Attention Shaping Procedures for Improving Psychosocial Skills Among Adults With Schizophrenia
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|ClinicalTrials.gov Identifier: NCT00391677|
Recruitment Status : Completed
First Posted : October 24, 2006
Last Update Posted : September 28, 2012
|Condition or disease||Intervention/treatment||Phase|
|Schizophrenia||Behavioral: Social skills training with attention shaping procedures Behavioral: Social skills training without attention shaping||Not Applicable|
Schizophrenia is a disabling mental disorder that can interfere with a person's ability to function both alone and in social situations. Various treatments have been effective in treating schizophrenia, including antipsychotic medications and cognitive therapy. Psychosocial skills training, a type of cognitive therapy, is often used to help people with schizophrenia cope with their condition and improve social functioning in day-to-day life. However, many individuals with schizophrenia experience difficulty paying attention, and this is a significant barrier to successful outcomes in psychosocial skills training interventions. Attention shaping procedures (ASP) is a behavioral intervention that helps individuals with impaired attention capacities to benefit from skills-based treatment. This study will evaluate the effectiveness of ASP in improving attentiveness and learning abilities in people undergoing psychosocial skills training treatment for schizophrenia.
Participants in this 5-month, single-blind study will be randomly assigned to ASP plus basic conversation skills training (BCS), which is a social skills training group, or BCS alone. Training sessions for both groups will be held when participants attend regular hospital visits. During the first month, participants will complete two sessions of interviews, self-report scales, and social and cognitive functional assessments. Over the next 3 months, training sessions for both groups will occur twice a week for approximately 1 hour. ASP sessions will focus on setting goals and increasing the quality and duration of participants' attentiveness during psychosocial interventions. BCS will train participants in the following five skill areas: recognizing verbal and non-verbal cues; starting a friendly conversation; keeping conversation going; ending a conversation politely; and incorporating all of these skills together. During the last month, participants will attend two interview sessions lasting approximately 4 hours each. One follow-up session will occur 6 months after completing the intervention.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||120 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Effectiveness Trial of Attention Shaping for Schizophrenia|
|Study Start Date :||January 2007|
|Actual Primary Completion Date :||June 2011|
|Actual Study Completion Date :||June 2011|
Participants will receive social skills training with attention shaping procedures
Behavioral: Social skills training with attention shaping procedures
Social skills training with attention shaping procedures includes behavioral procedures to increase the frequency, intensity, and duration of attentive behaviors and to reduce the frequency of inattentive behaviors.
Active Comparator: 2
Participants will receive social skills training without attention shaping procedures
Behavioral: Social skills training without attention shaping
Social skills training without attention shaping is based on the UCLA Basic Conversation Skills Training Module, used without attention shaping procedures.
- Observational ratings of in-group attentiveness [ Time Frame: Measured two times per week for 16 weeks ]
- Observational ratings of in-group attentiveness in non-study groups [ Time Frame: Measured at Month 6 follow-up ]
- Changes in knowledge of information about social skills taught in the study [ Time Frame: Measured at pre- and post-treatment and at Month 6 follow-up ]
- Changes in ability to demonstrate behavioral skills taught in the study [ Time Frame: Measured at pre- and post-treatment and at Month 6 follow-up ]
- Level of social functioning [ Time Frame: Measured at pre- and post-treatment and at Month 6 follow-up ]
- Self-efficacy [ Time Frame: Measured at pre- and post-treatment and at Month 6 follow-up ]
- Working alliance [ Time Frame: Measured at pre- and post-treatment and at Month 6 follow-up ]
- Satisfaction with treatment [ Time Frame: Measured at pre- and post-treatment and at Month 6 follow-up ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00391677
|United States, New Jersey|
|University Behavioral HealthCare|
|Monmouth Junction, New Jersey, United States, 08852|
|University Behavioral HealthCare|
|New Brunswick, New Jersey, United States, 08901|
|Principal Investigator:||Steven M. Silverstein, PhD||University of Medicine and Dentistry of New Jersey|