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Predictors of adherence to low support, computerised, cognitive remediation training in psychosis

Author

Listed:
  • A. Hargreaves
  • R. Dillon
  • M. Castorina
  • E. Furey
  • J. Walsh
  • B. Fitzmaurice
  • B. Hallahan
  • A. Corvin
  • I. Robertson
  • G. Donohoe

Abstract

Aim: To 1) establish adherence rates to a computerised, low support cognitive remediation (CR) training programme and 2) delineate clinical, cognitive and psychological factors that predict adherence to CR.Method: A total of 48 participants with psychosis were asked to complete eight weeks of CR training following a comprehensive baseline assessment including clinical, cognitive and psychological factors. Rates of adherence were analysed and factors predicting adherence were established.Results: 54.4% of participants completed a meaningful amount of CR training (>300 min) and five key variables were observed to correlate with adherence: Full Scale IQ, age of onset of illness, positive symptoms (SAPS), therapeutic alliance (WAI) and computer literacy. WAI and SAPS were shown to be the most important of those factors; combined they explained 25.7% of variance in adherence, 20.1% of which was accounted for by WAI alone.Discussion: The current study provides a patient profile of those most likely to adhere to low-support CR. It also highlights the importance of the therapeutic alliance, despite the majority of training occurring in the absence of a therapist. As such, it may well be the quality of the alliance, and not the quantity of contact, that best predicts intervention adherence and success.

Suggested Citation

  • A. Hargreaves & R. Dillon & M. Castorina & E. Furey & J. Walsh & B. Fitzmaurice & B. Hallahan & A. Corvin & I. Robertson & G. Donohoe, 2018. "Predictors of adherence to low support, computerised, cognitive remediation training in psychosis," Psychosis, Taylor & Francis Journals, vol. 10(4), pages 298-306, October.
    • Handle: RePEc:taf:rpsyxx:v:10:y:2018:i:4:p:298-306
    DOI: 10.1080/17522439.2018.1522542
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