A pilot randomized controlled trial of the Occupational Goal Intervention method for the improvement of executive functioning in patients with treatment-resistant schizophrenia

Vizzotto, Adriana Dias Barbosa; Celestino, Diego Luis; Buchain, Patrícia Cardoso; Oliveira, Alexandra Martini de; Oliveira, Graça; Sarno, Elaine S. Di; Napolitano, Isabel Cristina; Elkis, Hélio

doi:10.1016/j.psychres.2016.05.011

Cited by 16 publications

(16 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the high MoCA group, which is thought to have well-preserved cognitive functions, including executive function, the score improvement was greater in most of the daily activity items related to executive function. This suggests that patients with higher MoCA can expect a significant functional improvement during initial rehabilitation, which is important for executive function [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Correlation Between Montreal Cognitive Assessment and Functional Outcome in Subacute Stroke Patients With Cognitive Dysfunction

et al. 2018

View full text Add to dashboard Cite

ObjectiveTo investigate the correlation between the Montreal Cognitive Assessment (MoCA) and functional outcome among subacute stroke patients with cognitive dysfunction.MethodsRecords of 61 inpatients were reviewed. Patients were divided into two groups based on their initial MoCA score. MoCA score of 11 was set as the differentiating criterion. We compared the improvements in Modified Barthel Index (MBI) from initial assessment to discharge between the two groups.ResultsThere were no significant differences between the two groups in relation to age, duration from onset to admission, hospitalization period, or years of education. In a comparison of the results of Mini-Mental Status Examinations (MMSE) administered at admission and again at discharge, there was significantly more improvement in MMSE scores in the group with low MoCA scores than in the group with high MoCA scores. However, the group with high MoCA scores also showed high MBI scores at discharge and exhibited greater MBI improvement.ConclusionHigher initial MoCA scores (which reflect preservation of executive function) indicate better functional outcome in the subacute stroke phase.

show abstract

Section: Discussionmentioning

confidence: 99%

“…This is because many of the items in the MMSE are related to orientation, and many of the items in MoCA consist of evaluating executive function associated with functional improvement. According to a previous study, rehabilitation of executive function is related to functional improvement [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Montreal Cognitive Assessment and Functional Outcome in Subacute Stroke Patients With Cognitive Dysfunction

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Detection bias is mitigated by those collecting outcome data being masked to group allocation. Six pilot RCT studies (Cook et al, 2009; Edgelow and Krupa, 2011; Gitlin et al, 2008; Novelli et al, 2018; Oliveira et al, 2018; Vizzotto et al, 2016) and eleven RCTs reported this (Callahan et al, 2017; Chen et al, 2015a; Eklund et al, 2017; Gitlin et al, 2018; Graff et al, 2006; Gunnarsson et al, 2018; Hees et al, 2013; Schene et al, 2007; Voight-Radloff et al, 2011b; Wenborn et al, 2021; Wu, 2001). We were unable to determine this in the remaining studies.…”

Section: Results/findingsmentioning

confidence: 95%

“…These were both wait-list designs so the control group received the intervention once data collection was completed. The remaining seven studies used a different comparator, mainly an alternative activity-based or educational intervention without an occupational focus, using the same number of contacts or sessions (Chen et al, 2015a(Chen et al, , 2015bGitlin et al, 2018;Oliveira et al, 2018;Vizzotto et al, 2016); or a single advisory session (Abaoglu et al, 2020, Voight-Radloff et al, 2011b (see Table 1).…”

Section: Comparatorsmentioning

confidence: 99%

Randomised controlled trials of occupational therapy interventions for adults with a mental health condition or dementia: A systematic review of study methods and outcome measurement

Birken

Wenborn

Connell

2022

British Journal of Occupational Therapy

View full text Add to dashboard Cite

Introduction High-quality randomised controlled trials (RCTs) of interventions are essential for determining whether an intervention is effective. However, many RCTs that examine the effectiveness of occupational therapy interventions for adults with mental health conditions or dementia have methodological limitations that reduce confidence in their results. We aimed to systematically review the quality of methods and outcome measures used in RCTs of occupational therapy interventions for adults with a mental health condition or dementia. This will inform future research in this area and enable practitioners to appraise the evidence when selecting interventions. Method We searched peer-reviewed English language publications from 2000 to 2021 in MEDLINE, PsycINFO, ASSIA, CINAHL and e-thos, and hand-searched 12 journals. We included papers that met pre-specified inclusion criteria, appraised quality using a validated tool and extracted data. We conducted a narrative synthesis. Results Of thirty-three included papers, 26 reported full or pilot RCTs, two reported secondary analysis or secondary outcomes of included RCTs, three reported process evaluations and two reported economic evaluations. Methodological limitations were found in many studies and outcome measures varied in their psychometric quality. Conclusion High-quality RCTs of occupational therapy interventions are needed for adults with mental health conditions and dementia. Researchers should follow international guidelines for rigorously developing and evaluating interventions and reporting studies. Practitioners should critically apply RCT evidence when selecting occupational therapy interventions.

show abstract

“… 22 45 49 In studies with both the control and intervention groups we found interventions such as an instrumental enrichment programme versus standard OT, 21 a programme focused on the management of the disease versus traditional OT, 25 a physical exercise programme versus traditional OT, 29 a metacognitive programme versus traditional OT, 31 a home-visit OT programme versus a management tool for daily life performance programme, 34 a recovery education programme versus traditional mental health treatment, 36 an aerobic dance programme versus a manual activities programme, 38 a balancing everyday life programme versus traditional OT, 41 a motivational intervention versus traditional OT 46 and a programme focused on executive functions versus a programme based on handmade activities. 54 In the included studies with a unique study group in which all participants were treated, we found interventions such as indoor and outdoor exercise programme, 37 a ‘therapeutic package’, 39 care as usual and cognitive–behavioural therapy 40 and a psychoeducation for schizophrenia programme. 43 Finally, three studies included three study groups to compare two different interventions with a control group: cognitive remediation therapy versus intensive OT versus healthy patients, 22 project activity group versus discussion group versus no treatment, 45 and OT at the community mental health centre (CMHC) versus OT at CMHC+psychosocial skill training versus outpatient follow-up.…”

Section: Resultsmentioning

confidence: 99%

Occupational therapy interventions for adults with severe mental illness: a scoping review

2021

View full text Add to dashboard Cite

ObjectiveTo identify the occupational therapy (OT) interventions in adults with severe mental illness (SMI) most investigated in intervention studies and to describe their characteristics.DesignScoping review.Data sourcesOn 17 January 2020, we searched the following electronic databases: MEDLINE, Scopus, Web of Science and EMBASE. We also performed a manual search of TESEO doctoral thesis database and of the journals indexed in the first quartile of OT according to the SCImago Journal Rank. We updated our search on 10 March 2021, performing a complementary search on ProQuest database and repeating the search in all sources. The terms included in the search strategy were: schizophrenia, schizotypal personality, delusional, schizoaffective, psychotic, bipolar, major depression, obsessive–compulsive, severe mental, OT and intervention.Study selectionThe study screening was peer-reviewed. Inclusion criteria were: (1) OT intervention studies in SMI: experimental, randomised, non-randomised and pilot/exploratory studies; (2) adult population with SMI: schizophrenia, schizotypal personality disorder, delusional disorder, obsessive–compulsive disorder, schizoaffective disorder, psychotic disorder, bipolar disorder, major depressive disorder; (3) OT identified as a discipline involved in the intervention; (4) English or Spanish language and (5) studies with full text available.ResultsThirty-five studies met the inclusion criteria. OT interventions were classified in psychosocial, psychoeducational, cognitive and exercise interventions. The most used OT intervention was psychosocial intervention.ConclusionPsychosocial intervention was the most investigated OT intervention in SMI, followed by psychoeducational, cognitive and exercise interventions. These interventions are usually group interventions in patients with schizophrenia, performed by a multidisciplinary team (in which an occupational therapist collaborates), with 2–3 weekly 60 min sessions and a duration of 3–6 months.

show abstract

A pilot randomized controlled trial of the Occupational Goal Intervention method for the improvement of executive functioning in patients with treatment-resistant schizophrenia

Cited by 16 publications

References 35 publications

Correlation Between Montreal Cognitive Assessment and Functional Outcome in Subacute Stroke Patients With Cognitive Dysfunction

Correlation Between Montreal Cognitive Assessment and Functional Outcome in Subacute Stroke Patients With Cognitive Dysfunction

Randomised controlled trials of occupational therapy interventions for adults with a mental health condition or dementia: A systematic review of study methods and outcome measurement

Occupational therapy interventions for adults with severe mental illness: a scoping review

Contact Info

Product

Resources

About