Cognitive Skills Training for Homeless Youth
Cognitive Skills Training to Improve Vocational Outcome in Homeless Youth
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
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
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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New York
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New York City, New York, Forente stater, 10019
- Covenant House New York
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Aktiv komparator: 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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Eksperimentell: 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.
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Global Cognition Score
Tidsramme: 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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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Vocational outcome
Tidsramme: 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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Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Intrinsic Motivation Inventory
Tidsramme: 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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Samarbeidspartnere og etterforskere
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Alice A Medalia, PhD, Columbia University
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- #6586
- 1R21MH092569-01A1 (U.S. NIH-stipend/kontrakt)
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