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IRCT20180317039116N2 IRCT 2023-01-28 University of social welfare and rehabilitation sciences The effects of computer-assisted cognitive rehabilitation on cognitive functions, and mental health of people with schizophrenia Investigating the effects of computer-assisted cognitive rehabilitation on cognitive functions, and mental health of people with schizophrenia 2023-02-19 anticipated 30 Complete https://irct.ir/trial/66415 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Factorial, Purpose: Supportive, Randomization description: The simple randomization method using random number tables will be used. for allocation concealment Sequentially numbered, sealed, opaque envelopes will be used for this process: The random numbers are placed in the opaque envelopes and the allocation of these opaque envelopes to groups is done randomly, this allocation is confidential and without informing the executor, patient, and investigators, Blinding description: All patients are informed that they consent to participate in a research study. A written consent form will be completed by the participants. Statisticians, assessors , and participants are blinded to grouping. 3 Cognitive impairments in Schizophrenia. Intervention 1: Intervention group: In addition to receiving conventional services (doctor, psychologist, and occupational therapist consultation), this group receives computerized cognitive rehabilitation 3 days a week (30 sessions in total). Using the CANTAB cognitive test set, computerized cognitive rehabilitation is performed in 45-minute sessions. This rehabilitation includes the practice of 4 subtests DMS, MTS, OTS, and PRM from CANTAB, which becomes more complex as time passes. For example, as the stage increases, the number of variables and response time changes, and it is expected that the accuracy and speed of the person's action will be affected accordingly. The purpose of DMS, MTS, and PRM exercises is to involve several cognitive processes related to memory and visual-spatial attention. OTS targets planning, problem-solving, and executive functions. All the people in this group are evaluated cognitively and psychologically before, immediately after, and two months after the interventions, in order to evaluate the effectiveness of the intervention in improving the cognitive and mental health of people. Intervention 2: Control group: Participants in this group will receive treatment as usual such as psychiatrist, psychologist and occupational therapist visits for 30 sessions of 45 minutes (3 sessions per week). Yes - There is a plan to make this available What will be shared: Sending all of the data, if the members of the research team agree, a decision will be made based on the applicant's goal. When: The second half of 1402 To whom: First author and corresponding author Conditions: If the members of the research team agree, a decision will be made based on the applicant's goal. Where to obtain: Elahe Fathi Azar How to obtain: Sending an email to Elahe Fathi Azar Comments:
public Hooshang Mirzaei
university of social welfare and rehabilitation sciences
تهران Iran (Islamic Republic of) ۱۹۸۵۷۱۳۸۳۴ +98 21 2218 0083 Elahe_fathi91@yahoo.com University of social welfare and rehabilitation sciences scientific Hooshang Mirzaei
university of social welfare and rehabilitation sciences
Tehran Iran (Islamic Republic of) ۱۹۸۵۷۱۳۸۳۴ +98 21 2218 0083 Elahe_fathi91@yahoo.com University of social welfare and rehabilitation sciences Iran (Islamic Republic of) Schizophrenia disorder diagnosed based on DSM-V by a psychiatrist Having an MMSE score above 18 Age 18 to 55 years 18 years 55 years Both Having mental retardation Orthopedic, neurological problems that prevent upper limb function Changing the medication regimen during the last month or during the intervention Having paranoid delusions F20 Schizophrenia Rehabilitation Placebo Intervention group: In addition to receiving conventional services (doctor, psychologist, and occupational therapist consultation), this group receives computerized cognitive rehabilitation 3 days a week (30 sessions in total). Using the CANTAB cognitive test set, computerized cognitive rehabilitation is performed in 45-minute sessions. This rehabilitation includes the practice of 4 subtests DMS, MTS, OTS, and PRM from CANTAB, which becomes more complex as time passes. For example, as the stage increases, the number of variables and response time changes, and it is expected that the accuracy and speed of the person's action will be affected accordingly. The purpose of DMS, MTS, and PRM exercises is to involve several cognitive processes related to memory and visual-spatial attention. OTS targets planning, problem-solving, and executive functions. All the people in this group are evaluated cognitively and psychologically before, immediately after, and two months after the interventions, in order to evaluate the effectiveness of the intervention in improving the cognitive and mental health of people. Control group: Participants in this group will receive treatment as usual such as psychiatrist, psychologist and occupational therapist visits for 30 sessions of 45 minutes (3 sessions per week). Visual memory: Visual memory is a type of memory that refers to the ability to recall or remember activities, images, positions of objects or words in the past. Visual memory includes the ability to store and retrieve visual sensations and perceptions previously experienced by the individual. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the intervention period. Method of measurement: PAL, SRM, SWM, and SSP subtests of CANTAB. Problem Solving: Problem solving is part of thinking. Problem solving, which is considered the most complex part of any intellectual operation, is defined as an important cognitive process that requires the integration and control of a series of basic and ordinary skills. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the intervention period. Method of measurement: SOC subtest of CANTAB. Self-esteem: Self-esteem is the belief that a person has about her worth and importance. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the intervention period. Method of measurement: Using Cooper-Smith self-esteem inventory (SEI). Mental health is a fundamental and comprehensive factor in the health and life of every person. The World Health Organization (WHO) states:"Health means physical, mental and social well-being and not merely the absence of disease or disability".An important application of this definition is that mental health is more than just the absence of mental disorders or disabilities. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the. Method of measurement: Warwick-Edinburgh Mental Well-Being Scale. Meaningful activities are related to mental health and well-being. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the. Method of measurement: Engagement in Meaningful Activities Survey (EMAS). Recovery is not just the disappearance of symptoms, but also includes supporting the individual to live a meaningful life. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the. Method of measurement: Recovery Assessment Scale – Domains and Stages (RAS-DS). Basic psychological needs include autonomy, relatedness, and competence. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the. Method of measurement: Basic Needs Satisfaction in General Scale (BPNSG-S). A general mental health assessment is essential to assess the experience of psychiatric problems. Timepoint: Before the start of the intervention (at the beginning of the study), after receiving the intervention, and three months after the end of the. Method of measurement: General Health Questionnaire (GHQ-12). University of social welfare and rehabilitation sciences Approved 2023-01-24 Ethics Committee of University of social Welfare and Rehabilitation Sciences University of social welfare and rehabilitation sciences, Kodakyar Alley, Daneshjo Blv. Evin, Tehran. Tehran Tehran Iran (Islamic Republic of)