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Assessing Patient Satisfaction With Metacognitive Training (MCT) for Psychosis: A Systematic Review of Randomized Clinical Trials.

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Title: Assessing Patient Satisfaction With Metacognitive Training (MCT) for Psychosis: A Systematic Review of Randomized Clinical Trials.
Authors: Acuña, Vanessa (AUTHOR), Cavieres, Álvaro (AUTHOR), Arancibia, Marcelo (AUTHOR), Escobar, Camila (AUTHOR), Moritz, Steffen (AUTHOR), Gaweda, Lukasz (AUTHOR), Lamarca, María (AUTHOR), Berna, Fabrice (AUTHOR), König, Caroline (AUTHOR), Ochoa, Susana (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Sep2024, Vol. 31 Issue 5, p1-15. 15p.
Subjects: Medical information storage & retrieval systems, Research funding, Schizophrenia, Psychoeducation, Systematic reviews, MEDLINE, Medical databases, Psychoses, Patient satisfaction, Cognitive therapy, Cognition, Psychology information storage & retrieval systems
Abstract: Objectives: Metacognitive training (MCT) for psychosis is a group intervention that combines cognitive‐behavioural therapy and psychoeducation. It has proven efficacy in reducing psychotic symptoms and correcting cognitive biases implicated in the development and maintenance of psychotic symptoms. However, other outcomes, such as patient satisfaction with the intervention, have not been well studied despite their importance for adherence and overall success. A systematic review of randomized clinical trials was conducted to assess satisfaction with MCT among adults with psychotic spectrum disorders. Methods: The search was conducted in Ovid Embase, Ovid MEDLINE, PsycINFO and Cochrane Central Register of Controlled Trials (CENTRAL). PRISMA guidelines and the Cochrane Risk of Bias Tool were followed, and certainty of evidence was ascertained using the Grading of Recommendations Assessment, Development and Evaluation framework. The study is registered with PROSPERO (CRD42023418097). Results: Patient satisfaction was considered the primary outcome in 3 of the 10 studies reviewed. Four studies compared MCT with other psychosocial interventions (a newspaper discussion group, cognitive remediation and supportive therapy), two of which found significantly higher satisfaction with MCT. A high percentage of all patients found MCT comprehensible and considered it an important part of their treatment; they would recommend the training to others and found the group setting advantageous. Most participants expressed high subjective satisfaction or acceptance of MCT. Conclusions: The authors found evidence that MCT may be associated with high levels of satisfaction in clinical trials whose main objective is to assess patient satisfaction, but more research is needed to consolidate the findings, especially for the extended version of MCT. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Assessing Patient Satisfaction With Metacognitive Training (MCT) for Psychosis: A Systematic Review of Randomized Clinical Trials.
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  Data: <searchLink fieldCode="AR" term="%22Acuña%2C+Vanessa%22">Acuña, Vanessa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cavieres%2C+Álvaro%22">Cavieres, Álvaro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arancibia%2C+Marcelo%22">Arancibia, Marcelo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Escobar%2C+Camila%22">Escobar, Camila</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moritz%2C+Steffen%22">Moritz, Steffen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaweda%2C+Lukasz%22">Gaweda, Lukasz</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lamarca%2C+María%22">Lamarca, María</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Berna%2C+Fabrice%22">Berna, Fabrice</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22König%2C+Caroline%22">König, Caroline</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ochoa%2C+Susana%22">Ochoa, Susana</searchLink> (AUTHOR)
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  Data: Objectives: Metacognitive training (MCT) for psychosis is a group intervention that combines cognitive‐behavioural therapy and psychoeducation. It has proven efficacy in reducing psychotic symptoms and correcting cognitive biases implicated in the development and maintenance of psychotic symptoms. However, other outcomes, such as patient satisfaction with the intervention, have not been well studied despite their importance for adherence and overall success. A systematic review of randomized clinical trials was conducted to assess satisfaction with MCT among adults with psychotic spectrum disorders. Methods: The search was conducted in Ovid Embase, Ovid MEDLINE, PsycINFO and Cochrane Central Register of Controlled Trials (CENTRAL). PRISMA guidelines and the Cochrane Risk of Bias Tool were followed, and certainty of evidence was ascertained using the Grading of Recommendations Assessment, Development and Evaluation framework. The study is registered with PROSPERO (CRD42023418097). Results: Patient satisfaction was considered the primary outcome in 3 of the 10 studies reviewed. Four studies compared MCT with other psychosocial interventions (a newspaper discussion group, cognitive remediation and supportive therapy), two of which found significantly higher satisfaction with MCT. A high percentage of all patients found MCT comprehensible and considered it an important part of their treatment; they would recommend the training to others and found the group setting advantageous. Most participants expressed high subjective satisfaction or acceptance of MCT. Conclusions: The authors found evidence that MCT may be associated with high levels of satisfaction in clinical trials whose main objective is to assess patient satisfaction, but more research is needed to consolidate the findings, especially for the extended version of MCT. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/cpp.3065
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      – SubjectFull: Schizophrenia
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              Text: Sep2024
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