Evidence map›Paper›PMID 30930034›Full record

Trial reportSchizophrenia research2019

Evaluation of a plasticity-based cognitive training program in schizophrenia: Results from the eCaesar trial.

Henry W Mahncke, Sarah-Jane Kim, Annika Rose, Catherine Stasio, Peter Buckley, Stanley Caroff, Erica Duncan, Sarah Yasmin, L Fredrik Jarskog, J Steven Lamberti and 7 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  13. The MATRICS Consensus Cognitive Battery: An Update.Current topics in behavioral neurosciences · 2023
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  16. Feasibility and preliminary effectiveness of mobile cognitive control training during basic combat training in the military.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Henry W MahnckePosit Science, United States of America. Electronic address: henry.mahncke@positscience.com.
Sarah-Jane KimPosit Science, United States of America.
Annika RosePosit Science, United States of America.
Catherine StasioPosit Science, United States of America.
Peter BuckleyVirginia Commonwealth University, United States of America.
Stanley CaroffCorporal Michael J. Crescenz VA Medical Center, The Perelman School of Medicine, University of Pennsylvania, United States of America.
Erica DuncanAtlanta Veterans Affairs Medical Center, Emory University, United States of America.
Sarah YasminPalo Alto Veterans Affairs Medical Center, United States of America.
L Fredrik JarskogUniversity of North Carolina at Chapel Hill, United States of America.
J Steven LambertiUniversity of Rochester, United States of America.
Keith NuechterleinUniversity of California, Los Angeles, United States of America.
Martin StrassnigUniversity of Miami, United States of America.
Dawn VelliganUniversity of Texas Health Science Center in Austin, United States of America.
Joseph VenturaUniversity of California, Los Angeles, United States of America.
Trina WalkerDuke University, United States of America.
T Scott StroupColumbia University, United States of America.
Richard S E KeefeDuke University, United States of America.

Funding

Plasticity-Based Adaptive Cognitive Remediation for SchizophreniaRC3MH090833 · NIMH · BRAIN PLASTICITY, INC. · PI MAHNCKE, HENRY WILTSHIRE · 2010 to 2010
$3.0M
NIMH NIH HHS RC3 MH090833
6 · The paper itself

Abstract

objectiveCognitive impairment in schizophrenia is a core feature of the disorder. Computerized cognitive training has shown promise in pilot studies. A 26-week randomized blinded placebo-controlled trial was conducted to investigate the effect of a novel computerized cognitive training program on cognitive and functional capacity outcomes.

methodThe study followed MATRICS guidelines for the evaluation of interventions designed to improve cognitive function in schizophrenia. Participants (N = 150) were randomized to experimental (computerized cognitive training in a game-like format) or active control (computer games) groups. Training was conducted in-clinic, with an intended training schedule of 5 days per week, 1 h per day, for 26 weeks. Co-primary outcome measures were the MATRICS Consensus Cognitive Battery (MCCB) composite score and the UCSD Performance-Based Skills Assessment (UPSA-2) total score, secondary outcome measures included the Cognitive Assessment Interview (CAI) and the Short-Form-12 Mental Composite Score (SF-12 MCS). Target engagement was assessed with task-learning based assessment.

resultsAt baseline, the groups were well matched. No significant effect of the experimental treatment was seen on the primary or secondary outcome measures compared to the active control. Review of the task learning/target engagement data suggested inadequate target engagement.

conclusionsResults do not support a cognitive or functional capacity benefit from this implementation of a computerized cognitive training program in people with schizophrenia. In future trials, careful consideration is merited of the assessment of task learning/target engagement, the effects of making the cognitive training game-like on motivation, and the implicit effects of trial requirements on participant selection.

Indexed as

CognitionSchizophrenic PsychologyTherapy, Computer-AssistedAdultAntipsychotic AgentsDouble-Blind MethodFemaleHumansMaleMiddle AgedNeuropsychological TestsPatient DropoutsSchizophreniaTreatment FailureAntipsychotic Agents

Identifiers

PMID30930034
PMCPMC6544484

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.