The Acceptability of Remotely Delivered Cognitive Adaptation Training

Abstract

Cognitive Adaptation Training (CAT) is a psychosocial treatment using environmental supports such as signs, checklists, technology, and the organization of belongings to bypass cognitive and motivational impairments for those with serious behavioral health problems. We conducted a survey of 204 members of managed Medicaid in Texas to examine the acceptability of, opinions about and preferences for Cognitive Adaptation Training delivered in-person (CAT) or remotely (R-CAT) where supplies would be mailed and visits would occur via video-conferencing. The telephone survey presented descriptions of CAT and R-CAT in counterbalanced order eliciting general opinions about the treatments, such as 1) whether they would accept the treatments if they were offered the day of the survey at no cost, 2) which treatment was preferred, and 3) the extent to which they agreed or disagreed with a number of statements about components of the treatments. Results indicated that both R-CAT and CAT were acceptable to respondents with overall acceptance rates significantly higher for R-CAT 87% than for CAT (78%). With respect to preferences, 27% and 28% of respondents preferred CAT and R-CAT, respectively, and 41% of respondents preferred both equally. Black respondents more often preferred in person CAT to other alternatives. Respondents agreed that they needed help, that they were comfortable with technology, and they believed the programs would help them. The vast majority of qualitative comments about the treatments were positive. Results suggest that it will be important to assess the efficacy and effectiveness of CAT delivered remotely in randomized trials.

Acceptability of Tele-mental Health Services Among Users: A Systematic Review and Meta-analysis

“…The studies’ populations were further classified as either healthcare beneficiaries, providers, or both. Studies enclosed different types of healthcare beneficiaries [ 13 , 15 , 17 , 25 , 27 – 30 , 32 – 36 , 38 – 41 , 43 – 47 , 50 , 53 – 55 , 57 , 59 ] namely, general population, students, refugees, patients, pregnant women, parents of children who completed cancer treatment and other caregivers. Providers were represented either as healthcare workers (HCWs) or caregivers [ 16 , 31 , 37 , 38 , 51 , 56 , 58 ].…”

“…Studies covered many types of mental disorders, such as anxiety [ 13 , 15 , 17 , 32 , 35 , 37 , 44 – 46 ], mood changes [ 13 , 15 , 17 , 25 , 27 , 30 , 37 , 39 , 44 – 46 , 53 , 55 , 59 ], psychotic disorders [ 27 , 28 , 33 , 43 , 50 ], neurocognitive disorders [ 26 , 48 ], personality disorders [ 31 ], substance-related and addiction [ 29 , 56 , 57 ], severe mental illness [ 29 , 58 ], and other non-specified mental disorders [ 16 , 34 , 36 , 38 , 40 – 42 , 47 , 49 , 51 , 52 , 54 ]. Acceptability of tele-mental health services was studied for either educational [ 55 ], therapeutic [ 13 , 15 – 17 , 25 , 28 , 29 , 31 , 33 – 39 , 42 , 44 – 49 , 52 , 54 , 56 , 58 ], or diagnostic [ 26 , 30 , 41 ,…”

Digital health interventions to improve adherence to oral antipsychotics among patients with schizophrenia: a scoping review

“…Overall, all DHI types to improve medication adherence of patients with schizophrenia reviewed were acceptable and feasible. Their implementation was practical, even if this aspect was not thoroughly explored 35 36 48 50 52 53 56–58 63 65 72–78…”