Interventions for Clinical High Risk Youth in Tunisia
Cognitive Training vs. Treatment as Usual to Improve Functioning and Reduce Transition Rates in Tunisian CHR Youth: A Feasibility Study
University of California, Los Angeles
54 participants
Sep 1, 2023
INTERVENTIONAL
Conditions
Summary
Study participants will take part in one of the two types of treatments aimed at improving daily functioning as follows: either a Cognitive Training (CT) Program or an Enhanced - Treatment as Usual (E-TAU) Group. All group treatments will be provided at Razi Hospital and one of the sessions will be conducted at home. The Cognitive (thinking skills) Training and Neuropsychological Education Approach to Remediation (CT-NEAR) is a form of cognitive (thinking skills) training that consists of computer-game like brain exercises, learning about thinking skills strategies, and a "bridging group" to help participants use what is learned in daily life. Cognitive exercises are generally fun and playful and are done on a computer. The aim is to train thinking skills and ability to function better in daily life such as at school, university, or at work, or with friends and family. The program lasts 12 weeks with two weekly sessions in groups of 3 to 4 participants. Each session is 1½ hours in length and one of the sessions is which lasts 30 minutes is conducted at home using a tablet that will be provided by the study investigators.
Eligibility
Inclusion Criteria5
- Meets Comprehensive Assessment for At Risk Mental States (CAARMS) criteria for Clinical High Risk
- If under the age of 18, the subject has a parent or guardian who can sign consent forms
- Premorbid Intelligence Quotient not less than 70
- Sufficient fluency in Arabic, French, or English to avoid invalidating research measures
- Residence likely within commuting distance of Razi University Hospital
Exclusion Criteria3
- Evidence of known neurological disorder, e.g. epilepsy or significant head injury that could account for the CHR symptoms
- Evidence of significant and habitual alcohol or substance use in the 6 months prior to study entry
- Evidence that the clinical high-risk symptoms were substance-induced
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Interventions
Psychosocial interactions computer-based cognitive training (CT) administered in a group setting that includes the Neuropsychological Educational Approach to Cognitive Remediation (NEAR) model:
The Enhanced-Treatment as Usual (E-TAU) sessions are delivered in a group therapy format and guided by the principles of Cognitive Behavioral Therapy (CBT). Participants learn to develop coping skills and are educated on how to improve distortions to reduce anxiety and depression.
Locations(1)
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NCT06582901