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Schizophrenia Bulletin Advance Access originally published online on January 31, 2005
Schizophrenia Bulletin 2005 31(1):73-83; doi:10.1093/schbul/sbi008
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Schizophrenia Bulletin vol. 31 no. 1 © Oxford University Press and the Maryland Psychiatric Research Center 2005; all rights reserved.

The Micro-Module Learning Tests: Work-Sample Assessments of Responsiveness to Skills Training

Steven M Silverstein, Ph.D.
Associate Professor of Psychiatry, Center for Cognitive Medicine, University of Illinois at Chicago, Chicago, IL

Charles J Wallace, Ph.D.
Adjunct Professor of Psychology, University of California at Los Angeles Neuropsychiatric Institute, Department of Psychiatry, Los Angeles, CA

Lindsay S Schenkel,
Project Coordinator, University of Illinois at Chicago

Send reprint requests to Dr. C.J. Wallace, Psychiatric Rehabilitation Consultants, P.O. Box 2867, Camarillo, CA 93011–6022; e-mail: cwall886{at}concentric.net.

While outcome of psychiatric rehabilitation has been successfully predicted by cognitive tests, efforts to design a measure to assess responsiveness to rehabilitation have been lacking. In this report, we describe the rationale for and development of a face-valid measure of responsivity to the three core components of skills training: responsiveness to verbal instruction, ability to learn from viewing the behavior of a model, and ability to demonstrate skills observed during a subsequent role-play. Seven alternate forms of the new measure, called the Micro-Module Learning Test (MMLT), demonstrated adequate internal consistency and alternate-form reliability. We also present results from four studies in which the MMLT was used to collect normative data as well as data on relationships with symptoms, cognitive tests, and treatment outcome. Results indicate that the MMLT is associated with cognitive factors found to predict treatment outcome in prior studies (e.g., verbal memory and fluency), as well as lesser investigated functions such as theory of mind ability. In addition, MMLT scores were correlated negatively with psychotic disorganization and positively with performance during a full-length skills training group. The MMLT appears to be a reliable and valid measure for rapidly assessing responsiveness to skills training procedures.

Keywords: Schizophrenia / rehabilitation / assessment / skills training / cognition / disorganization / outcome


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