Cognitive Remediation for Schizophrenia
Computer Assisted Cognitive Remediation for Schizophrenia
1 other identifier
interventional
90
1 country
1
Brief Summary
The purpose of this study is to evaluate the efficacy of an innovative, computer driven cognitive rehabilitation program for unemployed veterans with schizophrenia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable schizophrenia
Started Nov 2004
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2004
CompletedFirst Submitted
Initial submission to the registry
December 1, 2005
CompletedFirst Posted
Study publicly available on registry
December 5, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2007
CompletedJanuary 6, 2010
January 1, 2010
2.6 years
December 1, 2005
January 5, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
cognitive performance and every day problem solving
post-treatment and 3-month follow-up
Study Arms (2)
1
EXPERIMENTALcomputer-assisted cognitive remediation (CACR)
2
ACTIVE COMPARATORcomputer-based cognitive activity
Interventions
36 individual computer sessions with a staff clinician. computer activities consist of commercially available educational software designed for use in the classroom.
36 sessions of a manualized computer control condition.
Eligibility Criteria
You may qualify if:
- Current DSM-IV diagnoses of schizophrenia or schizoaffective disorder
- Stable clinical course and antipsychotic treatment on a new generation antipsychotic other than clozapine and/or a dose of first generation antipsychotic equivalent to 10 mg. or less of haloperidol for one month prior to enrollment
- Age between 18 and 64 years
- Voluntary consent after receiving full information about the study
You may not qualify if:
- Documented history of neurological disorder or significant head trauma with extended loss of consciousness
- Physical limitations (e.g., with hearing or vision) that would interfere substantially with the use of computer-based exercises
- Current treatment with a first generation antipsychotic medication at a dose equivalent to more than 10 mg. of haloperidol
- Current treatment with benztropine mesylate at a daily does greater than 4 mg
- Current treatment with trihexyphenidyl at a daily dose greater than 15 mg
- Current treatment that combines benztropine mesylate with trihexyphenidyl
- Current treatment with diphenhydramine
- Current competitive employment or participation (current or within past 3 months) in a program designed to secure competitive employment (e.g., CWT)
- Mini Mental Status Examination (MMSE) score of less than 23
- Diagnosis of current Substance Dependence according to DSM-IV criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Maryland Health Care System, Baltimore
Baltimore, Maryland, 21201, United States
Related Publications (3)
Bellack AS, Gold JM, Buchanan RW. Cognitive rehabilitation for schizophrenia: problems, prospects, and strategies. Schizophr Bull. 1999;25(2):257-74. doi: 10.1093/oxfordjournals.schbul.a033377.
PMID: 10416730RESULTBellack AS. Skills training for people with severe mental illness. Psychiatr Rehabil J. 2004 Spring;27(4):375-91. doi: 10.2975/27.2004.375.391.
PMID: 15222149RESULTDickinson D, Tenhula W, Morris S, Brown C, Peer J, Spencer K, Li L, Gold JM, Bellack AS. A randomized, controlled trial of computer-assisted cognitive remediation for schizophrenia. Am J Psychiatry. 2010 Feb;167(2):170-80. doi: 10.1176/appi.ajp.2009.09020264. Epub 2009 Dec 15.
PMID: 20008941RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alan S. Bellack, PhD
VA Maryland Health Care System, Baltimore
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- FED
Study Record Dates
First Submitted
December 1, 2005
First Posted
December 5, 2005
Study Start
November 1, 2004
Primary Completion
June 1, 2007
Study Completion
September 1, 2007
Last Updated
January 6, 2010
Record last verified: 2010-01