Plain English Summary
Background and study aims
Schizophrenia is a long-term mental health condition that affects how a person thinks, feels and behaves. It can cause hallucinations (hearing and/or seeing things), delusions (believing something that is not true), and changes in behaviour. The causes of schizophrenia are unknown. Schizophrenia is usually treated with a combination of antipsychotic medicine and therapy however patients may still find it hard to manage their symptoms. This can make it hard for people with schizophrenia to find and keep a job. In Spain, there are programmes such as the Individual Placement and Support (IPS) programme that provides support and guidance to those with mental health problems to help them find a job. However, this programme does not have a therapy component that addresses the mental condition of patients. A therapy that addresses cognitive function (mental skills) could be beneficial to those with mental health problems seeking jobs. This study aims to see if the effectiveness of the IPS programme is improved by having additional support that works on improving cognitive function.
Who can participate?
Adults with schizophrenia who are unemployed.
What does the study involve?
Participants are randomly allocated to one of two groups. Those in the first group receive the standard job search support. Those in the second group receive the standard job search support as well using a computer program that aims to improve cognitive functioning (mental skills). This program improves memory, attention, problem-solving, learning and motor skills. Participants also receive feedback, support and strategies for improving the skills they have problems with. Participants are followed up 8 months and one year after the programme to test their cognitive function and to see if they are employed.
What are the possible benefits and risks of participating?
Participants may benefit from the possibility of being employed and improving their cognitive functions through participation in this study. There are no risks to participants.
Where is the study run from?
When is the study starting and how long is it expected to run for?
October 2013 to October 2015
Who is funding the study?
Who is the main contact?
Dr Francisco Rodriguez Pulido
Cognitive remediation to improve vocational outcomes for people with psychosis experience: A randomised controlled tiral
The aim of this study is to determine the effectiveness of the Individual Placement and Support (IPS) model in two groups: one with supported employment only and other with supported employment and cognitive rehabilitation.
Obtaining ethical approval was unnecessary as there are no psychotherapeutic techniques used in any of the groups as the goal was employment strategies. All participants gave informed consent.
Single-centre randomised controlled trial
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
2. Schizoaffective disorder
Participants in the Individual Placement and Support programme are randomly allocated to one of two groups using a computer generated randomisation list.
All participants undergo baseline assessment to assess cognitive functioning.
Group one (cognitive rehabilitation group): Participants receive 32 one hour sessions of cognitive rehabilitation as well as the standard employment search support. This involves computer cognitive exercises with COGPACK program (version 8.4). The COGPACK prgoram involves a variety of cognitive activities that measure memory, attention, executive functions, verbal learning and psychomotor speed. The first 6 cognitive training sessions are focused on practicing in all of these areas. The following sessions focus on the cognitive functions that participants struggle with. Sessions take place once or twice a week for 45-60 minutes. Different cognitive exercises are explained and demonstrated. Sessions are individually tailored, and participants are provided with feedback, support and strategies for improving their performance on challenging exercises.
Group two (control group): Participants in the control group receive employment search support according to the standard level of practice.
Follow up is done at 8 months and 1 year post treatment to measure cognitive function (this includes tests that measure memory, attention, executive functions, verbal learning and psychomotor speed).
Primary outcome measures
Employment outcomes are measured through hours worked, wages earned, and job tenure at baseline, 8 months and one year.
Secondary outcome measures
Cognitive outcomes are assessed using Digit Span, Trail Making Test, Rey Auditory Verbal Learning Test, Wisconsin Card Sorting Test and Digit Symbol at baseline, 8 months and one year.
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Meets state definitions of severe mental illness (SMI), that includes psychotic disorders with a CIE-10 diagnosis
2. Difficulties keeping a competitive job
3. Currently desires a competitive job
4. Follow up commitment with the individual placement and support team
Target number of participants
Participant exclusion criteria
1. Patients with no desire to gain employment
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Santa Cruz de Tenerife
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication in a high impact international journal.
IPD sharing plan:
The datasets generated during and/or analysed during the current study are/will be available upon request from Enrique Gonzalez Davila email@example.com
Intention to publish date
Participant level data
Available on request
Results - basic reporting