Implementation considerations for multisite clinical trials with cognitive neuroscience tasks

Richard S.E. Keefe, Philip D. Harvey

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations


Multisite clinical trials aimed at cognitive enhancement across various neuropsychiatric conditions have employed standard neuropsychological tests as outcome measures. While these tests have enjoyed wide clinical use and have proven reliable and predictive of functional disability, a number of implementation challenges have arisen when these tests are used in clinical trials. These issues are likely to be magnified in future studies when cognitive neuroscience (CN) procedures are explored in these trials, because in their current forms CN procedures are less standardized and more difficult to teach and monitor. For multisite trials, we anticipate that the most challenging issues will include assuring tester competence, monitoring tester performance, specific challenges with complex assessment methods, and having resources available for adequate monitoring of data quality. Suggestions for overcoming these implementation challenges are offered.

Original languageEnglish (US)
Pages (from-to)656-663
Number of pages8
JournalSchizophrenia bulletin
Issue number4
StatePublished - Jul 2008
Externally publishedYes


  • Clinical trials
  • Cognition
  • Schizophrenia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Neuroscience(all)


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