Feasibility and acceptability of cognitive adaptation training for first-episode XXXX .

@entity1 @entity161 @entity716 @entity914
AIM: Cognitive and functioning impairments are present early in the course of @entity914 and remain one of the greatest treatment challenges. Cognitive adaptation training (CAT) is a compensatory approach to psychosocial intervention that is underpinned by a model that incorporates the role of cognition in daily functioning. CAT has established effectiveness in chronic @entity161 but has received limited investigation in first-episode @entity716 (FEP). The aim of this study was to examine the feasibility and acceptability of CAT in young @entity1 with FEP. METHODS: This was a single-arm feasibility study of CAT conducted at the Early Psychosis Prevention and Intervention Centre, Melbourne, Australia. Five FEP @entity1 received manually guided CAT from a fully trained CAT therapist. A range of feasibility and acceptability measures were recorded throughout the study, including @entity1 and case manager satisfaction ratings. RESULTS: All @entity1 completed the CAT intervention and session attendance rates were very high (95.3%). @entity1 and their case managers indicated strong satisfaction with CAT as indicated by positive mean ratings on all satisfaction items, although there was a greater range in the @entity1 ratings. Importantly, CAT did not have a negative effect on existing case management, with case managers reporting that CAT enhanced their treatment. CONCLUSIONS: This study provides evidence that CAT is a highly feasible and acceptable intervention in FEP, which may be easily integrated within existing services. The effectiveness of CAT in improving functional outcomes in FEP is worthy of investigation in a larger trial.
