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Testing a modification of cognitive adaptation training: streamlining the model for broader implementation.

Sean A Kidd1, Yarissa Herman2, Skye Barbic2

  • 1University of Toronto, Department of Psychiatry, Canada.

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|May 6, 2014
PubMed
Summary
This summary is machine-generated.

Cognitive adaptation training (CAT) effectively improves schizophrenia patient outcomes. A modified, shorter CAT program supported by case managers sustained these benefits, reducing declines after intensive treatment withdrawal.

Keywords:
CognitionCognitive adaptation trainingFunctioningOutcomeSchizophrenia

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Rehabilitation Medicine

Background:

  • Cognitive adaptation training (CAT) is a proven home-based intervention for schizophrenia, improving functioning and adherence.
  • However, treatment withdrawal leads to significant functional declines in patients.
  • A need exists for sustainable CAT delivery models.

Purpose of the Study:

  • To evaluate a modified CAT program with reduced intensive intervention and ongoing case management support.
  • To determine if this modified approach can maintain treatment gains achieved during the intensive phase.

Main Methods:

  • An outcome study involving 23 individuals with schizophrenia was conducted.
  • Participants received 4 months of intensive CAT specialist intervention.
  • Following this, they received 5 months of CAT support from existing case managers.

Main Results:

  • Significant improvements were observed in adaptive functioning, psychiatric symptoms, and goal attainment.
  • These improvements were sustained throughout the 5-month case management follow-up period.
  • The modified CAT approach demonstrated efficacy in maintaining treatment benefits.

Conclusions:

  • A modified, abbreviated Cognitive Adaptation Training program can effectively maintain functional improvements in schizophrenia patients.
  • Ongoing support from case managers is sufficient to sustain the benefits of CAT.
  • This abbreviated format offers a potentially more sustainable model for long-term patient care.