Barriers and Facilitators to Computerized Cognitive Training; A Qualitative Analysis

Poster B30, Tuesday, October%209, 11:30%20am%20-%201:00%20pm, Essex%20Ballroom

Benjamin Brandrett1, Mark Savill1, Catalina Ordorica1, Kristin LaCross1, Melissa Fisher2, Sophia Vinogradov2, Al Gilbert3, Adriana Furuzawa3, Julia Godzikovskaya3, Vicki Montesano3, Rachel Loewy1; 1UC, San Francisco, 2University of Minnesota, Twin Cities, 3Felton Early Psychosis Program

Abstract: The use of computerized cognitive training (CCT) as a rehabilitative tool for neurocognitive impairment in schizophrenia has demonstrated strong efficacy, gaining significant traction in the field of early intervention for psychosis. However, adherence to CCT at the required level of intensity in clients with psychosis can be challenging. To address this, utilizing a qualitative approach to understand the clients’ experience of completing CCT could represent an important step forward in understanding the barriers and facilitators to successful completion. In this ongoing study, across four specialist early-psychosis clinics, clients were recruited to participate in a semi-structured interview exploring factors associated with CCT adherence. All clients were diagnosed with a primary psychotic disorder, had participated in a CCT study, were within two years of onset of their first psychotic episode, and were clinically stable at the time of the interview. We will present preliminary data from a thematic analysis with the aim of providing a qualitative understanding of participants’ experiences with CCT within an early psychosis service. Such findings could represent an important step towards developing strategies to improve treatment adherence, improve user experience, and support the implementation of CCT more widely in coordinated specialty care programs for early psychosis.

Topic Area: Neurocognition

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