Skip to main content
. 2019 Nov 1;2019(11):CD012236. doi: 10.1002/14651858.CD012236.pub2

Summary of findings 11. Group C other: cognitive training compared to active control (tablet games) for prodromal stage of psychosis.

Cognitive training compared to active control (tablet games) for prodromal stage of psychosis
Patient or population: people in the prodromal stage of psychosis
 Setting: outpatient
 Intervention: cognitive training
 Comparison: active control (tablet games)
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with active control (tablet games) Risk with cognitive training
Prodromal symptoms: transition to psychosis See comment See comment Not estimable 0 (0) See comment No study reported this outcome
Global state: clinically important change in global state See comment See comment Not estimable 0 (0) See comment No study reported this outcome
Mental state: psychosis risk symptoms
SOPS total (higher score = worse, scale from: 0‐114)
 Follow‐up: 24 months
The mean mental state: psychosis risk symptoms was 25.49 points The mean mental state: psychosis risk symptoms was 33.9 points
See comment
62
 (1 RCT) ⊕⊝⊝⊝
 Very low1,2 Data for this outcome were skewed, and therefore we did not present summary estimates
Behaviour: clinically important change in behaviour See comment See comment Not estimable 0 (0) See comment No study reported this outcome
Adverse effects: at least one serious adverse event See comment See comment Not estimable 0 (0) See comment No study reported this outcome
Quality of life: clinically important change in quality of life See comment See comment Not estimable 0 (0) See comment No study reported this outcome
Satisfaction with treatment: leaving the study early
Endpoint data (events)
Long‐term
 Follow‐up: by 24 months
Study population RR 0.78
 (0.48 to 1.29) 83
 (1 RCT) ⊕⊝⊝⊝
 Very low1,2  
485 per 1000 378 per 1000
 (233 to 625)
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: confidence interval; RR: risk ratio; SOPS: Scale of Prodromal Symptoms
GRADE Working Group grades of evidenceHigh quality: further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: we are very uncertain about the estimate.

1Risk of bias: rated 'very serious'; randomisation method not described, allocation concealment method not described, high attrition.
 2Imprecision: rated 'very serious'; evidence from one small study.