About 85% of patients with schizophrenia have cognitive impairments, executive functions being particularly affected. Executive dysfunction, and cognitive deficits in general, are important predictors of functional outcomes, including social problem solving, activities of daily living, life satisfaction, and the ability to return to work or school.The main objective of the current study is to examine the efficacy of group-based Goal Management Training (GMT) for patients with broad schizophrenia spectrum disorders or high risk individuals with executive deficits. The short term goals are to investigate whether GMT can improve participants' ability to organize and achieve goals in everyday life in addition to improving aspects of emotional health. A long-term goal would be to establish an evidence base for nonpharmacological interventions for patients with broad schizophrenia spectrum disorders or high risk for schizophrenia. Main research questions: (1) Does a RCT with GMT delivered to patients with broad schizophrenia spectrum disorders or high risk for schizophrenia result in improved executive functioning, measured by self-reported and/or objective measures of executive functions? (2) Does GMT result in improved goal attainment in everyday life, social- and real world functioning? (3) Does GMT have a positive impact on the patients' emotional health? (4) Are there specific characteristics in patients with broad schizophrenia spectrum disorders or high risk for schizophrenia that are associated with better treatment benefit from GMT?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
83
Metacognitive strategy training where the primary objective is to stop ongoing behavior to define goal hierarchies and monitor performance
Sykehuset Innlandet Reinsvoll
Reinsvoll, Norway
Behavior Rating Inventory for Executive Functions
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Conners Continuous Performance Test III
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Positive and Negative Syndrome Scale
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Global Assessment of Functioning-Split Version
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
The Hotel Task
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Delis Kaplan Executive Function System (D-KEFS) subtests
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Digit span and Letter-number sequencing
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Iowa Gambling Task
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Dysexecutive Questionnaire (self-and informant)
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Cognitive Failures Questionnaire
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Goal Attainment Scaling
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Everyday Functioning from NORMENT Long time follow up questionnaires
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
General Perceived Self-Efficacy Scale
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Social Functioning Scale
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
The Perceived Quality of Life Scale
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Rosenberg self-esteem scale
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
Hopkins Symptom Checklist 10
Assessing change
Time frame: Baseline, immediately post-intervention and 6 months follow-up
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