TY - JOUR
T1 - The short-term impact of generic versus individualized environmental supports on functional outcomes and target behaviors in schizophrenia
AU - Velligan, Dawn I.
AU - Diamond, Pamela
AU - Mueller, Janet
AU - Li, Xueying
AU - Maples, Natalie
AU - Wang, Mei
AU - Miller, Alexander L.
N1 - Funding Information:
This work was supported by a grant from the National Institute of Mental Health R01 MH61775. The author was supported during the writing of this manuscript by grants R01 MH62850 and R01 MH074047. We would like to thank the Center for Health Care Services staff and the study participants for their continued support of our research program.
PY - 2009/7/30
Y1 - 2009/7/30
N2 - We examined the short-term efficacy of two treatments using environmental supports (e.g. signs, alarms, pill containers, and checklists) to improve target behaviors in individuals with schizophrenia. 120 participants were randomized into one of the following three treatment groups: 1) Cognitive Adaptation Training (CAT; a manual-driven set of environmental supports customized to individual cognitive impairments and behaviors, and established and maintained in participants' homes on weekly visits; 2) Generic Environmental Supports (GES; a generic set of supports given to patients at a routine clinic visit and replaced on a monthly basis); and 3) treatment as usual (TAU; standard follow-up provided by a community mental health center). Global level of functional outcome and target behaviors, including orientation, grooming and hygiene, and medication adherence, were assessed at baseline and 3 months. Results of an analysis of covariance indicated that patients in both CAT and GES had better scores on global functional outcome at 3 months than those in TAU. Results of Chi Square analyses indicated that patients in CAT were more likely to improve on target behaviors, including orientation, hygiene, and medication adherence, than those in GES. Irrespective of treatment group, individuals who were high utilizers of environmental supports were more likely to improve on target behaviors than individuals who were low utilizers of supports.
AB - We examined the short-term efficacy of two treatments using environmental supports (e.g. signs, alarms, pill containers, and checklists) to improve target behaviors in individuals with schizophrenia. 120 participants were randomized into one of the following three treatment groups: 1) Cognitive Adaptation Training (CAT; a manual-driven set of environmental supports customized to individual cognitive impairments and behaviors, and established and maintained in participants' homes on weekly visits; 2) Generic Environmental Supports (GES; a generic set of supports given to patients at a routine clinic visit and replaced on a monthly basis); and 3) treatment as usual (TAU; standard follow-up provided by a community mental health center). Global level of functional outcome and target behaviors, including orientation, grooming and hygiene, and medication adherence, were assessed at baseline and 3 months. Results of an analysis of covariance indicated that patients in both CAT and GES had better scores on global functional outcome at 3 months than those in TAU. Results of Chi Square analyses indicated that patients in CAT were more likely to improve on target behaviors, including orientation, hygiene, and medication adherence, than those in GES. Irrespective of treatment group, individuals who were high utilizers of environmental supports were more likely to improve on target behaviors than individuals who were low utilizers of supports.
KW - Cognitive Adaptation Training
KW - Environmental supports
KW - Functional outcome
KW - Schizophrenia
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U2 - 10.1016/j.psychres.2008.03.016
DO - 10.1016/j.psychres.2008.03.016
M3 - Article
C2 - 19523690
AN - SCOPUS:67349109402
SN - 0165-1781
VL - 168
SP - 94
EP - 101
JO - Psychiatry Research
JF - Psychiatry Research
IS - 2
ER -