Evidence map›Paper›PMID 33185025›Full record

ArticleEarly intervention in psychiatry2021

Toolkit for assessing and addressing cognitive health in early psychosis: Evaluation of feasibility and utility in a coordinated specialty care setting.

Alice M Saperstein, Alice Medalia, Igor Malinovsky, Iruma Bello, Lisa B Dixon

Abstract read
In one paragraph

Article in Early intervention in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
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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

5 authors.

Alice M SapersteinDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.ORCID 0000-0001-7844-4371
Alice MedaliaDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Igor MalinovskyBehavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, New York, USA.
Iruma BelloBehavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, New York, USA.
Lisa B DixonDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.

Funding

OnTrackNY's LearningHealthcareSystemR01MH120597 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BELLO, IRUMA, DIXON, LISA B. · 2019 to 2022
$7.0M
NIMH NIH HHS R01 MH120597
6 · The paper itself

Abstract

aimMethods to identify and harness individual cognitive strengths while addressing relative weaknesses have the potential to complement recovery services for first-episode psychosis but systematic implementation is needed. We developed a cognitive health toolkit, trained teams from OnTrackNY, a network of coordinated specialty care (CSC) programs and examined toolkit feasibility and clinical utility during the first year of roll-out.

methodsThe toolkit includes a clinician manual, assessment and decision-making tools, and a menu of cognitive health service options. Assessment uses the WRAT5-Reading subtest and a new Self-Assessment of Cognitive Functioning which, together, determine participant- and clinician-perceived cognitive health need. Program-level data were analysed for rates of assessment, identification of cognitive health needs and cognitive health service provision.

resultsData from 18 OnTrackNY teams included 933 participants, including 310 new admissions. Across teams, 43.9% of newly admitted participants received a WRAT5-Reading and 41.3% received a self-assessment. Of all assessments completed in the study period, 50.7% were at or within 3-months of admission and 69.1% were within the first year of program participation. Cognitive health need was identified by self-report (57.6%) and clinician-report (69.9%) and led to provision of specific services, including psychoeducation, compensatory skills training and in some cases restorative cognitive training.

conclusionsPreliminary feasibility data are encouraging but barriers to assessment need to be identified and addressed. Rates of identified cognitive health need warrant further study of the implementation process and outcomes so that cognitive health assessment and treatment practices may ultimately be disseminated to CSC programs more broadly.

Indexed as

Psychotic DisordersCognitionFeasibility StudiesHospitalizationHumansassessmentcognitioncognitive healthcoordinated specialty carefirst-episode psychosis

Identifiers

PMID33185025
PMCPMC8272079

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Registered trials

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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.