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Early Interv Psychiatry. 2017 Nov 22. doi: 10.1111/eip.12520. [Epub ahead of print]

Pilot study of cognitive remediation and motivational interviewing in youth at risk of serious mental illness.

Author information

1
Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada.

Abstract

AIM:

The aim of this pilot project was to determine the recruitment feasibility for a computerized cognitive remediation treatment (CRT) for youth at-risk of serious mental illness (SMI), and treatment adherence following an adjunct treatment of motivational interviewing (MI).

METHODS:

Twelve youth at-risk of SMI were randomized to receive either CRT or CRT plus MI. CRT was conducted over 10 wk during which time 5 MI sessions were available for the CRT + MI group.

RESULTS:

The recruitment rate was 55%. The attrition rate from the study was 25% and on average participants completed 33% of the CRT sessions, with no group differences in the number of CRT sessions completed.

CONCLUSIONS:

Treatment adherence was low. Participants described the CRT as easy and unchallenging. Future recommendations include engaging youth at-risk into CRT programs based on cognitive deficits, measuring intervention satisfaction and offering access to supportive therapies for concerns other than cognition.

KEYWORDS:

at-risk youth; attenuated syndromes; cognition; cognitive remediation; motivational interviewing

PMID:
29164824
DOI:
10.1111/eip.12520

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