The Feasibility and Acceptability to Service Users of CIRCuiTS, a Computerized Cognitive Remediation Therapy Programme for Schizophrenia

Reeder, C.; Pile, V.; Crawford, P.; Cella, M.; Rose, D.; Wykes, T.; Watson, A.; Huddy, V.; Callard, F.

doi:10.1017/s1352465815000168

The Feasibility and Acceptability to Service Users of CIRCuiTS, a Computerized Cognitive Remediation Therapy Programme for Schizophrenia

Reeder, C.; Pile, V.; Crawford, P.; Cella, M.; Rose, D.; Wykes, T.; Watson, A.; Huddy, V.; Callard, F.

Authors

C. Reeder

V. Pile

P. Crawford

M. Cella

D. Rose

T. Wykes

A. Watson

V. Huddy

F. Callard

Abstract

Background: Cognitive remediation (CR) is a psychological therapy, effective in improving cognitive performance and functioning in people with schizophrenia. As the therapy becomes more widely implemented within mental health services its longevity and uptake is likely to depend on its feasibility and acceptability to service users and clinicians. Aims: To assess the feasibility and acceptability of a new strategy-based computerized CR programme (CIRCuiTS) for people with psychosis. Method: Four studies were conducted using mixed methods. Perceptions of attractiveness, comprehensibility, acceptability and usability were assessed using self-report questionnaires in 34 non-clinical participants (study 1), and five people with a schizophrenia diagnosis and three experienced CR therapists (studies 2 and 3). The ease with which pre-specified therapy programmes could be assembled was also assessed by three therapists (Study 2). Finally, the satisfaction of 20 service users with a diagnosis of schizophrenia regarding their experience of using CIRCuiTS in the context of a course of the CR therapy was assessed in a qualitative interview study (study 4). Results: Ratings of perceived attractiveness, comprehensibility, acceptability and usability consistently exceeded pre-set high targets by non-clinical, clinical and therapist participants. Qualitative analysis of satisfaction with CIRCuiTS showed that receiving the therapy was generally seen to be a positive experience, leading to perceptions that cognitive functioning had improved and attempts to incorporate new strategy use into daily activities. Conclusions: CIRCuiTS demonstrates high acceptability and ease of use for both service users with a schizophrenia diagnosis and clinicians.

Citation

Reeder, C., Pile, V., Crawford, P., Cella, M., Rose, D., Wykes, T., …Callard, F. (2016). The Feasibility and Acceptability to Service Users of CIRCuiTS, a Computerized Cognitive Remediation Therapy Programme for Schizophrenia. Behavioural and Cognitive Psychotherapy, 44(03), 288-305. https://doi.org/10.1017/s1352465815000168

Journal Article Type	Article
Online Publication Date	May 25, 2015
Publication Date	May 1, 2016
Deposit Date	Dec 4, 2015
Publicly Available Date	Apr 8, 2016
Journal	Behavioural and Cognitive Psychotherapy
Print ISSN	1352-4658
Electronic ISSN	1469-1833
Publisher	Cambridge University Press
Peer Reviewed	Peer Reviewed
Volume	44
Issue	03
Pages	288-305
DOI	https://doi.org/10.1017/s1352465815000168

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Advance online version © British Association for Behavioural and Cognitive Psychotherapies 2015. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.