A pilot study of a family cognitive adaptation training guide for individuals with schizophrenia

Sean A. Kidd, Nick Kerman, Debbie Ernest, Natalie Maples, Cicely Arthur, Sara de Souza, Jennifer Kath, Yarissa Herman, Gursharan Virdee, April Collins, Dawn Velligan

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objective: There is a paucity of accessible, evidence-based tools for caregivers of individuals with schizophrenia. This study examines changes in the self-assessed and caregiver-assessed outcomes of people with schizophrenia after exposure to a cognitive adaptation training (CAT) guide that addressed pragmatic, in-home approaches to offset the cognitive impacts of the illness. Method: This study examined the 4-month, pre-post outcomes of a CAT guide, as compared with a popular, general manual, for families of individuals with schizophrenia. A total of 17 caregiver-supported individual dyads completed all measures, having been randomized to either a CAT-guide group or a support-manual group. Measures included medication adherence, adaptive functioning, quality of life, and caregiver burden. Semistructured interviews assessed use and utility questions. Results: Caregiver-assessed improvements in community functioning with medium-high effect sizes were observed in both study conditions. Self-report ratings by supported individuals did not change from baseline to 4 months and no change was observed in medication adherence or quality of life for either condition. Caregiver-burden ratings significantly declined with a large effect size, again with no difference as a function of manual type. Conclusion and Implications for Practice: These findings suggest that there is some promise in providing families with evidence-based information in manual form. Further research informed by this study's findings should include assessments of whether and how environmental cognitive supports can be of specific benefit to families affected by schizophrenia.

Original languageEnglish (US)
Pages (from-to)109-117
Number of pages9
JournalPsychiatric Rehabilitation Journal
Issue number2
StatePublished - Jun 2018


  • Caregiver
  • Cognitive
  • Guide
  • Manual
  • Schizophrenia

ASJC Scopus subject areas

  • Health Professions (miscellaneous)
  • Rehabilitation
  • Psychiatry and Mental health


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