Implementation of Action-Based Cognitive Remediation in First Episode Psychosis: A Multi-Method Evaluation of Feasibility and Efficacy

Abstract

We investigated the feasibility and effectiveness of an Action-Based Cognitive Remediation group within an outpatient early psychosis program. Sixteen participants completed the group including pre-post measures to assess quantitative outcomes of improvement. Eight participants completed individual, semistructured, qualitative interviews at 3–6 months post-intervention to assess feasibility and acceptability. The group was well tolerated. Significant improvements were observed in general cognition and functional capacity, which extended to psychiatric symptoms and illness stigma. Participants identified themes related to improved cognition and self-esteem, as well as generalizing skills to everyday activities. Action-Based Cognitive Remediation is a feasible and efficacious intervention for early psychosis.