Trial Outcomes & Findings for The Family Cognitive Adaptation Training Manual: A Test of Effectiveness (NCT NCT01768000)

NCT ID: NCT01768000

Last Updated: 2016-03-01

Results Overview

The Multnomah Community Ability Scale (MCAS; Barker et al., 1994) is a 17-item scale assessing functionality in four domains - health, adaptation, social skills and behaviour. Ratings are made on the basis of an interview with the patient and their family member. The MCAS generates a total score ranging from 17 to 85. Items on the MCAS are scored on a five-point scale. The four total domain scores ranges are - health, 5-25; adaptation, 3-15; social skills, 5-25; behaviour, 4-20. Lower ratings indicate less ability. Higher ratings usually mean an assessment of greater ability.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

4 months following baseline assessment

Results posted on

2016-03-01

Participant Flow

Recruited between March 2013 and February 2014 in Ontario, Canada.

Participant milestones

Participant milestones
Measure
Family Cognitive Adaptation Training - Caregivers
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Caregivers
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Family Cognitive Adaptation Training - Family Members
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Family Members
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Overall Study
STARTED
10
10
10
10
Overall Study
COMPLETED
9
8
9
8
Overall Study
NOT COMPLETED
1
2
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Family Cognitive Adaptation Training Manual: A Test of Effectiveness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Family Cognitive Adaptation Training - Family Members
n=10 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualized intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Family Cognitive Adaptation Training - Caregivers
n=10 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualized intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Family Members
n=9 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Control Group - Caregivers
n=9 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Total
n=38 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
36 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
19 Participants
n=21 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
3 Participants
n=4 Participants
19 Participants
n=21 Participants
Race/Ethnicity, Customized
Asian East
1 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
Race/Ethnicity, Customized
Asian South
1 participants
n=5 Participants
3 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
5 participants
n=21 Participants
Race/Ethnicity, Customized
Asian South East
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Race/Ethnicity, Customized
Black Canadian
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
3 participants
n=21 Participants
Race/Ethnicity, Customized
Latin American
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Race/Ethnicity, Customized
White Canadian
5 participants
n=5 Participants
5 participants
n=7 Participants
5 participants
n=5 Participants
3 participants
n=4 Participants
18 participants
n=21 Participants
Race/Ethnicity, Customized
White European
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
4 participants
n=21 Participants
Race/Ethnicity, Customized
Other
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
Race/Ethnicity, Customized
Asian (not specified)
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
Race/Ethnicity, Customized
Not specified
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Region of Enrollment
Canada
10 participants
n=5 Participants
10 participants
n=7 Participants
9 participants
n=5 Participants
9 participants
n=4 Participants
38 participants
n=21 Participants
Employment status
Full-time
1 participants
n=5 Participants
4 participants
n=7 Participants
1 participants
n=5 Participants
4 participants
n=4 Participants
10 participants
n=21 Participants
Employment status
Part-time
1 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
7 participants
n=21 Participants
Employment status
In school
3 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
4 participants
n=21 Participants
Employment status
Unemployed
5 participants
n=5 Participants
1 participants
n=7 Participants
5 participants
n=5 Participants
1 participants
n=4 Participants
12 participants
n=21 Participants
Employment status
Retired
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Employment status
Contract work
0 participants
n=5 Participants
3 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
Employment status
Not specified
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
Level of education
Completion of graduate school
0 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
2 participants
n=4 Participants
4 participants
n=21 Participants
Level of education
Completion of undergraduate university/college
0 participants
n=5 Participants
5 participants
n=7 Participants
2 participants
n=5 Participants
4 participants
n=4 Participants
11 participants
n=21 Participants
Level of education
Partial undergraduate university/college
7 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
0 participants
n=4 Participants
14 participants
n=21 Participants
Level of education
Completion of high school
1 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
5 participants
n=21 Participants
Level of education
Partial high school
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
Level of education
Not specified
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
Housing
Own/rent apartment or home
0 Participants
n=5 Participants
NA Participants
n=7 Participants
2 Participants
n=5 Participants
NA Participants
n=4 Participants
NA Participants
n=21 Participants
Housing
Supported housing
1 Participants
n=5 Participants
NA Participants
n=7 Participants
1 Participants
n=5 Participants
NA Participants
n=4 Participants
NA Participants
n=21 Participants
Housing
Live with family
9 Participants
n=5 Participants
NA Participants
n=7 Participants
6 Participants
n=5 Participants
NA Participants
n=4 Participants
NA Participants
n=21 Participants

PRIMARY outcome

Timeframe: 4 months following baseline assessment

The Multnomah Community Ability Scale (MCAS; Barker et al., 1994) is a 17-item scale assessing functionality in four domains - health, adaptation, social skills and behaviour. Ratings are made on the basis of an interview with the patient and their family member. The MCAS generates a total score ranging from 17 to 85. Items on the MCAS are scored on a five-point scale. The four total domain scores ranges are - health, 5-25; adaptation, 3-15; social skills, 5-25; behaviour, 4-20. Lower ratings indicate less ability. Higher ratings usually mean an assessment of greater ability.

Outcome measures

Outcome measures
Measure
Family Cognitive Adaptation Training - Caregivers
n=9 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Caregivers
n=9 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Family Cognitive Adaptation Training - Family Members
n=8 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Family Members
n=8 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Multnomah Community Ability Scale (MCAS)
Total
67.78 units on a scale
Standard Deviation 5.70
74.63 units on a scale
Standard Deviation 5.45
70.00 units on a scale
Standard Deviation 5.10
74.38 units on a scale
Standard Deviation 5.15
Multnomah Community Ability Scale (MCAS)
Health
21.67 units on a scale
Standard Deviation 2.34
22.13 units on a scale
Standard Deviation 2.36
21.56 units on a scale
Standard Deviation 1.88
21.50 units on a scale
Standard Deviation 1.93
Multnomah Community Ability Scale (MCAS)
Adaptation
10.89 units on a scale
Standard Deviation 2.57
13.25 units on a scale
Standard Deviation 1.67
11.78 units on a scale
Standard Deviation 1.92
13.00 units on a scale
Standard Deviation 1.69
Multnomah Community Ability Scale (MCAS)
Social Skills
17.44 units on a scale
Standard Deviation 3.17
20.63 units on a scale
Standard Deviation 2.50
18.33 units on a scale
Standard Deviation 3.87
20.75 units on a scale
Standard Deviation 2.71
Multnomah Community Ability Scale (MCAS)
Behaviour
17.78 units on a scale
Standard Deviation 1.72
18.63 units on a scale
Standard Deviation 1.77
18.33 units on a scale
Standard Deviation 1.80
19.13 units on a scale
Standard Deviation 1.36

SECONDARY outcome

Timeframe: 4 months following baseline assessment

The Brief Adherence Rating Scale (BARS; Byerly et al., 2008) is a 4-item, valid, reliable, sensitive, measure with which to obtain specific estimates of antipsychotic medication adherence of outpatients with schizophrenia. A total percentage score on a scale ranging from 0 to 100, with 0 indicating less adherence and 100 total adherence.

Outcome measures

Outcome measures
Measure
Family Cognitive Adaptation Training - Caregivers
n=9 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Caregivers
n=9 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Family Cognitive Adaptation Training - Family Members
n=8 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Family Members
n=8 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Brief Adherence Rating Scale (BARS)
77.22 units on a scale
Standard Deviation 35.98
87.50 units on a scale
Standard Deviation 35.36
59.33 units on a scale
Standard Deviation 44.03
88.75 units on a scale
Standard Deviation 31.82

SECONDARY outcome

Timeframe: 4 months following baseline assessment

8 out of 18 items from the Satisfaction With Life Scale (Test et al., 2005) will measure the perceived quality of life of the individual with schizophrenia by tapping into global satisfaction in domains relevant to CAT (e.g., How satisfied are you with yourself on the whole? - 5 point scale, not at all - great deal). This scale is well-validated with a schizophrenia population and is being shortened as not all items are relevant to CAT nor expected to be sensitive to change in a 4 month period, and there is a need to abbreviate the battery to reduce the risk of fatigue in a lengthy phone interview. These 8 items comprise four domains of social relationships, employment/work, social and present life and living situation. A low score indicates less satisfaction in these domains and a higher score indicating greater satisfaction. Total scores can range from 8-40 and subscale scores range from 1-5.

Outcome measures

Outcome measures
Measure
Family Cognitive Adaptation Training - Caregivers
n=9 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Caregivers
n=8 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Family Cognitive Adaptation Training - Family Members
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Family Members
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Satisfaction With Life Scale
Social Relationships
2.06 units on a scale
Standard Deviation 0.92
2.18 units on a scale
Standard Deviation 0.73
Satisfaction With Life Scale
Employment/Work
1.63 units on a scale
Standard Deviation 1.16
2.17 units on a scale
Standard Deviation 0.41
Satisfaction With Life Scale
Social & Present Life
2.00 units on a scale
Standard Deviation 0.99
2.29 units on a scale
Standard Deviation 0.76
Satisfaction With Life Scale
Living Situation
3.11 units on a scale
Standard Deviation 0.49
3.00 units on a scale
Standard Deviation 0.66

SECONDARY outcome

Timeframe: 4 months following baseline assessment

The 31-item Involvement Evaluation Questionnaire (IEQ; Van Wijngaarden et al., 2000) measures caregiver burden. It has been validated for caregivers of individuals with schizophrenia, covers a broad domain of caregiving consequences and refers to burden experienced within the past 4 weeks. Mean scores are calculated for the total scale and sub-scales. Total scores can range from 29 to 145 with sub-scale domains ranging - tension, 9-45; supervision, 6-30; worrying, 6-30; and urging, 8-40. Lower total and subscale scores indicate less burden and higher scores greater level of caregiver burden.

Outcome measures

Outcome measures
Measure
Family Cognitive Adaptation Training - Caregivers
n=9 Participants
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Caregivers
n=8 Participants
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Family Cognitive Adaptation Training - Family Members
Participants in this group will receive the Family CAT manual and DVD. Family Cognitive Adaptation Training: Family CAT is a 4 month manualised intervention designed to be administered by families independent of clinician support. A self scoring checklist is provided to assess and tailor Family CAT to the individual, along with descriptions of strategies for bathing, dressing, dental hygiene, make-up, toileting, housekeeping/care of living quarters, laundry, grocery shopping, transportation, management of money and consumables, medication management, social skills, communication and telephone use, leisure skills, work skills, and orientation. Family members will watch the DVD to gain insight into how the strategies can be implemented in real world settings. Having identified the areas of need, family members will administer the interventions and evaluate their effectiveness for the individual.
Control Group - Family Members
Participants in this arm will support their family members as usual, and will not receive the Family CAT manual and DVD provided to those in the experimental arm of the study.
Involvement Evaluation Questionnaire (IES)
Total
57.72 units on a scale
Standard Deviation 9.66
49.25 units on a scale
Standard Deviation 11.15
Involvement Evaluation Questionnaire (IES)
Tension
15.50 units on a scale
Standard Deviation 4.27
14.13 units on a scale
Standard Deviation 2.85
Involvement Evaluation Questionnaire (IES)
Supervision
8.22 units on a scale
Standard Deviation 2.05
7.50 units on a scale
Standard Deviation 1.07
Involvement Evaluation Questionnaire (IES)
Worrying
17.89 units on a scale
Standard Deviation 4.31
15.25 units on a scale
Standard Deviation 4.40
Involvement Evaluation Questionnaire (IES)
Urging
20.56 units on a scale
Standard Deviation 7.13
16.38 units on a scale
Standard Deviation 5.66

Adverse Events

Family Cognitive Adaptation Training - Caregivers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group - Caregivers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Family Cognitive Adaptation Training - Family Members

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group - Family Members

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sean Kidd

Centre for Addiction and Mental Health

Phone: 416-535-8501

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place