Metacognitive Intervention for Individuals With Severe Mental Disorders

University of Haifa

Status: Completed

Conditions: Schizophrenia

Treatments: Behavioral: Metacognitive Group Intervention; Behavioral: Occupational therapy standard care

Study type: Interventional

Funder types: Other

Identifiers

NCT05556941

Kaizerman-Dinerman2022

Details and patient eligibility

About

The overall aim of this study was to develop a meta-cognitive group intervention in order to apply it and to understand and distinguish the components that influence participation among people with schizophrenia

Full description

The overall aim of this study was to develop a Meta cognitive group intervention in order to apply it and to understand and distinguish the components that influence participation among people with schizophrenia. The specific objectives were to:

1. Improve participation by increasing the effectiveness of cognitive strategy use and teaching clients to independently review performance and to examine the strategy's effectiveness.
2. Compare the use of cognitive strategies between participants with schizophrenia and their matched controls following the Meta cognitive group intervention and to correlate the cognitive strategies use and participation following the Meta cognitive group.
3. Examine whether symptoms moderate the association between metacognitive outcomes and participation among people with schizophrenia following the Meta cognitive group.

Enrollment: 84 patients

Sex: All

Ages: 23 to 68 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Confirmed diagnosis of schizophrenia by a licensed psychiatrist
• Fluency in Hebrew
• t-score of at least 65 on the Behavior Rating Inventory of Executive Function-Adult version

Exclusion criteria

• Severe psychiatric hospitalization of over 24 hours during the month prior to the beginning of the study
• Used drugs or alcohol

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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84 participants in 2 patient groups

Metacognitive Group Intervention

Experimental group

Description:

Meta cognitive intervention protocol based on the dynamic interactional model of cognition (Toglia, 2005), and specifically tailored to individuals with schizophrenia.

Treatment:

Behavioral: Metacognitive Group Intervention

Occupational therapy standard care

Active Comparator group

Description:

Standard care of occupational therapy in mental health, focused on work occupations.

Treatment:

Behavioral: Occupational therapy standard care