TY - JOUR
T1 - Facilitating the delivery of cognitive remediation in first-episode psychosis
T2 - pilot study of a home-delivered web-based intervention
AU - Moura, Bernardo Melo
AU - Avila, Alessia
AU - Chendo, Inês
AU - Frade, Patrícia
AU - Barandas, Rita
AU - Vian, João
AU - Croca, Marta
AU - Roberto, Alice
AU - Almeida, Carolina
AU - Antunes, Filipa
AU - Linhares, Ludgero
AU - Crawford, Joana
AU - Ferreira, Carla
AU - Santos, Jennifer
AU - Abreu, Manuela
AU - Levy, Pedro
AU - Figueira, Maria Luísa
AU - Mendes, Tiago
N1 - Funding Information:
The present work was funded by the Portuguese National Healthcare Service. B.M.M. and A.A. benefitted from grants from Fundação para a Ciência e Tecnologia PD/BD/128404/2017 and SFRH/BD/115916/ 2016, respectively. The authors declare no conflict of interest.
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - We explored the adherence to a home-delivered, computer-based, cognitive remediation protocol in a first-episode psychosis outpatient cohort. Seventeen patients underwent a cognitive training protocol for 6 months using an online platform accessible from their home under the supervision of a qualified neuropsychologist. Neuropsychological, psychopathological, and functional data were collected at baseline and postintervention, whereas qualitative appraisal of the intervention was assessed monthly. Overall, participants' evaluation of the program was positive. This was reflected in a good adherence rate with 12 (70%) of 17 patients completing 80% of the prescribed sessions. Exploratory analysis revealed significant improvements in sustained attention (p = 0.020) and verbal memory (p = 0.018). A decrease in negative symptoms and an improvement on the Clinical Global Impression were also found (p = 0.009). We believe these are encouraging results to further explore the adopted delivery approach, which could facilitate access to cognitive training earlier and to a larger group of patients.
AB - We explored the adherence to a home-delivered, computer-based, cognitive remediation protocol in a first-episode psychosis outpatient cohort. Seventeen patients underwent a cognitive training protocol for 6 months using an online platform accessible from their home under the supervision of a qualified neuropsychologist. Neuropsychological, psychopathological, and functional data were collected at baseline and postintervention, whereas qualitative appraisal of the intervention was assessed monthly. Overall, participants' evaluation of the program was positive. This was reflected in a good adherence rate with 12 (70%) of 17 patients completing 80% of the prescribed sessions. Exploratory analysis revealed significant improvements in sustained attention (p = 0.020) and verbal memory (p = 0.018). A decrease in negative symptoms and an improvement on the Clinical Global Impression were also found (p = 0.009). We believe these are encouraging results to further explore the adopted delivery approach, which could facilitate access to cognitive training earlier and to a larger group of patients.
KW - Adherence
KW - Cognitive remediation
KW - First-episode psychosis
KW - Home delivered
KW - Web based
UR - http://www.scopus.com/inward/record.url?scp=85074307336&partnerID=8YFLogxK
U2 - 10.1097/NMD.0000000000001055
DO - 10.1097/NMD.0000000000001055
M3 - Article
C2 - 31503184
AN - SCOPUS:85074307336
SN - 0022-3018
VL - 207
SP - 951
EP - 957
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 11
ER -