Goal management training ® home-based approach for mild cognitive impairment in Parkinson’s disease: a multiple baseline case report

Giguère-Rancourt, Ariane; Plourde, Marika; Doiron, Maxime; Langlois, Mélanie; Dupré, Nicolas; Simard, Martine

doi:10.1080/13554794.2019.1583345

Cited by 4 publications

(8 citation statements)

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“…Studies on the PEPP show that it increases mood and reduces burden among PD patients and caregivers [21][22][23], but it does not provide information on the impact of the PEPP on cognitive functions, contrary to the present PSYCH-Mind program. As for mindfulness administered alone, none of the previous studies included PD-MCI participants, nor did they give information on their cognitive decline [18]. It is noteworthy that sessions combining psychoeducation with mindfulness exercises resulted in a decrease of executive complaints, as well as an increase in quality of life in the present study.…”

Section: Plos Onementioning

confidence: 72%

“…Participants were recruited from the Parkinson Québec Network through announcements in gatherings and newsletters. Participants were also recruited at the Movement Disorder Clinic of CHU-Hôpital Enfant-Jésus, in Quebec City, as described in previous paper [18]. Flowchart of recruitment is displayed in Fig 1.…”

Section: Participantsmentioning

confidence: 99%

“…All these factors could affect clinical trials feasibility in vulnerable patients with PD-MCI. Therefore, our team first translated in French and adapted the GMT to be administered at home for a PD-MCI patient in a case study [18]. Up to four weeks after the end of Adapted-GMT, the participant had not missed any training sessions, and showed a significant decrease in executive complaints according to the DEX score.…”

Section: Introductionmentioning

confidence: 99%

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Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson’s disease: A feasibility pilot trial

et al. 2022

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Introduction As there is currently no pharmacological treatment for Parkinson’s Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up cognitive training programs but have not shown very good results. Objectives The aim of this study was to test ease of implementation, differential safety and preliminary efficacy of two top-down (strategy-learning) home-based, individualized, cognitive interventions: Goal Management Training (GMT), adapted for PD-MCI (Adapted-GMT), and a psychoeducation program combined with mindfulness exercises (PSYCH-Mind). Methods This was a single-blind block-randomized between-group comparative study. Twelve PD-MCI with mild executive dysfunctions were divided in four blocks and randomly assigned to any of the two interventions. The participants were included if they had PD-MCI diagnosis (no dementia), with stabilized medication. Both groups (Adapted-GMT and PSYCH-mind) received five intervention sessions each lasting 60–90 minutes for five weeks. Measures were collected at baseline, mid-point, one-week, four-week and 12-week follow-ups. Executive functions were assessed with the Dysexecutive questionnaire (DEX) and the Zoo Map Test (ZMT). Quality of life (QoL) and psychiatric symptoms were also evaluated. Repeated measures ANCOVAs (mixed linear analysis) were applied to all outcomes. Results There was one drop out, and both interventions were feasible and acceptable. Despite the small sample size limiting statistical power, patients of both groups significantly improved executive functions per the DEX-patient (Time: F(4,36) = 2.96, p = 0.033, CI95%: 10.75–15.23) and DEX-caregiver scores (Time: F(4,36) = 6.02, p = 0.017, CI95%: 9.63–17.23). Both groups significantly made fewer errors between measurement times on the ZMT (Time: F(3,36) = 16.66, p = 0.001, CI95%: 1.07–2.93). However, QoL significantly increased only in PSYCH-Mind patients at four-week follow-up (interaction Time*Group: F(4,36) = 5.31, p = 0.002, CI95%: 15.33–25.61). Conclusion Both interventions were easily implemented and proved to be safe. Because both interventions are arguably cost-effective, these pilot findings, although promising, need to be replicated in large samples. ClinicalTrials.gov Identifier NCT04636541.

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Section: Plos Onementioning

confidence: 72%

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson’s disease: A feasibility pilot trial

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“…Six of the identified tools were described and studied in five or more articles. These included Goal Attainment Scaling including Goal Attainment Scaling for Major Depressive Disorder and Goal Attainment Scaling for Upper Limb Spasticity 28-57, 113,114,118-143,150,172,181 (n = 61), Canadian Occupational Performance Measure 6,[25][26][27]101,[103][104][105][106][107][108][109][110][111][112][113][114]142,171,175,176 (n = 21), Goal Management Training [77][78][79][80][81][82][83][84][85][86][144][145][146] (n = 13), International Classification of Functioning, Disability and Health 6,[22][23][24]138,149,[153][154][155][156][157] (n = 11) and the Goal setting and Action Planning…”

Section: Characteristics Of the Identified Goal-setting Toolsmentioning

confidence: 99%

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Okita,

Kawaguchi,

Inoue

et al. 2023

Clin Rehabil

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Objectives This scoping review aims to map the literature on goal-setting tools in adult rehabilitation, exploring their characteristics, target users and supporting evidence to inform practice and future research in this area. Methods We completed a comprehensive search of four databases to identify relevant articles on tools for goal setting in rehabilitation. We followed Arkey and O’Malley's scoping review process to guide article selection, data extraction and data analysis. Results We identified a total of 165 studies that reported on 55 different goal-setting tools, including tools for goal selection and goal documentation ( n = 31), goal setting and intervention planning ( n = 15), and for measuring the quality of the goal-setting process ( n = 9). Over half of the tools were primarily designed for use in rehabilitation of physical disabilities ( n = 32). Some tools fell under multiple sub-categories based on their characteristics as follows: 22 framework tools, 12 interview tools, 9 outcome measurement tools for goal achievement, 6 outcome measurement tools for goal quality and 25 documentation tools. The majority of goal-setting instruments targeted goals at the level of activity and participation ( n = 51) and aimed to facilitate a client-centred or shared decision-making approach to rehabilitation planning ( n = 46). Conclusions This study provides a comprehensive overview of existing goal-setting tools, highlighting their characteristics, target users and identified needs. These findings can enhance practitioners’ awareness of the range of goal-setting tools available and can enable more effective utilization of these tools in clinical practice. Further research should investigate how clinicians can combine multiple tools to deliver goal setting.

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“…En recent onderzochte strategietrainingen zijn positief, maar geven nog onvoldoende bewijs voor effectiviteit (o.a. Foster 2018;Giguère-Rancourt, 2018;Vlagsma, 2018). Twee van de aanvragers van deze subsidie (Sturkenboom en Steultjens) richten zich op het ontwikkelen en evalueren van een doelgerichte, gepersonaliseerde cognitieve strategietraining om het uitvoeren van dagelijkse activiteiten door parkinsonpatiënten te verbeteren (Sturkenboom, 2019).…”

Section: Behandeling En Begeleiding Bij Cognitieve Obstakelsunclassified

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Noordegraaf¹

2022

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Goal management training ® home-based approach for mild cognitive impairment in Parkinson’s disease: a multiple baseline case report

Cited by 4 publications

References 52 publications

Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson’s disease: A feasibility pilot trial

Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson’s disease: A feasibility pilot trial

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

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