Can cognitive remediation therapy be delivered remotely? A review examining feasibility and acceptability of remote interventions

IF 2.3 Q2 PSYCHIATRY Schizophrenia Research-Cognition Pub Date : 2022-06-01 DOI:10.1016/j.scog.2022.100238

Shreya Jagtap , Sylvia Romanowska , Talia Leibovitz , Karin A. Onno , Amer M. Burhan , Michael W. Best

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引用次数: 4

Abstract

Cognitive remediation (CR) is an effective treatment for schizophrenia. However, issues such as motivational impairments, geographic limitations, and limited availability of specialized clinicians to deliver CR, can impede dissemination. Remote delivery of CR provides an opportunity to implement CR on a broader scale. While empirical support for the efficacy of in-person CR is robust, the evidence-base for virtual delivery of CR is limited. Thus, in this review we aimed to evaluate the feasibility and acceptability of remote CR interventions. Nine (n = 847) fully remote and one hybrid CR intervention were included in this review. Attrition rates for remote CR were generally high compared to control groups. Acceptability rates for remote CR interventions were high and responses from caregivers were positive. Further research using more methodologically rigorous designs is required to evaluate appropriate adaptations for remote treatment and determine which populations may benefit more from remote CR.

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认知补救疗法可以远程实施吗?审查远程干预的可行性和可接受性

认知修复是一种有效的精神分裂症治疗方法。然而，诸如动机障碍、地理限制和提供CR的专业临床医生有限等问题可能阻碍传播。远程交付CR提供了在更大范围内实现CR的机会。虽然实证支持亲身CR的有效性，但虚拟CR交付的证据基础有限。因此，在本综述中，我们旨在评估远程CR干预的可行性和可接受性。本综述纳入了9例(n = 847)完全远程干预和1例混合CR干预。与对照组相比，远程CR的损耗率普遍较高。远程CR干预的接受率很高，护理人员的反应是积极的。需要使用更严格的方法设计进行进一步的研究，以评估远程治疗的适当适应性，并确定哪些人群可能从远程CR中获益更多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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