Can a computerised training paradigm assist people with intellectual disabilities to learn cognitive mediation skills? A randomised experiment

Aims: The aim was to examine whether specific skills required for cognitive behavioural

therapy (CBT) could be taught using a computerised training paradigm with people who have

intellectual disabilities (IDs). Training aimed to improve: a) ability to link pairs of situations

and mediating beliefs to emotions, and b) ability to link pairs of situations and emotions to

mediating beliefs.

Method: Using a single-blind mixed experimental design, sixty-five participants with IDs

were randomised to receive either computerised training or an attention-control condition.

Cognitive mediation skills were assessed before and after training.

Results: Participants who received training were significantly better at selecting appropriate

emotions within situation-beliefs pairs, controlling for baseline scores and IQ. Despite

significant improvements in the ability of those who received training to correctly select

intermediating beliefs for situation-feelings pairings, no between-group differences were

observed at post-test.

Conclusions: The findings indicated that computerised training led to a significant

improvement in some aspects of cognitive mediation for people with IDs, but whether this

has a positive effect upon outcome from therapy is yet to be established.