Shanique Meyler, Alice Medalia, Sarah Styke, Jun Liu, Ana Stefancic, Alice M. Saperstein |
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| Rok vydání: | 2021 |
| Předmět: |
Medical education
medicine.medical_specialty Peer interaction Public health Schizophrenia (object-oriented programming) Telepsychiatry Cognition Cognitive Remediation Article 030227 psychiatry Limited access 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Cognitive remediation therapy Patient Satisfaction medicine Schizophrenia Feasibility Studies Humans Customer satisfaction Public Health Psychology 030217 neurology & neurosurgery Biological Psychiatry |
| Zdroj: | Psychiatry Res |
| ISSN: | 1872-7123 |
| Popis: | 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 participant access to technology, potential benefit from peer interaction, and need for clinician support. |
| Databáze: | OpenAIRE |
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