# A tablet based intervention to manipulate social cognitive bias in schizophrenia David L. Roberts, Philip Yen-Tsun Liu, Heather Busanet, Natalie Maples & Dawn Velligan To cite this article: David L. Roberts, Philip Yen-Tsun Liu, Heather Busanet, Natalie Maples & Dawn Velligan (2017) A tablet-based intervention to manipulate social cognitive bias in schizophrenia, American Journal of Psychiatric Rehabilitation, 20:2, 143-155, DOI: 10.1080/15487768.2017.1302897 To link to this article: http://dx.doi.org/10.1080/15487768.2017.1302897 ---- - [[Social Cognition]] - Biases. The challenge in the current treatment modality is that patient don't do their homework at home, because training in the clinic does not translate to practice in real life. - Biases need to be activated before they can correct them. Such as metacognitive training. Primary Outcome: - Social Cognition Participant - Community setting. - They compare groups of patients (total 28 of them), half of them prescribed with an iPad app intervention to categories people to judge them if these people are Mary, Eddie, Bill's characters. The other group have an iPad app that also cause them to reflect if they are like Mary, Eddie and Bill. ==There is no EMA actually, there is only interventions - Digital Therapeutic. Not really an EMA EMI set up. == Participants became more biased after the exercise but didn't use de-biasing techniques. --- After 15-30 mins training, then Tablet. Technical Support, and encourage adherence. Finger stroke Memory test Baseline - Psychotic symptoms, BPRS - Hopklins verbal ltest Social cognition. Study Design - MEBi Standard - 12 Sessions Twice. Total of 24 sessions. Teaches participants that in any social situation, people's thoughts and feelings usually can be categorised into 3 stereotypic characters. 1. My Fault Mary - Who is sad and self-blaming 2. Easy Eddie - Happy and never blames others 3. Blaming Bill - Angry and always blaming others. Participant practice categorising people from photo, audio, and video into the 3 stereotypes. To avoid confidence, participants were asked how confident they are of their responses. The system provides corrective feedback for rigid responding and exaggerated confidence ratings. MEBi-Standard Comprise of the 12 sessions above. Categorising photos, and judging characters into the 3 characters. They do it twice, so total 24 sessions. Reinforce learning. MEBi-Self 24 sessions 12 first sessions is Standard. 12 sessions self-referential On the iPad, actors look at the participants and speak to them. Then participants were asked how they felt and which stereotypes they fit. And how strongly did they feel? This is designed to activate self-referential processes, leading to the activation of motivated reasoning and social cognitive bias processes, to which participants would apply debiasing techniques. ![[Roberts (2017) A tablet-based intervention to manipulate social cognitive bias in schizophrenia.pdf]]