Lessons Learned From Research With Adolescents With Schizophrenia and Their Families

Lee, Heeyoung; Schepp, Karen G.

doi:10.1016/j.apnu.2013.03.002

Cited by 11 publications

(13 citation statements)

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“…Limitations of this preliminary report also include the small sample size as it limited the power to detect significant differences. Participants with recent‐onset schizophrenia are not easy to recruit (Lee & Schepp, 2013; Robinson, 2011); however, future trials should make efforts to increase sample size to produce more robust findings. Moreover, the absence of a follow‐up period did not allow to understand whether the training effects are durable.…”

Section: Discussionmentioning

confidence: 99%

Social cognition and interaction training for recent‐onset schizophrenia: A preliminary randomized trial

Rocha

Campos

Figueiredo

et al. 2020

Early Intervention Psych

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Comprehensive social cognition training programs have been effective to improve social cognition in people with chronic schizophrenia, although there is insufficient quality evidence for recent‐onset psychosis. The aim of this study was to assess the effects of Social Cognition and Interaction Training (SCIT) in a sample of recent‐onset schizophrenia outpatients. Sixteen participants who had their first psychotic episode for less than 2 years were randomly allocated to the SCIT group during 20 weeks (weekly sessions) or to a psychoeducation group and completed baseline and post‐training assessment for cognitive biases, social cognition, clinical symptoms and functioning. Permutation‐based analysis revealed improvements in overall functioning (P = 0.036) and blame score (P = 0.070) in the SCIT group compared to the psychoeducation intervention, with large effect sizes (d = 1.438 and d = 1.204, respectively). There were also large effect sizes for hostility, emotion recognition, social perception, positive and total symptoms (d = 0.833‐1.158). These results suggest that SCIT may be an effective tool to improve attributional biases and functional outcomes in recent‐onset schizophrenia outpatients. Future controlled trials with larger sample size and follow‐up assessments should be developed to further understand effective intervention outcomes for this population.

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Section: Discussionmentioning

confidence: 99%

Social cognition and interaction training for recent‐onset schizophrenia: A preliminary randomized trial

Rocha

Campos

Figueiredo

et al. 2020

Early Intervention Psych

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“…Although our target sample size was 40, we were able to recruit only 22 participants from outpatient clinics through the use of recruitment flyers. Involving health care providers at outpatient clinics in participant recruitment activities may also be an important strategy to ensure targeted enrollment rates (H. Lee & Schepp, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, they would prefer to manage their weight without having to participate in face-to-face treatment programs because of geography, lack of transportation (The National Alliance on Mental Illness, 2008), or the stigma attached to accessing such resources (H. Lee & Schepp, 2013). Consequently, people with SMI need interventions that not only motivate them to engage in recommended amounts of PA but also allow them ease of access to PA.…”

Section: Introductionmentioning

confidence: 96%

“…However, even though people with SMI are interested in being active and understand the benefit of exercise (Ussher, Stanbury, Cheeseman, & Faulkner, 2007), they exhibit less than recommended PA levels than do the general population because of lack of social contacts (Daumit et al, 2005; Richardson, Faulkner, et al, 2005). In addition, they would prefer to manage their weight without having to participate in face-to-face treatment programs because of geography, lack of transportation (The National Alliance on Mental Illness, 2008), or the stigma attached to accessing such resources (H. Lee & Schepp, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Telephone-Delivered Physical Activity Intervention for Individuals With Serious Mental Illness

Lee

Kane

Brar

et al. 2014

J Am Psychiatr Nurses Assoc

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“…On the other hand, Killikelly et al [36] found, in their systematic review, that participants’ adherence to Web- and mobile-based interventions ranged between 28% and 100%. Indeed, persons with schizophrenia can be a challenging target group for study recruitment in general [30,37-40]. The aim of this study was to test the feasibility and acceptability of a Web-based educational intervention among persons with schizophrenia using a quasi-experimental study design and to report preliminary evidence of its impact on self-efficacy, self-esteem, knowledge level about schizophrenia, and illness cognition.…”

Section: Introductionmentioning

confidence: 99%

Feasibility, Acceptability, and Preliminary Impacts of Web-Based Patient Education on Patients With Schizophrenia Spectrum Disorder: Quasi-Experimental Cluster Study

Laine¹,

Välimäki²,

Pekurinen³

et al. 2019

J Med Internet Res

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BackgroundWeb-based interventions are promising tools for increasing the understanding of illness and treatment among patients with serious mental disorders.ObjectiveThis study aimed to test the feasibility and acceptability of a Web-based patient education intervention using a quasi-experimental cluster design to report feedback on patient education sessions and the website used and to report preliminary evidence of the intervention’s impact on patients with schizophrenia spectrum disorder.MethodsA single-blind, parallel, quasi-experimental cluster study over a 6-month period comparing Web-based education (n=33) with a nonequivalent control group (treatment as usual, n=24) for people with schizophrenia spectrum disorder was conducted. Participants (N=57) were recruited from one psychiatric hospital (6 wards). Feasibility was assessed by participants’ commitment (refusal rate, dropout rate) to the study. Acceptability was assessed as participants’ commitment to the intervention. Patient education sessions and website feedback were assessed by the patients and health care professionals. The preliminary impact of the sessions on patients’ self-efficacy, self-esteem, illness cognition, and knowledge level was measured at baseline and follow-ups (8 weeks, 6 months) with self-rated questionnaires.ResultsThe refusal rate among patients was high with no statistically significant difference (69% [74/107] in the intervention group, 76% [76/100] in the control group; P=.21). The same result was found for the dropout rates (48% [16/33] vs 58% [14/24]; P=.46). The acceptability of the intervention was good; 31 participants out of 33 (94%) completed all five sessions. Feedback on the intervention was mainly positive; three out of four subscales of session were rated above the midpoint of 4.0. Feedback on the website was also positive, with a grade of good for content (69%, 20/29 patients; 75%, 21/28 professionals), layout (62%, 18/29 patients; 61%, 17/28 professionals), and usability (62%, 18/29 patients; and 68%, 19/28 professionals). The patients using the intervention had significantly higher scores 6 months after the sessions in self-efficacy (baseline mean 26.12, SD 5.64 vs 6-month mean 29.24, SD 6.05; P=.003) and regarding knowledge level about schizophrenia (mean 11.39, SD 4.65 vs 6-month mean 15.06, SD 5.26; P=.002), and lower scores in the subscale of helplessness in illness cognition (mean 2.26, SD 0.96 vs 6-month mean 1.85, SD 0.59; P=.03). Differences from the control group were not significant. No differences were found in patients’ self-esteem or other subscales in illness cognition.ConclusionsThe patients were reluctant to participate in the study and tended to drop out before the follow-ups. Once they had participated, their acceptance of the intervention was high. A more effective recruitment strategy and monitoring method will be needed in future studies. To assess the impact of the intervention, a more rigorous study design with an adequately powered sample size will be used in cooperation with outpatient me...

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Lessons Learned From Research With Adolescents With Schizophrenia and Their Families

Cited by 11 publications

References 50 publications

Social cognition and interaction training for recent‐onset schizophrenia: A preliminary randomized trial

Social cognition and interaction training for recent‐onset schizophrenia: A preliminary randomized trial

Telephone-Delivered Physical Activity Intervention for Individuals With Serious Mental Illness

Feasibility, Acceptability, and Preliminary Impacts of Web-Based Patient Education on Patients With Schizophrenia Spectrum Disorder: Quasi-Experimental Cluster Study

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