The Acceptability of Remotely Delivered Cognitive Adaptation Training.
The Acceptability of Remotely Delivered Cognitive Adaptation Training.
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DOI：
10.1093/schizbullopen/sgac062
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发表时间：
2022-01
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认知适应训练（CAT）是一种心理社会治疗，使用环境支持，如标志，清单，技术和财产组织，以绕过那些有严重行为健康问题的认知和动机障碍。我们进行了一项调查，204名成员的管理医疗补助在得克萨斯州检查的可接受性，意见和偏好的CAT交付的人（CAT）或远程（R-CAT），用品将邮寄和访问将发生通过视频会议。电话调查以平衡的顺序呈现了对CAT和R-CAT的描述，以引出对治疗的一般意见，例如（1）如果在调查当天免费提供治疗，他们是否会接受治疗，（2）哪种治疗是首选，以及（3）他们同意或不同意治疗组成部分的一些陈述的程度。结果表明，R-CAT和CAT都被受访者接受，R-CAT的总体接受率（87%）显著高于CAT（78%）。在偏好方面，分别有27%和28%的受访者更喜欢CAT和R-CAT，41%的受访者同样喜欢两者。黑人受访者更喜欢亲自CAT而不是其他替代品。受访者同意他们需要帮助，他们对技术感到满意，他们相信这些项目会帮助他们。绝大多数关于治疗的定性评论都是积极的。结果表明，这将是重要的，以评估CAT远程交付的随机试验的疗效和有效性。
Cognitive Adaptation Training (CAT) is a psychosocial treatment using environmental supports such as signs, checklists, technology, and the organization of belongings to bypass cognitive and motivational impairments for those with serious behavioral health problems. We conducted a survey of 204 members of managed Medicaid in Texas to examine the acceptability of, opinions about and preferences for CAT delivered in-person (CAT) or remotely (R-CAT) where supplies would be mailed and visits would occur via videoconferencing. The telephone survey presented descriptions of CAT and R-CAT in counterbalanced order eliciting general opinions about the treatments, such as (1) whether they would accept the treatments if they were offered the day of the survey at no cost, (2) which treatment was preferred, and (3) the extent to which they agreed or disagreed with a number of statements about components of the treatments. Results indicated that both R-CAT and CAT were acceptable to respondents with overall acceptance rates significantly higher for R-CAT 87% than for CAT (78%). With respect to preferences, 27% and 28% of respondents preferred CAT and R-CAT, respectively, and 41% of respondents preferred both equally. Black respondents more often preferred in-person CAT to other alternatives. Respondents agreed that they needed help, that they were comfortable with technology, and that they believed the programs would help them. The vast majority of qualitative comments about the treatments were positive. Results suggest that it will be important to assess the efficacy and effectiveness of CAT delivered remotely in randomized trials.