No abstract

Results: There was a significant interaction between treatment group and time with respect to employment outcomes, OR = 0.88, 95% CI of the OR =0.78-0.99, Wald z = −2.16, P = .031, even after controlling for baseline employment status. As is demonstrated, the greatest difference between IPS and TAU was observed at 6 months, the predicted probability of employment for IPS was 0.67 and TAU was 0.49. The predicted probabilities of employment in the IPS group declined over time with the TAU group at 18 months being more likely to be employed than the IPS group although this difference was not significant. A similar pattern was observed for education. There was a significant interaction for education, OR = 0.86 95% CI of the OR = 0.77-0.98, Wald z = −2.37, P = .018, even after controlling for baseline studying status. Conclusion: This study lent support to the idea that IPS can be beneficial for achieving employment and education outcomes among young people with psychosis. However, the durability of this significant benefit reduces over time. Patterson et al., 2006; Bowie et al, 2012) can enhance psychosocial functioning and improve quality of life for individuals with schizophrenia. Yet, research also suggests that the generalizability of this treatment to real-world daily functioning is limited. The purpose of the present study, therefore, was to see if the generalizability of FAST could be enhanced by including in-home-caregivers in the treatment and by utilizing Azjen's (1999) Theory of Planned Behavior (TPB) to foster motivation and enhance behavioral changes. Methods: A new treatment, known as Improving Recovery in Schizophrenia (IRIS), was developed and 41 medically stabilized individuals with schizophrenia who resided in board and care homes in the San Diego area were randomly assigned to receive either the IRIS or FAST treatment modality. Assessments were conducted at baseline, post-treatment (after 12 weeks) and follow-up (1 month following the treatment) time points. The frequency of 7 functional target behaviors were assessed by board and care staff members daily for all participants in the study. Results: Results indicated IRIS members improved significantly more than FAST members from baseline to follow-up on social self-efficacy, TPB control beliefs, symptom severity (general and total) and number of total behavioral attainments. IRIS members also improved significantly on TPB Intentions to conduct functional behaviors and self-efficacy related to negative symptoms. A moderating relationship indicated that IRIS members with high self-efficacy scores at baseline showed significantly more behavioral improvements than IRIS members with low baseline self-efficacy scores. FAST members showed significant changes only in functional capacity (as shown on a role-play task) but not in the frequency of realworld functioning behaviors or on any other measure addressed in the current study. ENHANCING THE FUNCTIONAL ADAPTATION SKILLS TRAINING TREATMENT FOR INDIVIDUALS Conclusion:The data suggest that the IRIS inte...