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Schizophrenia research. Cognition
Jun, 2022;28 100238.

Can cognitive remediation therapy be delivered remotely? A review examining feasibility and acceptability of remote interventions.

Shreya Jagtap, Sylvia Romanowska, Talia Leibovitz, Karin A Onno, Amer M Burhan, Michael W Best
Author Information
  1. Shreya Jagtap: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada.
  2. Sylvia Romanowska: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada.
  3. Talia Leibovitz: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada.
  4. Karin A Onno: Department of Psychology, Lakehead University, 955 Oliver Rd, Thunder Bay, ON P7B 5E1, Canada.
  5. Amer M Burhan: Ontario Shores Centre for Mental Health Sciences, 700 Gordon Street, Whitby, ON L1N 5S9, Canada.
  6. Michael W Best: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada.
PMID: 35242607 DOI: 10.1016/j.scog.2022.100238

Abstract

Cognitive remediation (CR) is an effective treatment for schizophrenia. However, issues such as motivational impairments, geographic limitations, and limited availability of specialized clinicians to deliver CR, can impede dissemination. Remote delivery of CR provides an opportunity to implement CR on a broader scale. While empirical support for the efficacy of in-person CR is robust, the evidence-base for virtual delivery of CR is limited. Thus, in this review we aimed to evaluate the feasibility and acceptability of remote CR interventions. Nine ( = 847) fully remote and one hybrid CR intervention were included in this review. Attrition rates for remote CR were generally high compared to control groups. Acceptability rates for remote CR interventions were high and responses from caregivers were positive. Further research using more methodologically rigorous designs is required to evaluate appropriate adaptations for remote treatment and determine which populations may benefit more from remote CR.

Keywords

Cognitive remediation Psychosis Remote Review Schizophrenia

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Journal Article
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