Cognitive Skills Training for Homeless Youth
Cognitive Skills Training to Improve Vocational Outcome in Homeless Youth
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
The aim of this research is to conduct a controlled study of cognitive remediation, to provide feasibility data on adapting an established empirically-based cognitive intervention for homeless youth to help them attain vocational goals. The ultimate purpose is that youth will improve in cognitive functioning and have better functional outcomes including jobs to sustain independent living.
The results of this study will inform a larger trial on the efficacy of cognitive remediation in homeless youth to improve cognition and vocational outcomes. Hypotheses are that, compared to those in an active control group receiving computerized work-skills training, individuals who receive cognitive remediation will show greater cognitive benefits on proximal measures of neurocognition and evidence better vocational outcome as defined by greater number of hours worked. This study will address the service gap in the use of integrated psychosocial interventions for homeless populations as the first investigation of cognitive remediation in homeless youth.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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New York
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New York City, New York, États-Unis, 10019
- Covenant House New York
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- have a current Diagnostic and Statistical Manual (DSM-IV) Axis I diagnosis
- residing at Covenant House New York Rights of Passage Program
- psychiatrically stable for at least 21 days
- English speaking
Exclusion Criteria:
- mental retardation (<70 Intelligence Quotient; IQ) on premorbid intelligence estimate)
- risk for suicide or violence
- unremitted substance dependence within the past 6 weeks
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Comparateur actif: Computer skills training
26 sessions conducted 2-3 times a week to train in computer skills related to the workforce.
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Participants utilize an interactive software program that delivers tutorials, lessons, and practice sessions to develop computer skills for office based employment.
During the learning activities, the clinician offers coaching and assistance in setting up computerized training exercises as needed.
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Expérimental: Cognitive Remediation
26 sessions conducted 2-3 times a week of cognitive remediation
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Neuropsychological Educational Approach to Remediation (NEAR) is an evidence based, manualized cognitive remediation program that targets cognitive deficits (eg memory, processing speed, executive functioning, working memory and attention) with the intent of improving daily functioning.NEAR is conducted in a small group setting, allowing for supportive social interaction while participants work at their own computer station on engaging computerized activities that are selected to address their unique profile of cognitive deficits.
Then, as a group they discuss how their respective cognitive activities will help them achieve their vocational goals.
Autres noms:
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Global Cognition Score
Délai: Baseline, 13, 26 sessions
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A Global Cognition Score will be derived from the average z scores in five domains of cognitive functioning: working memory, verbal memory, processing speed, executive functioning, and attention.
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Baseline, 13, 26 sessions
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Vocational outcome
Délai: Baseline, 13, 26 sessions
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The vocational outcome will be total number of hours worked.
Hours worked per week (range of 0 to 40) will be summed from the time of session 1 of cognitive remediation/active control to the time of one month followup.
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Baseline, 13, 26 sessions
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Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Intrinsic Motivation Inventory
Délai: Baseline, 13, 26 sessions
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Self-reported motivation for cognitive treatment will be measured using the total score from the Intrinsic Motivation Inventory
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Baseline, 13, 26 sessions
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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Alice A Medalia, PhD, Columbia University
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- #6586
- 1R21MH092569-01A1 (Subvention/contrat des NIH des États-Unis)
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