The VADO Approach in Psychiatric Rehabilitation: A Randomized Controlled Trial

Abstract

A statistically and clinically significant improvement in functioning was observed among patients treated with the VADO approach.

Psychometric properties of the Personal and Social Performance scale (PSP) among individuals with schizophrenia living in the community

“…On average, better social functioning on the PSP was associated with less clinical severity, particularly with PANSS positive symptoms and CGI-S scores. A minimum clinically important difference (MCID) of 10 points for the PSP global score has been suggested from a study using pooled clinical trial data comparing PSP with PANSS and CGI-S [23,34]. Significant differences in this study with CGI-S and PANSS positive and negative severity groups were approximately 9 to 21 points.…”

“…Several clinical trial studies conducted among schizophrenia patients reported significant improvements in personal and social performance, measured by the Personal and Social Performance scale (PSP) [19], with a new atypical antipsychotic medication, Invega TM (paliperidone), compared to placebo [20][21][22]. Clinically significant improvements in functioning with the PSP were found among chronic schizophrenia patients treated in a rehabilitation setting using the VADO (translated into English, skills assessment and definition of goals) treatment approach compared to routine care in a randomized controlled trial [23].…”

“…It is convenient because it can be administered by staff with minimal professional psychiatric education after a short training session. The measure has primarily been used in clinical settings to evaluate changes in patient functioning [20][21][22][23]. The PSP has been translated into several languages, including Chinese, Korean, Ukrainian, and English from the original Italian language.…”

An Evaluation of the Shanghai Mental Health Service Schizophrenia Rehabilitation Program

“…An Italian RCT of a skills assessment and definition of goals program showed that PSP scores had improved at both 6-and 12-month follow-up in 85 people with schizophrenia, schizoaffective disorder, or delusion disorders (Gigantesco et al, 2006). The results were both statistically and clinically significant.…”

“…Studies of individualized psychosocial skills training programs (e.g., Moriana, Alarcon, & Herruzzo, 2006) suggest that both positive and negative symptoms of schizophrenia can be reduced, while problem-solving remediation and memory remediation may produce similar results (Bark et al, 2002). Similarly, Gigantesco et al (2006) demonstrated that a skills assessment and definition of goals program improved the global functioning of 85 people with schizophrenia, schizoaffective disorder, or delusion disorders. The results were both statistically and clinically significant.…”