Enhancing Assertive Community Treatment With Cognitive Behavioral Therapy and Social Skills Training for Schizophrenia.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 178
- 试验地点
- 2
- 主要终点
- Independent Living Skills Survey (ILSS)
研究概览
简要总结
This project is an effectiveness trial comparing two psychosocial treatments for schizophrenia: Assertive Community Treatment (ACT) + Cognitive Behavioral Social Skills Training (CBSST) v. ACT, alone.
详细描述
Assertive community treatment (ACT) is one of the most well-validated treatment models for people with severe mental illness, and ACT is one of the few evidence-based practices that is widely implemented in community mental health programs; however, existing ACT approaches have little impact on functioning. The ACT model provides a unique opportunity for implementation of recovery-oriented EBPs throughout community mental health programs in the US. This project will examine the incremental effectiveness of implementing cognitive-behavioral strategies and social skills training in ACT relative to ACT, alone. The investigators will begin to examine a potential mechanism of change involving defeatist performance beliefs that can interfere with performance of community functioning behaviors, and will use qualitative methods to identify barriers and factors that contribute to successful implementation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DSM-IV-diagnosis of schizophrenia or schizoaffective disorder at any stage of illness
排除标准
- •Unstable assignment (at least 3 months) to an ACT team;
- •Prior exposure to SST or CBT in the past 5 years
- •Level of care required interferes with outpatient therapy (e.g., current hospitalization for psychiatric, substance use or physical illness).
结局指标
主要结局
Independent Living Skills Survey (ILSS)
时间窗: Baseline, 18 mos.
The ILSS is 70 item self-report measure in an interview format to assess everyday functioning. Each item is rated from 0 (No) to 1 (Yes). Scales are summed to yield a total score. Higher scores represent a higher level of functioning.
次要结局
- Expanded Brief Psychiatric Rating Scale (BPRS) - Positive symptom factor structure(Baseline, 18 mos.)
- Scale for Assessment of Negative Symptoms (SANS)(Baseline, 18 mos.)
- Defeatist Performance Attitude Scale (DPAS)(Baseline, 18 mos.)
- Cognitive Therapy Scale for Psychosis (CTS-Psy)(Baseline, 18 mos)
- Dartmouth Assertive Community Treatment Scale (DACTS)(Baseline, 18 mos)
- Maryland Assessment of Social Competence (MASC)(Baseline, 18 mos.)
- Comprehensive Modules Test (CMT)(Baseline, 18 mos.)