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 evidence High 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.