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Personalised Cognitive Remediation Therapy (pCRT)

Testing the Feasibility and Acceptability of a New Personalised Form of Cognitive Remediation Therapy (pCRT) for People With Psychosis.

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03461432
Acronym
pCRT
Enrollment
15
Registered
2018-03-12
Start date
2018-10-31
Completion date
2019-12-31
Last updated
2018-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizophrenia Schizoaffective

Keywords

Cognitive Remediation Therapy CRT

Brief summary

Cognitive deficits have been shown to have negative impact on social functioning and functional goals such as ability to work and perform daily tasks in people with schizophrenia. There is evidence that Cognitive Remediation Therapy, a form of psychological therapy, is effective in improving cognition and functioning but there is still a limited understanding of what influence people's different response to this therapy. A tailored treatment is likely to be more effective because it will adapt to service users' unique characteristics. The investigators are planning a study exploring at the feasibility and acceptability of novel form of Cognitive Remediation Therapy which is personalised (pCRT) to the person individual characteristics. The personalised therapy will consist of task practice using computerized Cognitive Remediation software (i.e. called CIRCuiTS). The knowledge gathered in this work will contribute to develop the next generation of personalised treatment approaches for people with schizophrenia.

Detailed description

Cognitive deficits in people with psychosis have been shown to have negative impact on functional goals including the ability to work and perform daily tasks. Cognitive Remediation Therapy (CRT) is a psychological therapy developed to improve cognitive functions in people with schizophrenia but ultimately with a focus on improving social and functional outcomes. There is evidence that CRT is effective in improving cognition and functioning but there is still a limited understanding of the mechanisms responsible for different treatment responses. This study attempts to fill this gap by developing and testing a new form of CRT, which will personalise therapy elements according to participants' characteristics. The therapy will consist of task practice using a computerised Cognitive Remediation software and supervised activities supported by a therapist to boost functioning. The knowledge gathered in this work will contribute to develop the next generation of personalised treatment approaches for people with schizophrenia.

Interventions

BEHAVIORALCognitive Remediation Therapy

Cognitive Remediation Therapy (CRT) is a psychological therapy that has been developed with a general immediate focus on improving impaired cognitive domains but ultimately aimed at improving social and functional outcomes.

Sponsors

King's College London
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

A case-control study design with pre- and post-therapy assessment.

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* a range of 18-65 years * English speaking or with a good knowledge of the language * a diagnosis of schizophrenia or schizoaffective disorder according to the DSM- V * at least one year contact with mental health services, * a deficit (of at least one standard deviation below the mean) in at least one cognitive domain out of these three cognitive domains: memory, executive function and information processing.

Exclusion criteria

* Planned medication change * Diagnosis of learning disability * Presence of cognitive deficits related to organic causes or head injury * Primary diagnosis of substance dependence

Design outcomes

Primary

MeasureTime frameDescription
Feasibility of intervention (including acceptance rates, drop outs)3 months post baseline assessmentFeasibility estimates of delivering the intervention including acceptance rates, drop outs.

Secondary

MeasureTime frameDescription
Acceptability of intervention (Satisfaction)3 months post baseline assessmentQuestionnaire of Satisfaction

Contacts

Primary ContactBenedetta Seccomandi, PhD student
benedetta.seccomandi@kcl.ac.uk02078485728

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026