title: The Feasibility and Acceptability to Service Users of CIRCuiTS, a Computerized Cognitive Remediation Therapy Programme for Schizophrenia.
abstract: BACKGROUND
  Cognitive remediation (CR) is a psychological therapy, effective in improving cognitive performance and functioning in people with schizophrenia. As the therapy becomes more widely implemented within mental health services its longevity and uptake is likely to depend on its feasibility and acceptability to service users and clinicians.
  
  
  OBJECTIVE
  To assess the feasibility and acceptability of a new strategy-based computerized CR programme (CIRCuiTS) for people with psychosis.
  
  
  METHODS
  Four studies were conducted using mixed methods. Perceptions of attractiveness, comprehensibility, acceptability and usability were assessed using self-report questionnaires in 34 non-clinical participants (study 1), and five people with a schizophrenia diagnosis and three experienced CR therapists (studies 2 and 3). The ease with which pre-specified therapy programmes could be assembled was also assessed by three therapists (Study 2). Finally, the satisfaction of 20 service users with a diagnosis of schizophrenia regarding their experience of using CIRCuiTS in the context of a course of the CR therapy was assessed in a qualitative interview study (study 4).
  
  
  RESULTS
  Ratings of perceived attractiveness, comprehensibility, acceptability and usability consistently exceeded pre-set high targets by non-clinical, clinical and therapist participants. Qualitative analysis of satisfaction with CIRCuiTS showed that receiving the therapy was generally seen to be a positive experience, leading to perceptions that cognitive functioning had improved and attempts to incorporate new strategy use into daily activities.
  
  
  CONCLUSIONS
  CIRCuiTS demonstrates high acceptability and ease of use for both service users with a schizophrenia diagnosis and clinicians.
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Clare
authors.initials: C
authors.lastname: Reeder
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Victoria
authors.initials: V
authors.lastname: Pile
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Polly
authors.initials: P
authors.lastname: Crawford
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Matteo
authors.initials: M
authors.lastname: Cella
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Diana
authors.initials: D
authors.lastname: Rose
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Til
authors.initials: T
authors.lastname: Wykes
authors.affiliation: University College London,UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Watson
authors.affiliation: University College London,UK.
authors.forename: Vyv
authors.initials: V
authors.lastname: Huddy
authors.affiliation: University of Durham,UK.
authors.forename: Felicity
authors.initials: F
authors.lastname: Callard
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods; D000072466:Cognitive Remediation / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000628:therapy*; D057566:Self Report; D011795:Surveys and Questionnaires; D013813:Therapy, Computer-Assisted / Q000379:methods*
keywords: Schizophrenia; acceptability; cognition; cognitive remediation; feasibility; service user