The Impact of Using an Interactive System and a Paper and Pencil Program in Psychosocial Rehabilitation of Psychiatric Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Psychiatric Disease
- Sponsor
- Instituto Irmãs Hospitaleiras Sagrado Coração de Jesus
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Montreal Cognitive Assessment (Cognitive Screening)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Virtual Reality allows the integration of cognitive rehabilitation in a more ecologically valid context.
The purpose of this study is to determine whether this methodology has more impact on psychosocial rehabilitation than a paper and pencil personalized program.
Detailed Description
Cognitive impairments are frequently present on many psychiatric diseases, such as schizophrenia, depression, etc. and are not always given sufficient attention despite its limitations in activities of daily living (ADL's). Current cognitive rehabilitation methods mostly rely on paper-and-pencil tasks targeting isolated domains, which is not consistent with everyday life, and have limited ecological validity. Virtual Reality (VR) has shown to be a solution for the development of accessible and ecologically valid systems but, does it have more impact than a paper and pencil personalized intervention? Through a participatory design approach, with health professionals, the investigators have developed: a motor-accessible and cognitive-personalized VR-based system, where conventional cognitive tasks were operationalized in meaningful simulations of ADL's (Reh@City) and; a web tool which generates personalized paper and pencil tasks (Task Generator). The investigators goal is to have a sample of 30 inpatients from a psychosocial rehabilitation unit, with no age limit, randomly allocated in two groups: 1) the experimental group, where participants will perform 30 minutes of the VR training with Reh@City; and 2) the control group, where participants will perform 30 minutes of the paper and pencil training with the Task Generator.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Inpatients of psychosocial rehabilitation unit;
- •Cognitive deficit but with enough capacity to understand the task and follow instructions;
- •Able to read and write.
Exclusion Criteria
- •Patients experiencing an acute psychiatric episode.
Outcomes
Primary Outcomes
Montreal Cognitive Assessment (Cognitive Screening)
Time Frame: Baseline, End (8 weeks) and 8-weeks follow-up
Change from baseline in the Montreal Cognitive Assessment. Higher values represent better outcomes.
Secondary Outcomes
- Symbol Search and Coding (WAIS III)(Baseline, End (8 weeks) and 8-weeks follow-up)
- Rey 15-Item Memory Test(Baseline, End (8 weeks) and 8-weeks follow-up)
- Toulouse-Pieron (Attention)(Baseline, End (8 weeks) and 8-weeks follow-up)
- Semantic Fluency and Phonemic Fluency Tests(Baseline, End (8 weeks) and 8-weeks follow-up)
- Rey Complex Figure(Baseline, End (8 weeks) and 8-weeks follow-up)
- Verbal Paired Associates (WMS-III) (Memory)(Baseline, End (8 weeks) and 8-weeks follow-up)