Cognitive Skills Training for Homeless Youth
Cognitive Skills Training to Improve Vocational Outcome in Homeless Youth
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Werkelijk)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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New York
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New York City, New York, Verenigde Staten, 10019
- Covenant House New York
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Actieve vergelijker: 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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Experimenteel: 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.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Global Cognition Score
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Vocational outcome
Tijdsspanne: 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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Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Intrinsic Motivation Inventory
Tijdsspanne: 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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Medewerkers en onderzoekers
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Alice A Medalia, PhD, Columbia University
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- #6586
- 1R21MH092569-01A1 (Subsidie/contract van de Amerikaanse NIH)
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