The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study

Davide Palumbo,1 Armida Mucci,1 Giulia Maria Giordano,1 Giuseppe Piegari,1 Carmen Aiello,1 Daria Pietrafesa,1 Nicola Annarumma,1 Marcello Chieffi,1 Matteo Cella,2 Silvana Galderisi1 1Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy; 2Institute of Psychiatry, Psycholog...

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Autores principales:	Palumbo D, Mucci A, Giordano GM, Piegari G, Aiello C, Pietrafesa D, Annarumma N, Chieffi M, Cella M, Galderisi S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	cognition cognitive training metacognition real-life functioning. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/56019f74c92f49d19fc2c7f394b0e94d
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spelling	oai:doaj.org-article:56019f74c92f49d19fc2c7f394b0e94d2021-12-02T11:32:01ZThe Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study1178-2021https://doaj.org/article/56019f74c92f49d19fc2c7f394b0e94d2019-11-01T00:00:00Zhttps://www.dovepress.com/the-efficacy-feasibility-and-acceptability-of-a-remotely-accessible-us-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Davide Palumbo,1 Armida Mucci,1 Giulia Maria Giordano,1 Giuseppe Piegari,1 Carmen Aiello,1 Daria Pietrafesa,1 Nicola Annarumma,1 Marcello Chieffi,1 Matteo Cella,2 Silvana Galderisi1 1Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy; 2Institute of Psychiatry, Psychology and Neuroscience (ioppn), King’s College London, London, UKCorrespondence: Armida MucciDepartment of Psychiatry, University of Campania Luigi Vanvitelli, L.go Madonna delle Grazie 1, 80138 Naples, ItalyTel +39-81-5665153Email armida.mucci@gmail.comIntroduction: The Computerized Interactive Remediation of Cognition – Training for Schizophrenia (CIRCuiTS) is a form of cognitive remediation therapy developed to target neurocognitive and metacognitive deficits of people with schizophrenia, which have a detrimental impact on real-life functioning. The English version of CIRCuiTS demonstrated good acceptability and feasibility. A recent randomized controlled trial provided evidence that the program improves memory and functioning, and that the impact on functional outcome is mediated by metacognition. The next steps in the development of CIRCuiTS include both: 1) the translation and adaptation of the program in different cultural settings; and 2) the demonstration of feasibility, acceptability and effectiveness of a standardized method to administer CIRCuiTS remotely.Purpose: To implement the CIRCuiTS Italian version and to assess acceptability, feasibility and efficacy of a standardized method to administer CIRCuiTS remotely.Methods: Participants were assessed at baseline and received up to 40 CIRCuiTS therapy sessions, three times a week, for about 1 hr over a three-month period. Participants were reassessed post-treatment.Results: The program demonstrated good feasibility and high acceptability when assessed by the number of dropouts and evaluation of patients’ satisfaction. Participants improved in learning, speed of processing, working memory and executive control. They showed a reduction in disorganization and improvement in self-esteem, functional capacity, and real-life functioning.Conclusion: In this study, a standardized protocol for using CIRCuiTS from home was implemented. The first set of data showed in the paper is encouraging. The proposed procedure could lead to a dropout reduction while maintaining the efficacy of the program.Keywords: cognition, cognitive training, metacognition, real-life functioningPalumbo DMucci AGiordano GMPiegari GAiello CPietrafesa DAnnarumma NChieffi MCella MGalderisi SDove Medical Pressarticlecognitioncognitive trainingmetacognitionreal-life functioning.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 3103-3113 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	cognition cognitive training metacognition real-life functioning. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	cognition cognitive training metacognition real-life functioning. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Palumbo D Mucci A Giordano GM Piegari G Aiello C Pietrafesa D Annarumma N Chieffi M Cella M Galderisi S The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study
description	Davide Palumbo,1 Armida Mucci,1 Giulia Maria Giordano,1 Giuseppe Piegari,1 Carmen Aiello,1 Daria Pietrafesa,1 Nicola Annarumma,1 Marcello Chieffi,1 Matteo Cella,2 Silvana Galderisi1 1Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy; 2Institute of Psychiatry, Psychology and Neuroscience (ioppn), King’s College London, London, UKCorrespondence: Armida MucciDepartment of Psychiatry, University of Campania Luigi Vanvitelli, L.go Madonna delle Grazie 1, 80138 Naples, ItalyTel +39-81-5665153Email armida.mucci@gmail.comIntroduction: The Computerized Interactive Remediation of Cognition – Training for Schizophrenia (CIRCuiTS) is a form of cognitive remediation therapy developed to target neurocognitive and metacognitive deficits of people with schizophrenia, which have a detrimental impact on real-life functioning. The English version of CIRCuiTS demonstrated good acceptability and feasibility. A recent randomized controlled trial provided evidence that the program improves memory and functioning, and that the impact on functional outcome is mediated by metacognition. The next steps in the development of CIRCuiTS include both: 1) the translation and adaptation of the program in different cultural settings; and 2) the demonstration of feasibility, acceptability and effectiveness of a standardized method to administer CIRCuiTS remotely.Purpose: To implement the CIRCuiTS Italian version and to assess acceptability, feasibility and efficacy of a standardized method to administer CIRCuiTS remotely.Methods: Participants were assessed at baseline and received up to 40 CIRCuiTS therapy sessions, three times a week, for about 1 hr over a three-month period. Participants were reassessed post-treatment.Results: The program demonstrated good feasibility and high acceptability when assessed by the number of dropouts and evaluation of patients’ satisfaction. Participants improved in learning, speed of processing, working memory and executive control. They showed a reduction in disorganization and improvement in self-esteem, functional capacity, and real-life functioning.Conclusion: In this study, a standardized protocol for using CIRCuiTS from home was implemented. The first set of data showed in the paper is encouraging. The proposed procedure could lead to a dropout reduction while maintaining the efficacy of the program.Keywords: cognition, cognitive training, metacognition, real-life functioning
format	article
author	Palumbo D Mucci A Giordano GM Piegari G Aiello C Pietrafesa D Annarumma N Chieffi M Cella M Galderisi S
author_facet	Palumbo D Mucci A Giordano GM Piegari G Aiello C Pietrafesa D Annarumma N Chieffi M Cella M Galderisi S
author_sort	Palumbo D
title	The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study
title_short	The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study
title_full	The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study
title_fullStr	The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study
title_full_unstemmed	The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study
title_sort	efficacy, feasibility and acceptability of a remotely accessible use of circuits, a computerized cognitive remediation therapy program for schizophrenia: a pilot study
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/56019f74c92f49d19fc2c7f394b0e94d
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The Efficacy, Feasibility And Acceptability Of A Remotely Accessible Use Of CIRCuiTS, A Computerized Cognitive Remediation Therapy Program For Schizophrenia: A Pilot Study

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