Improving functional outcomes for schizophrenia patients in the Netherlands using Cognitive Adaptation Training as a nursing intervention — A pilot study

Quee, Piotr J.; Stiekema, Annemarie; Wigman, Johanna T. W.; Schneider, Harald J.; Meer, Lisette van der; Maples, Natalie; Heuvel, Edwin R. van den; Velligan, Dawn I.; Bruggeman, Richard

doi:10.1016/j.schres.2014.06.020

Cited by 23 publications

(19 citation statements)

References 21 publications

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“…Cognitive adaptation training have not been studied frequently, but is one to follow: it is in concept easy to implement and if effective, a large contribution to independent functioning can be expected. Interventions on the functional recovery dimension are especially relevant when considering that cognitive dysfunction and related negative symptoms can be strong obstructing factors in the life of people with severe mental health problems (Quee et al 2014;Stiekema et al 2016).…”

Section: Discussionmentioning

confidence: 99%

Recovery in Supported Accommodations: A Scoping Review and Synthesis of Interventions for People with Severe Mental Illness

Bitter

Roeg

Nieuwenhuizen

et al. 2020

Community Ment Health J

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Research on the recovery domains beside clinical recovery of people with severe mental illness in need of supported accommodations is limited. The aim of this study was (1) to investigate which recovery interventions exist for this group of people and (2) to explore the scientific evidence. We conducted a scoping review, including studies with different designs, evaluating the effectiveness the recovery interventions available. The search resulted in 53 eligible articles of which 22 focused on societal recovery, six on personal recovery, five on functional recovery, 13 on lifestyle-interventions, and seven on creative and spiritual interventions. About a quarter of these interventions showed added value and half of them initial promising results. The research in this area is still limited, but a number of recovery promoting interventions on other areas than clinical recovery have been developed and evaluated. Further innovation and research to strengthen and repeat the evidence are needed.

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Section: Discussionmentioning

confidence: 99%

Recovery in Supported Accommodations: A Scoping Review and Synthesis of Interventions for People with Severe Mental Illness

Bitter

Roeg

Nieuwenhuizen

et al. 2020

Community Ment Health J

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“…A total of 17 RCTs using skills training (n = 11), [55][56][57][58][59][60][61][62][63][64][65] occupational therapy (n = 3), [66][67][68] cognitive adaptation training (n = 2) 69,70 or vocational training (n = 1) 71 were included. Only one study was designed specifically to treat negative symptoms 65 and there was highly significant heterogeneity between studies, I 2 = 85.8%, P50.001 (online Table DS1).…”

Section: Skills Training Occupational Therapy and Cognitive Adaptatimentioning

confidence: 99%

Psychological and psychosocial interventions for negative symptoms in psychosis: Systematic review and meta-analysis

2017

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Negative symptoms observed in patients with psychotic disorders undermine quality of life and functioning. Antipsychotic medications have a limited impact. Psychological and psychosocial interventions, with medication, are recommended. However, evidence for the effectiveness of specific non-biological interventions warrants detailed examination.To conduct a meta-analytic and systematic review of the literature on the effectiveness of non-biological treatments for negative symptoms in psychotic disorders.We searched for randomised controlled studies of psychological and psychosocial interventions in psychotic disorders that reported outcome on negative symptoms. Standardised mean differences (SMDs) in values of negative symptoms at the end of treatment were calculated across study domains as the main outcome measure.A total of 95 studies met our criteria and 72 had complete quantitative data. Compared with treatment as usual cognitive-behavioural therapy (pooled SMD -0.34, 95% CI -0.55 to -0.12), skills-based training (pooled SMD -0.44, 95% CI -0.77 to -0.10), exercise (pooled SMD -0.36, 95% CI -0.71 to -0.01), and music treatments (pooled SMD -0.58, 95% CI -0.82 to -0.33) provide significant benefit. Integrated treatment models are effective for early psychosis (SMD -0.38, 95% CI -0.53 to -0.22) as long as the patients remain in treatment. Overall quality of evidence was moderate with a high level of heterogeneity.Specific psychological and psychosocial interventions have utility in ameliorating negative symptoms in psychosis and should be included in the treatment of negative symptoms. However, more effective treatments for negative symptoms need to be developed.

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“…; Quee et al . ). Thus, our results suggest that it would be useful for the ICF to include a list of personal factors that may influence the psychosocial functioning of people with different health conditions.…”

Section: Discussionmentioning

confidence: 97%

An international survey of Psychiatric‐Mental‐Health Nurses on the content validity of the International Classification of Functioning, Disability and Health Core Sets for Schizophrenia

Nuño

Barrios

Moller

et al. 2019

Int J Mental Health Nurs

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The International Classification of Functioning, Disability and Health (ICF) Core Sets for schizophrenia describe the key problems in functioning that are experienced by individuals with this disorder. This study examines the content validity of these Core Sets and aims to identify the most frequent problems faced by people with schizophrenia, considering for this analysis the perspective of Psychiatric-Mental-Health Nurses. The study complied with the COREQ checklist for qualitative studies. A total of 101 nurses from 30 countries covering all six World Health Organization regions participated in a Delphi study. Their responses in Round 1 were linked to ICF categories, retaining those reported by at least 5% of participants. In Round 2, they were asked to rate the relevance of each of these categories to the nursing care of patients with schizophrenia. This process was repeated in Round 3. A total of 2327 concepts were extracted in Round 1 and linked to ICF categories. Following the analysis, 125 categories and 31 personal factors were presented to the experts in rounds 2 and 3. Consensus (defined as agreement ≥75%) was reached for 97 of these categories and 29 personal factors. These categories corresponded to all those (N = 25) in the Brief Core Set and 87 of the 97 categories of the bs_bs_banner Comprehensive Core Set for schizophrenia. Ten new categories emerged. The Delphi process identified the problems in functioning that nurses encounter when treating individuals with schizophrenia, and the results supported the content validity of the Core Sets. We conclude that these Core Sets offer a comprehensive framework for structuring clinical information and guiding the treatment process.

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Improving functional outcomes for schizophrenia patients in the Netherlands using Cognitive Adaptation Training as a nursing intervention — A pilot study

Cited by 23 publications

References 21 publications

Recovery in Supported Accommodations: A Scoping Review and Synthesis of Interventions for People with Severe Mental Illness

Recovery in Supported Accommodations: A Scoping Review and Synthesis of Interventions for People with Severe Mental Illness

Psychological and psychosocial interventions for negative symptoms in psychosis: Systematic review and meta-analysis

An international survey of Psychiatric‐Mental‐Health Nurses on the content validity of the International Classification of Functioning, Disability and Health Core Sets for Schizophrenia

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