Trial reportEuropean archives of psychiatry and clinical neuroscience2026
Cognitive and balance dual-task training for middle-aged and older individuals with schizophrenia: a three-arm randomized controlled trial.
Trial report in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
Funding
Abstract
backgroundIndividuals with schizophrenia experience premature aging, leading to balance deficits and higher fall risk. Dual-task training integrating balance and cognitive training has emerged as a novel intervention. PURPOSE: This study examined the effectiveness of CogBals (i.e., Cognitive and Balance training Simultaneously software), a researcher-developed novel software designed for dual-task training, on balance function, walking performance, lower extremities muscle strength and cognitive function in individuals with schizophrenia.
methodIn a single-blind, parallel-group trial, 84 participants (50.18 ± 7.32 years old; 31 females) were recruited from psychiatric rehabilitation centers in Taiwan and randomly assigned (1:1:1) to a COG&BAL group, balance-only (BAL) group, or treatment as usual control group (TAU). Both training groups received the intervention 2x/week, 60 min/session, 12weeks. The primary outcome was balance functions. Data analysis was conducted using Generalized Estimating Equations.
resultThe mini-BESTest showed improvement in both training groups compared to TAU. The COG&BAL group demonstrated superior improvements in Timed Up and Go Test motor dual-task performance (p=.009), walking speed (p=.010) and stride length (p=.014) under fast walking condition compared to the BAL group. Notably, the TAU group showed significantly decline in balance function. No harms events were identified.
conclusionThe dual-task training with CogBals enhanced balance and walking performance in middle-aged and older adults with schizophrenia. This intervention shows potential as an effective dual-task balance training approach for fall risk reduction. Future research is suggested to investigate its long-term effects and applicability in various populations.
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