The Engagement Challenge: Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services

Elisabeth Thibaudeau; Alexandra R. Mercier; Til Wykes; Clare Reeder; Karianne Guay; Danielle Nadeau; Geneviève Dufour; Matteo Cella; Caroline Cellard

doi:10.2174/2210676612666220507010146

The Engagement Challenge: Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services

Elisabeth Thibaudeau, Alexandra R. Mercier, Til Wykes, Clare Reeder, Karianne Guay, Danielle Nadeau, Geneviève Dufour, Matteo Cella, Caroline Cellard^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Background: History of childhood maltreatment is recognized as an important risk factor for the development of mental health and cognitive difficulties. Cognitive difficulties are associated with impairments in everyday functioning in different domains such as school or work. To date, no study has evaluated the feasibility and acceptability of cognitive remediation therapy (CRT) for teenagers with a history of childhood maltreatment. Objective: The objective was to assess the acceptability and feasibility of the CIRCuiTS program for teenagers in youth protection services and to explore the preliminary effect on clinical and neuropsychological outcomes. Methods: Ten participants were first assessed with clinical and neuropsychological measures. They then received a mean of 16 CRT sessions with the CIRCuiTS program adapted for teenagers. The same measures as a baseline were repeated directly after the end of treatment, as well as 3-months and 1-year post-treatment. Descriptive statistics were used to assess feasibility and acceptability, while the preliminary effect of CIRCuiTS was assessed with Reliable Change Indices (RCIs). Results: CIRCuiTS was considered acceptable by both participants and therapists for the attractiveness of the program, its easiness of use and understanding, and its cultural adaptability. However, the feasibility was limited, with only 50% of participants having completed CIRCuiTS. This was mostly explained by contextual factors. RCIs revealed significant improvements in several neuropsychological domains, as well as a decline in other domains. Conclusion: This pilot study highlights challenges that must be addressed to promote engagement with CRT for teenagers in the care of youth protection services.

Original language	English
Pages (from-to)	124-143
Number of pages	20
Journal	Adolescent Psychiatry
Volume	12
Issue number	2
DOIs	https://doi.org/10.2174/2210676612666220507010146
Publication status	Published - Jul 2022

Keywords

acceptability
cognitive remediation therapy
engagement
feasibility
Teenagers
youth protection services

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2174/2210676612666220507010146

Cite this

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title = "The Engagement Challenge: Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services",

abstract = "Background: History of childhood maltreatment is recognized as an important risk factor for the development of mental health and cognitive difficulties. Cognitive difficulties are associated with impairments in everyday functioning in different domains such as school or work. To date, no study has evaluated the feasibility and acceptability of cognitive remediation therapy (CRT) for teenagers with a history of childhood maltreatment. Objective: The objective was to assess the acceptability and feasibility of the CIRCuiTS program for teenagers in youth protection services and to explore the preliminary effect on clinical and neuropsychological outcomes. Methods: Ten participants were first assessed with clinical and neuropsychological measures. They then received a mean of 16 CRT sessions with the CIRCuiTS program adapted for teenagers. The same measures as a baseline were repeated directly after the end of treatment, as well as 3-months and 1-year post-treatment. Descriptive statistics were used to assess feasibility and acceptability, while the preliminary effect of CIRCuiTS was assessed with Reliable Change Indices (RCIs). Results: CIRCuiTS was considered acceptable by both participants and therapists for the attractiveness of the program, its easiness of use and understanding, and its cultural adaptability. However, the feasibility was limited, with only 50% of participants having completed CIRCuiTS. This was mostly explained by contextual factors. RCIs revealed significant improvements in several neuropsychological domains, as well as a decline in other domains. Conclusion: This pilot study highlights challenges that must be addressed to promote engagement with CRT for teenagers in the care of youth protection services.",

keywords = "acceptability, cognitive remediation therapy, engagement, feasibility, Teenagers, youth protection services",

author = "Elisabeth Thibaudeau and Mercier, {Alexandra R.} and Til Wykes and Clare Reeder and Karianne Guay and Danielle Nadeau and Genevi{\`e}ve Dufour and Matteo Cella and Caroline Cellard",

note = "Publisher Copyright: {\textcopyright} 2022 Bentham Science Publishers.",

year = "2022",

month = jul,

doi = "10.2174/2210676612666220507010146",

language = "English",

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T2 - Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services

AU - Thibaudeau, Elisabeth

AU - Mercier, Alexandra R.

AU - Wykes, Til

AU - Reeder, Clare

AU - Guay, Karianne

AU - Nadeau, Danielle

AU - Dufour, Geneviève

AU - Cella, Matteo

AU - Cellard, Caroline

PY - 2022/7

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N2 - Background: History of childhood maltreatment is recognized as an important risk factor for the development of mental health and cognitive difficulties. Cognitive difficulties are associated with impairments in everyday functioning in different domains such as school or work. To date, no study has evaluated the feasibility and acceptability of cognitive remediation therapy (CRT) for teenagers with a history of childhood maltreatment. Objective: The objective was to assess the acceptability and feasibility of the CIRCuiTS program for teenagers in youth protection services and to explore the preliminary effect on clinical and neuropsychological outcomes. Methods: Ten participants were first assessed with clinical and neuropsychological measures. They then received a mean of 16 CRT sessions with the CIRCuiTS program adapted for teenagers. The same measures as a baseline were repeated directly after the end of treatment, as well as 3-months and 1-year post-treatment. Descriptive statistics were used to assess feasibility and acceptability, while the preliminary effect of CIRCuiTS was assessed with Reliable Change Indices (RCIs). Results: CIRCuiTS was considered acceptable by both participants and therapists for the attractiveness of the program, its easiness of use and understanding, and its cultural adaptability. However, the feasibility was limited, with only 50% of participants having completed CIRCuiTS. This was mostly explained by contextual factors. RCIs revealed significant improvements in several neuropsychological domains, as well as a decline in other domains. Conclusion: This pilot study highlights challenges that must be addressed to promote engagement with CRT for teenagers in the care of youth protection services.

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The Engagement Challenge: Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services

Abstract

Keywords

UN SDGs

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