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Cognitive Remediation and Social Skills Training in Schizophrenia

This study has been completed.

Sponsors and Collaborators: The University of Texas Health Science Center at San Antonio
National Alliance for Research on Schizophrenia and Depression
Information provided by: The University of Texas Health Science Center at San Antonio
ClinicalTrials.gov Identifier: NCT00223535
  Purpose

The purpose of this study is to examine whether patients who participate in cognitive remediation prior to a skills training program learn and perform the skills better than patients who do not participate in cognitive remediation.


Condition Intervention
Schizophrenia
Schizoaffective
Behavioral: Cognitive Remediation
Behavioral: Social Skills Training

MedlinePlus related topics:   Schizophrenia   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Single Blind, Placebo Control, Parallel Assignment
Official Title:   Cognitive Remediation and Social Skills Training in Schizophrenia

Further study details as provided by The University of Texas Health Science Center at San Antonio:

Primary Outcome Measures:
  • Scores on tests of cognitive functioning

Secondary Outcome Measures:
  • Outcomes on tests of social functioning after SST

Estimated Enrollment:   40
Study Start Date:   February 2003
Estimated Study Completion Date:   March 2005

Detailed Description:

Subjects are 40 stable outpatients with schizophrenia or schizoaffective disorder who are receiving medication and routine follow-up care at community clinics in San Antonio, Texas.

Patients receive baseline assessments and then are randomly assigned to either Cognitive Remediation (CR) or Keyboarding Skills (KS) for a period of 8 weeks. Following 8 weeks of treatment in either CR or KS, all patients participated in Social Skills Training (SST) for a period of 8 weeks. Assessments conducted by raters blinded to treatment condition are repeated following either remediation or control treatment, and again following SST.

Treatment groups Cognitive Remediation (CR) -- The CR program is based upon teaching techniques developed within educational psychology that promote intrinsic motivation and task engagement. The program uses existing computer software packages (e.g., Oregon Trail) with engaging story lines or activities, and built-in reinforcement of correct responses to help patients with schizophrenia develop attention, memory, planning, and problem-solving skills. CR is delivered in a computer lab setting with a facilitator present to assist patients.

Keyboarding Skills (KS) -- Control Treatment: The control treatment is an engaging self-paced software program designed to teach typing skills. KS is delivered in a computer lab setting with a facilitator present.

Both the KS and CR are administered in small groups of three to five patients each.

Social Skills Training (SST) -- SST is a manual-driven, behavioral rehabilitation program teaching basic conversation and social problem-solving skills (Bellack et al., 1997). SST runs for 8 weeks and is conducted in small groups that meet twice weekly.

  Eligibility
Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Diagnosis of schizophrenia/schizoaffective disorder
  • currently receiving treatment with an atypical antipsychotic medication
  • between the ages of 18 and 60 years
  • speak English as their primary language
  • has at least a 6th grade level of reading (WRAT) Exclusion Criteria
  • no current diagnosis of substance abuse or dependence
  • no documented history of head injury, epilepsy or mental retardation.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00223535

Locations
United States, Texas
UTHSCSA    
      San Antonio, Texas, United States, 78229

Sponsors and Collaborators
The University of Texas Health Science Center at San Antonio
National Alliance for Research on Schizophrenia and Depression

Investigators
Principal Investigator:     Dawn I Velligan, Ph.D.     UTHSCSA    
  More Information


Study ID Numbers:   012-0013-164
First Received:   September 14, 2005
Last Updated:   September 14, 2005
ClinicalTrials.gov Identifier:   NCT00223535
Health Authority:   United States: Food and Drug Administration

Keywords provided by The University of Texas Health Science Center at San Antonio:
Schizophrenia  
Cognitive Remediation  
Social Skills Training  
Psychosocial  

Study placed in the following topic categories:
Schizophrenia
Mental Disorders
Psychotic Disorders
Schizophrenia and Disorders with Psychotic Features

ClinicalTrials.gov processed this record on October 03, 2008




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