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Evaluation of an Adaptive Implementation Program for Cognitive Adaptation Training for People With Severe Mental Illness: a cluster-randomized controlled trial

Published online by Cambridge University Press:  01 September 2022

L. Van Der Meer ,
M. Van Dam ,
J. Van Weeghel ,
S. Castelein  and
G. Pijnenborg
L. Van Der Meer*
Affiliation:
Lentis Psychiatric Institute, Department Of Rehabilitation, Zuidlaren, Netherlands University of Groningen, Clinical And Developmental Neuropsychology, Groningen, Netherlands
M. Van Dam
Affiliation:
Lentis Psychiatric Institute, Department Of Rehabilitation, Zuidlaren, Netherlands
J. Van Weeghel
Affiliation:
Tilburg University, Tranzo Scientific Center For Care And Wellbeing, Tilburg, Netherlands
S. Castelein
Affiliation:
Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands University of Groningen, Experimental Psychotherapy & Psychopathology, Groningen, Netherlands
G. Pijnenborg
Affiliation:
University of Groningen, Clinical And Developmental Neuropsychology, Groningen, Netherlands GGZ Drenthe, Department Of Psychotic Disorders, Assen, Netherlands
*
*Corresponding author.

Abstract

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Introduction

Cognitive Adaptation Training (CAT) is a psychosocial intervention focusing on reducing the impact of cognitive disorders on daily functioning in people with severe mental illness (SMI). Similar to many evidence based practices (EBP), implementation of CAT in routine care lags behind, despite the established effectiveness of the intervention. This so called ‘science-to-service gap’ is a widespread problem in mental health care. We developed an innovative implementation program to facilitate implementation of CAT and similar interventions in routine care.

Objectives

The aim of this study is to evaluate the effectiveness of the implementation program and to determine factors that impede or facilitate the implementation process.

Methods

We conducted a multicenter cluster randomized controlled trial comparing the implementation program to a single training program in four mental health institutions (a total of 21 rehabilitation teams) in The Netherlands. Focus groups, semistructured interviews and questionnaires were used at multiple levels of service delivery (service user, professional, team, organization). Assessments took place before, during and after implementation and at follow-up, adding up to a total duration of 14 months. Data were analyzed using multilevel modeling.

Results

Data collection is complete and analyses on the effectiveness of the implementation program are ongoing. Preliminary analyses show that team climate (p<.008) and organizational climate (p<.043) significantly predict the attitudes of mental health providers toward EBP.

Conclusions

This implementation research may provide important information about the implementation of psychosocial interventions in practice and may result in a program that is useful for Cognitive Adaptation Training, and possibly for psychosocial interventions in general.

Disclosure

No significant relationships.

Keywords

psychosocial interventionsevere mental illnesscognitive rehabilitationImplementation
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S754
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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