Successful implementation of a cognitive remediation program in everyday clinical practice for individuals living with schizophrenia
| Autor: | Milan Dragovic, Alexander Panickacheril John, Kim Yeak, Helen Ayres |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Hospitals Psychiatric Male Program evaluation medicine.medical_specialty education.educational_degree Psychological intervention Psychiatric rehabilitation PsycINFO Psychiatric Rehabilitation Health Professions (miscellaneous) Young Adult 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care medicine Humans Cognitive Dysfunction Cognitive rehabilitation therapy Psychiatry education Rehabilitation Cognition Cognitive Remediation 030227 psychiatry Psychiatry and Mental health Cognitive remediation therapy Schizophrenia Feasibility Studies Female Psychology Psychosocial 030217 neurology & neurosurgery Program Evaluation Clinical psychology |
| Zdroj: | Psychiatric Rehabilitation Journal. 40:87-93 |
| ISSN: | 1559-3126 1095-158X |
| DOI: | 10.1037/prj0000255 |
| Popis: | Objective This article evaluates the feasibility and benefits of implementing cognitive remediation interventions in everyday clinical practice among individuals living with schizophrenia. Method We retrospectively assessed short-term cognitive and occupational outcomes of 89 consecutively admitted people with schizophrenia at a public mental health service. A computerized cognitive remediation program was offered at the facility as an integral component of psychosocial treatments. Data of service recipients who had completed the Brief Assessment of Cognition in Schizophrenia (BACS; Keefe et al., 2004) on admission and discharge were included for evaluating outcomes. Results Thirty-seven service recipients did not participate (nontrainee), 18 completed less than 20 hr (incomplete trainee), and 34 completed more than 20 hr of cognitive remediation (completed trainee). Whist a variety of factors affected involvement, lack of interest was the predominant reason voiced for nonparticipation. Repeated measures analysis of variance did not reveal significant Group × Time interaction. Exploratory contrasts showed statistically significant improvement within the completed trainee group from baseline to discharge on the BACS composite score, list learning, and token motor task. Logistic regression analysis indicated that although improved cognition predicted enhanced employment outcome, there was no significant difference among the 3 groups. Conclusions and implications for practice Cognitive remediation interventions were accepted by a sizable proportion of people with schizophrenia admitted to an inpatient clinical treatment and rehabilitation facility. Promising improvement in cognitive function among those who completed the training suggests the need for methodologically rigorous research exploring the feasibility and benefits of cognitive remediation programs at everyday clinical settings. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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