Cognitive Adaption Training-Effectiveness in Real-world Settings and Mechanism of Action (CAT-EM)
Lay Description
The investigators propose a cluster randomized effectiveness trial comparing Cognitive Adaptation Training (CAT; a psychosocial treatment using environmental supports such as signs, alarms, pill containers, checklists, technology and the organization of belongings established in a person's home or work environment to bypass the cognitive and motivational difficulties associated with schizophrenia ) to existing community treatment (CT) for individuals with schizophrenia in 8 community mental health centers across multiple states including 400 participants. Mechanisms of action will be examined. Participants will be assessed at baseline and 6 and 12 months on measures of functional and community outcome, medication adherence, symptoms, habit formation and automaticity, cognition and motivation.
Category
- IRB Number
- 20180237HU
- NCT Number
- NCT03829280
Eligibility
- Eligible Ages
- Between 18 Years and 65 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Males and females who have given informed consent.
- Between the ages of 18 and 65.
- Clinical Diagnosis of Schizophrenia, or Schizoaffective Disorder
- Able to provide evidence of a stable living environment (individual apartment, family home, board and care facility) within the last three months and no plans to move in the next year.
- Able to understand and complete rating scales and assessments.
- Agree to home visits
- Be able to have reimbursed home visits as part of treatment
Exclusion Criteria
- Alcohol or drug or dependence within the past 2 months.
- Currently being treated by an Assertive Community Treatment (ACT) team.
- History of assault within the past year or other conditions that in the judgement of the treatment team make home visits unsafe.