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

Schizophrenia Research: Cognition (Jun 2022)

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

Affiliations

Shreya Jagtap: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
Sylvia Romanowska: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
Talia Leibovitz: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
Karin A. Onno: Department of Psychology, Lakehead University, 955 Oliver Rd, Thunder Bay, ON P7B 5E1, Canada
Amer M. Burhan: Ontario Shores Centre for Mental Health Sciences, 700 Gordon Street, Whitby, ON L1N 5S9, Canada
Michael W. Best: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada; Ontario Shores Centre for Mental Health Sciences, 700 Gordon Street, Whitby, ON L1N 5S9, Canada; Corresponding author at: Department of Psychological Clinical Science, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4, Canada.

Journal volume & issue: Vol. 28
p. 100238

Abstract

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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 (n = 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.

Published in Schizophrenia Research: Cognition

ISSN: 2215-0013 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: http://www.journals.elsevier.com/schizophrenia-research-cognition/

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