Actively Recruiting

Phase Not Applicable
Age: 18Years - 55Years
All Genders
ID04610697

Cognitive Remediation in Forensic Mental Health Care

Led by The Royal Ottawa Mental Health Centre · Updated on 2025-12-12

30

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Forensic patients often face challenges with executive functions such as planning, problem-solving, and controlling behavior, which can hinder their rehabilitation and reintegration. This trial evaluates whether cognitive remediation, a method involving cognitive exercises combined with coaching, can improve cognitive, functional, and clinical outcomes in forensic inpatients. The study focuses on a group of 30 forensic patients aged 18 to 55 and aims to explore improvements that may reduce hospitalization length and recidivism. Participants are randomly assigned to one of two groups: one receiving computerised cognitive remediation exercises with tele-health coaching, and the other receiving an active control intervention with similar exercises and discussions also delivered via tele-health. The treatment lasts for 12 hours over 6 weeks. Details of the control condition are withheld to maintain participant blinding. The study also includes a follow-up period to assess lasting effects. During the study, participants will be assessed on executive function before and after training, as well as at a 12-week follow-up. Researchers will also measure oppositional behavior, functional capacity, and mental health symptoms before and after the intervention and at follow-up. The study uses computerized tasks, tele-health sessions, and various clinical assessments to monitor progress. Participation spans from initial screening through a 12-week post-treatment observation period.

CONDITIONS

Brief Title

Cognitive Remediation in Forensic Mental Health Care

Who Can Participate

Age: 18Years - 55Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 to 55 years
  • Ability to read and speak fluent English
  • Current inpatient on a Forensic Treatment Unit
Not Eligible

You will not qualify if you...

  • Intellectual disability
  • Traumatic brain injury with loss of consciousness followed by severe neurological problems requiring hospitalization and rehabilitation

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - 6 weeks

Participants complete 12 hours of computerised cognitive remediation or active control exercises with coaching via tele-health over 6 weeks to improve executive functions and related outcomes.

Sessions conducted via tele-health, schedule dependent on participant availability

Follow-up

Duration - 12 weeks

Participants are assessed to evaluate the persistence of cognitive, functional, and clinical improvements 12 weeks after completing treatment.

Assessments within 1 week before and 1 week after treatment, and at 12-week follow-up

Trial Site Locations

Total: 1 location

1

The Royal's Institute of Mental Health Research

Ottawa, Ontario, Canada, K1Z 7K4

Actively Recruiting

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Research Team

P

Patrizia Pezzoli, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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