Feasibility of a cognitive strategy training intervention for people with Parkinson’s disease

Abstract

These findings support the feasibility of the intervention for people with PD. It was acceptable, engaging, and promising in terms of its effect on self-identified functional cognitive problems. Implications for Rehabilitation People with Parkinson's disease (PD) without dementia can experience cognitive decline that negatively impacts function and quality of life. Strategy-based interventions that explicitly train for transfer may mitigate the negative functional consequences of cognitive decline in this population. We developed a client-centered cognitive strategy training intervention for people with PD. This small case series supports its feasibility, indicating that it is acceptable and engaging for people with PD and promising in terms of its effect on self-identified functional cognitive problems.

Goal‐orientated cognitive rehabilitation for dementias associated with Parkinson's disease―A pilot randomised controlled trial

“…A recent CT trial involving PD patients without dementia demonstrated that improvements to specific cognitive functions were maintained 1 year following treatment and reduced the risk of developing cognitive impairment . The feasibility of CST for PD patients without dementia has also been demonstrated . Following on from this work, our results show that the benefits of cognitive interventions might extend to patients with more severe cognitive impairments seen in PDD and DLB.…”

“…43 The feasibility of CST for PD patients without dementia has also been demonstrated. 15 Following on from this work, our results show that the benefits of cognitive interventions might extend to patients with more severe cognitive impairments seen in PDD and DLB. While CT involves the practice of abstract exercises to train cognitive functions, our approach focuses on developing and practicing strategies to assist directly with actual daily activities which may be more relevant for people with mild to moderate dementia.…”

“…Similar to CR, cognitive strategy training (CST) also uses an individualised approach using strategies to achieve goals relating to daily function. A case‐series study of CST for 7 people with PD without dementia but reporting subjective cognitive decline and self‐identified functional issues reported that CST was feasible and potentially effective . The study did not include people with dementia, and thus the application of goal‐focussed rehabilitation approaches has yet to be applied in PDD and DLB.…”

“…A case-series study of CST for 7 people with PD without dementia but reporting subjective cognitive decline and selfidentified functional issues reported that CST was feasible and potentially effective. 15 The study did not include people with dementia, and thus the application of goal-focussed rehabilitation approaches has yet to be applied in PDD and DLB. The efficacy of CR for people with Alzheimer's disease (AD) has previously been indicated in a pilot study 16 and a large multi-centre randomised controlled trial (RCT) of CR is currently underway to assess its effectiveness for people with AD and other dementias excluding PDD and DLB.…”

Applied cognitive strategy behaviours in people with Parkinson´s disease during daily activities: A cross-sectional study

“…These studies show that, although the trained cognitive tasks improve in the short term, improvements do not necessarily generalize to daily task performance (29,30). The few cognitive rehabilitation studies that suggest short-term beneficial effects on daily life include components of strategy or transfer training (31)(32)(33)(34). The outcome of improvement in daily functioning in these studies was assessed with patient-reported outcome measures.…”