Development of Computerized Sustained-Motivation Focused Cognitive Remediation Therapy Program for Patients with Schizophrenia A Pilot Study
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Abstract
Objectives: To develop a computerized sustained-motivation focused cognitive remediation therapy program (CSCRT) on sustained attention, working memory and decision making.
Materials and Methods: in phase 1, the CSCRT program was developed from the Cognitive Remediation Therapy (CRT) and Motivational Enhancement Therapy (MET). Procedures and structures, each session 60 minutes, as the following: Relationship (5 minute) then enter the main activity into 3 phases. Phase 1, Computerized Exercises (20 minute) Phase 2, Strategic Monitoring (15 minute) Phase 3, Bridging (15 minute) and activity summary (5 minute). CSCRT’s content was validated by 3 experts. In phase 2, a pilot study was carried out with 20 patients with schizophrenia, who sought services at the outpatient department, from November 5 to 10, 2018.
Results: CSCRT program was divided into 3 phases. Phase 1, Computerized Exercise, consisted of individualized activities divided into 6 activities 1) Speed: Gaze ID and Gaze Match; 2) Speed: Face Match and Face Emotion; 3) Attention: Visual discrimination and Grouping; 4) Working Memory: Span color reverse and Span numbers reverse 5) Reasoning and Problem-solving: Antonyms and Making words; and 6) Social Stories: Real-World Behavior. Phases 2 and 3 were group therapy. Phase 2 consisted of Strategic Monitoring Bridging and Phase 3 consisted of Bridging. The program’s quality testing results showed that the program was highly rated as appropriate for use. (Mean=.48). The results of the CSCRT program with schizophrenic patients revealed that patients can carry out activities as planned.
Conclusion: The CSCRT program had good quality and may be used among schizophrenic patients.
Keywords: Cognitive remediation, Motivation, Schizophrenia, Computer
Article Details
บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
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