TY - JOUR
T1 - Effectiveness and cost-effectiveness of cognitive adaptation training as a nursing intervention in long-term residential patients with severe mental illness
T2 - Study protocol for a randomized controlled trial
AU - Stiekema, Annemarie P.M.
AU - Quee, Piotr J.
AU - Dethmers, Marian
AU - van den Heuvel, Edwin R.
AU - Redmeijer, Jeroen E.
AU - Rietberg, Kees
AU - Stant, A. Dennis
AU - Swart, Marte
AU - van Weeghel, Jaap
AU - Aleman, André
AU - Velligan, Dawn I.
AU - Schoevers, Robert A.
AU - Bruggeman, Richard
AU - van der Meer, Lisette
N1 - Publisher Copyright:
© 2015 Stiekema et al.
PY - 2015/2/12
Y1 - 2015/2/12
N2 - Background: Despite the well-known importance of cognitive deficits for everyday functioning in patients with severe mental illness (SMI), evidence-based interventions directed at these problems are especially scarce for SMI patients in long-term clinical facilities. Cognitive adaptation Training (CAT) is a compensatory approach that aims at creating new routines in patients' living environments through the use of environmental supports. Previous studies on CAT showed that CAT is effective in improving everyday functioning in outpatients with schizophrenia. The aim of this study is to evaluate the effect of CAT as a nursing intervention in SMI patients who reside in long-term clinical facilities. Methods/Design: This is a multicenter cluster randomized controlled trial comparing CAT (intervention group) as a nursing intervention to treatment as usual (control group). The primary goal is to evaluate the effectiveness of CAT on everyday functioning. Secondary outcomes are quality of life, empowerment and apathy. Further, an economic evaluation will be performed. The study has a duration of one year, with four follow-up assessments at 15, 18, 21 and 24months for the intervention group. Discussion: There is a need for evidence-based interventions that contribute to the improvement of the functional recovery of long-term residential patients. If our hypotheses are confirmed, it may be recommended to include CAT in the guidelines for SMI care and to implement the method in standardized care. Trial registration: Nederlands Trial Register (identifier: NTR3308). Date registered: 12 February 2012.
AB - Background: Despite the well-known importance of cognitive deficits for everyday functioning in patients with severe mental illness (SMI), evidence-based interventions directed at these problems are especially scarce for SMI patients in long-term clinical facilities. Cognitive adaptation Training (CAT) is a compensatory approach that aims at creating new routines in patients' living environments through the use of environmental supports. Previous studies on CAT showed that CAT is effective in improving everyday functioning in outpatients with schizophrenia. The aim of this study is to evaluate the effect of CAT as a nursing intervention in SMI patients who reside in long-term clinical facilities. Methods/Design: This is a multicenter cluster randomized controlled trial comparing CAT (intervention group) as a nursing intervention to treatment as usual (control group). The primary goal is to evaluate the effectiveness of CAT on everyday functioning. Secondary outcomes are quality of life, empowerment and apathy. Further, an economic evaluation will be performed. The study has a duration of one year, with four follow-up assessments at 15, 18, 21 and 24months for the intervention group. Discussion: There is a need for evidence-based interventions that contribute to the improvement of the functional recovery of long-term residential patients. If our hypotheses are confirmed, it may be recommended to include CAT in the guidelines for SMI care and to implement the method in standardized care. Trial registration: Nederlands Trial Register (identifier: NTR3308). Date registered: 12 February 2012.
KW - CAT
KW - Cognitive adaptation training
KW - Cognitive remediation
KW - Functioning
KW - Nursing intervention
KW - Quality of life
KW - Schizophrenia
KW - Severe mental illness
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U2 - 10.1186/s13063-015-0566-8
DO - 10.1186/s13063-015-0566-8
M3 - Article
C2 - 25887511
AN - SCOPUS:84924364085
SN - 1745-6215
VL - 16
JO - Trials
JF - Trials
IS - 1
M1 - 49
ER -