Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong

P. M.T. Lo, A. M.H. Siu, D. L. Roberts

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Promoting functional recovery is a key treatment target for persons with schizophrenia. Social cognition training has emerged as an important intervention that could promote functional recovery. Social Cognition and Interaction Training (SCIT), developed in the U.S.A., is one of the evidence-based interventions that enhanced social cognitive functioning among persons with schizophrenia. This chapter describes the development process of the SCIT-Hong Kong Version since 2011, describing key modifications of the SCIT for use with Chinese populations in Hong Kong, and shared preliminary findings on effectiveness of SCIT. An expert panel of clinicians reviewed the cultural relevance and content validity of the SCIT for application in Hong Kong. Based on this review, the researcher modified and translated the content of original SCIT. Key modifications included adapting social scenarios to improve cultural relevance, and to include more local social scenarios encountered in the workplace. We also produced photos and videos using Chinese actors, and prepared a participant booklet to facilitate learning. After pilot testing and revisions, the SCIT-HK package was produced in 2015 and was incorporated as one of the recovery-oriented programs for in-, day-, and out- patients with first-episode psychosis and schizophrenia. Preliminary data analysis comparing pre- and post-test scores (N = 17) showed that participants had significant improvements in emotion perception (t = 2.47, p = .03) and theory-of-mind (t = 3.67, p = .002) after completing SCIT. Several challenges in application of SCIT in local population were observed: 1) Wide variations in neurocognitive functioning among patients in different phases of illness that affects the learning of SCIT strategies, 2) Generalization of social cognitive gains into daily life and 3) Higher attrition rates in in-patients or out-patients with first episode psychosis. Several modifications and enrichment on the SCIT curriculum were proposed to address these challenges. To address the specific needs of some higher functioning patients with first episode psychosis, we also start to develop diseasespecific SCIT protocol for this patient group.

LanguageEnglish (US)
Title of host publicationUnderstanding Social Cognition
Subtitle of host publicationTheory, Perspectives and Cultural Differences
PublisherNova Science Publishers, Inc.
Pages79-103
Number of pages25
ISBN (Electronic)9781536131611
ISBN (Print)9781536131604
StatePublished - Jan 1 2018

Fingerprint

Hong Kong
Interpersonal Relations
Cognition
Schizophrenia
Psychotic Disorders
Outpatients
Learning
Theory of Mind
Pamphlets
Workplace
Curriculum
Population
Emotions
Research Personnel

ASJC Scopus subject areas

  • Psychology(all)

Cite this

Lo, P. M. T., Siu, A. M. H., & Roberts, D. L. (2018). Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong. In Understanding Social Cognition: Theory, Perspectives and Cultural Differences (pp. 79-103). Nova Science Publishers, Inc..

Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong. / Lo, P. M.T.; Siu, A. M.H.; Roberts, D. L.

Understanding Social Cognition: Theory, Perspectives and Cultural Differences. Nova Science Publishers, Inc., 2018. p. 79-103.

Research output: Chapter in Book/Report/Conference proceedingChapter

Lo, PMT, Siu, AMH & Roberts, DL 2018, Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong. in Understanding Social Cognition: Theory, Perspectives and Cultural Differences. Nova Science Publishers, Inc., pp. 79-103.
Lo PMT, Siu AMH, Roberts DL. Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong. In Understanding Social Cognition: Theory, Perspectives and Cultural Differences. Nova Science Publishers, Inc. 2018. p. 79-103
Lo, P. M.T. ; Siu, A. M.H. ; Roberts, D. L. / Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong. Understanding Social Cognition: Theory, Perspectives and Cultural Differences. Nova Science Publishers, Inc., 2018. pp. 79-103
@inbook{5eb0d482ed5e40779b51fb6324038df0,
title = "Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong",
abstract = "Promoting functional recovery is a key treatment target for persons with schizophrenia. Social cognition training has emerged as an important intervention that could promote functional recovery. Social Cognition and Interaction Training (SCIT), developed in the U.S.A., is one of the evidence-based interventions that enhanced social cognitive functioning among persons with schizophrenia. This chapter describes the development process of the SCIT-Hong Kong Version since 2011, describing key modifications of the SCIT for use with Chinese populations in Hong Kong, and shared preliminary findings on effectiveness of SCIT. An expert panel of clinicians reviewed the cultural relevance and content validity of the SCIT for application in Hong Kong. Based on this review, the researcher modified and translated the content of original SCIT. Key modifications included adapting social scenarios to improve cultural relevance, and to include more local social scenarios encountered in the workplace. We also produced photos and videos using Chinese actors, and prepared a participant booklet to facilitate learning. After pilot testing and revisions, the SCIT-HK package was produced in 2015 and was incorporated as one of the recovery-oriented programs for in-, day-, and out- patients with first-episode psychosis and schizophrenia. Preliminary data analysis comparing pre- and post-test scores (N = 17) showed that participants had significant improvements in emotion perception (t = 2.47, p = .03) and theory-of-mind (t = 3.67, p = .002) after completing SCIT. Several challenges in application of SCIT in local population were observed: 1) Wide variations in neurocognitive functioning among patients in different phases of illness that affects the learning of SCIT strategies, 2) Generalization of social cognitive gains into daily life and 3) Higher attrition rates in in-patients or out-patients with first episode psychosis. Several modifications and enrichment on the SCIT curriculum were proposed to address these challenges. To address the specific needs of some higher functioning patients with first episode psychosis, we also start to develop diseasespecific SCIT protocol for this patient group.",
author = "Lo, {P. M.T.} and Siu, {A. M.H.} and Roberts, {D. L.}",
year = "2018",
month = "1",
day = "1",
language = "English (US)",
isbn = "9781536131604",
pages = "79--103",
booktitle = "Understanding Social Cognition",
publisher = "Nova Science Publishers, Inc.",

}

TY - CHAP

T1 - Adaptation of the social cognition and interaction training (scit) for promoting functional recovery in chinese persons with schizophrenia in hong kong

AU - Lo, P. M.T.

AU - Siu, A. M.H.

AU - Roberts, D. L.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Promoting functional recovery is a key treatment target for persons with schizophrenia. Social cognition training has emerged as an important intervention that could promote functional recovery. Social Cognition and Interaction Training (SCIT), developed in the U.S.A., is one of the evidence-based interventions that enhanced social cognitive functioning among persons with schizophrenia. This chapter describes the development process of the SCIT-Hong Kong Version since 2011, describing key modifications of the SCIT for use with Chinese populations in Hong Kong, and shared preliminary findings on effectiveness of SCIT. An expert panel of clinicians reviewed the cultural relevance and content validity of the SCIT for application in Hong Kong. Based on this review, the researcher modified and translated the content of original SCIT. Key modifications included adapting social scenarios to improve cultural relevance, and to include more local social scenarios encountered in the workplace. We also produced photos and videos using Chinese actors, and prepared a participant booklet to facilitate learning. After pilot testing and revisions, the SCIT-HK package was produced in 2015 and was incorporated as one of the recovery-oriented programs for in-, day-, and out- patients with first-episode psychosis and schizophrenia. Preliminary data analysis comparing pre- and post-test scores (N = 17) showed that participants had significant improvements in emotion perception (t = 2.47, p = .03) and theory-of-mind (t = 3.67, p = .002) after completing SCIT. Several challenges in application of SCIT in local population were observed: 1) Wide variations in neurocognitive functioning among patients in different phases of illness that affects the learning of SCIT strategies, 2) Generalization of social cognitive gains into daily life and 3) Higher attrition rates in in-patients or out-patients with first episode psychosis. Several modifications and enrichment on the SCIT curriculum were proposed to address these challenges. To address the specific needs of some higher functioning patients with first episode psychosis, we also start to develop diseasespecific SCIT protocol for this patient group.

AB - Promoting functional recovery is a key treatment target for persons with schizophrenia. Social cognition training has emerged as an important intervention that could promote functional recovery. Social Cognition and Interaction Training (SCIT), developed in the U.S.A., is one of the evidence-based interventions that enhanced social cognitive functioning among persons with schizophrenia. This chapter describes the development process of the SCIT-Hong Kong Version since 2011, describing key modifications of the SCIT for use with Chinese populations in Hong Kong, and shared preliminary findings on effectiveness of SCIT. An expert panel of clinicians reviewed the cultural relevance and content validity of the SCIT for application in Hong Kong. Based on this review, the researcher modified and translated the content of original SCIT. Key modifications included adapting social scenarios to improve cultural relevance, and to include more local social scenarios encountered in the workplace. We also produced photos and videos using Chinese actors, and prepared a participant booklet to facilitate learning. After pilot testing and revisions, the SCIT-HK package was produced in 2015 and was incorporated as one of the recovery-oriented programs for in-, day-, and out- patients with first-episode psychosis and schizophrenia. Preliminary data analysis comparing pre- and post-test scores (N = 17) showed that participants had significant improvements in emotion perception (t = 2.47, p = .03) and theory-of-mind (t = 3.67, p = .002) after completing SCIT. Several challenges in application of SCIT in local population were observed: 1) Wide variations in neurocognitive functioning among patients in different phases of illness that affects the learning of SCIT strategies, 2) Generalization of social cognitive gains into daily life and 3) Higher attrition rates in in-patients or out-patients with first episode psychosis. Several modifications and enrichment on the SCIT curriculum were proposed to address these challenges. To address the specific needs of some higher functioning patients with first episode psychosis, we also start to develop diseasespecific SCIT protocol for this patient group.

UR - http://www.scopus.com/inward/record.url?scp=85044535048&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044535048&partnerID=8YFLogxK

M3 - Chapter

SN - 9781536131604

SP - 79

EP - 103

BT - Understanding Social Cognition

PB - Nova Science Publishers, Inc.

ER -