{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T20:27:25Z","timestamp":1788985645277,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Metacognitive training (MCT) was developed in 2007 and widely used to modify the delusions for patient with schizophrenia. However, its effectiveness remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the overall effectiveness of MCT for delusion in schizophrenia patients from 2007 to 2016, and to investigate the variables (intervention approach, intervention dose, and participant factors) of an MCT study that could influence the effect size.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Parallel\u2010arm design of MCT for delusions published from 2007 to 2016 were collected and then cross\u2010referenced using these keywords: delusion (psychosis or psychotic or schizophrenia) and metacognitive (training or therapy or intervention). The quality of the studies was evaluated and the effect size and the moderating variables of MCT on delusion were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 11 studies on the effect of MCT for delusion were investigated. The MCT had a moderate immediate postintervention effect (<jats:italic>g<\/jats:italic>\u00a0=\u00a0\u22120.38) and a lasting effect after 6\u00a0months (<jats:italic>g<\/jats:italic>\u00a0=\u00a0\u22120.35). In terms of immediate effect, moderating variables with significant differences between them were (a) individual approach versus group\u2010based approach and mixed approach, and (b) eastern country versus western country.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>MCT could be used as a valuable nonpharmacologic intervention to reduce delusions in clinical settings. The individual modularized MCT approach had a beneficial effect and is recommended to healthcare professionals as an application for patients with schizophrenia or delusional disorder.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12282","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T15:58:00Z","timestamp":1519833480000},"page":"130-139","source":"Crossref","is-referenced-by-count":101,"title":["The Efficacy of Metacognitive Training for Delusions in Patients With Schizophrenia: A Meta\u2010Analysis of Randomized Controlled Trials Informs Evidence\u2010Based Practice"],"prefix":"10.1111","volume":"15","author":[{"given":"Yu\u2010Chen","family":"Liu","sequence":"first","affiliation":[{"name":"Master, Department of Nursing, College of Medicine National Cheng Kung University  Tainan City Taiwan Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia\u2010Chun","family":"Tang","sequence":"additional","affiliation":[{"name":"Pre\u2010doctoral fellow of Behavioral Cooperative Oncology Group Center for Symptom Management, School of Nursing Indiana University Purdue University at Indianapolis  Indianapolis IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsai\u2010Tzu","family":"Hung","sequence":"additional","affiliation":[{"name":"Master's student, Department of Nursing, College of Medicine, National Cheng Kung University, and Cancer Center  Tainan City Taiwan Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Ching","family":"Tsai","sequence":"additional","affiliation":[{"name":"Master's student, Department of Nursing, College of Medicine National Cheng Kung University, and Ditmanson Medical Foundation Chia\u2010Yi Christian Hospital  Tainan City Taiwan Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei\u2010Feng","family":"Lin","sequence":"additional","affiliation":[{"name":"Professor, Department of Nursing, College of Medicine National Cheng Kung University  Tainan City Taiwan Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10648-006-9033-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2016.11.013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413508451"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2307\/2533446"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2014.06.005"},{"issue":"5","key":"e_1_2_8_7_1","first-page":"465","article-title":"The relationship between delusions and violence: Findings from the East London first episode psychosis study","volume":"70","author":"Coid J. 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