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

Hindle, John V.; Watermeyer, Tamlyn; Roberts, J. R.; Brand, Andrew; Hoare, Zoë; Martyr, Anthony; Clare, Linda

doi:10.1002/gps.4845

Cited by 43 publications

(75 citation statements)

References 47 publications

(65 reference statements)

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“…In this study, the participants were randomly assigned into three groups: 10 people received cognitive rehabilitation, 10 relaxation therapies, and 9 received traditional medicine therapy. The results of this study showed that cognitive rehabilitation improved depression more effectively than other therapies [9]. In this study, the effect of cognitive rehabilitation intervention on depression has been investigated and the memory rehabilitation program (memorization and recall memories) has been used, which is in line with the current study.…”

Section: Discussionsupporting

confidence: 53%

“…The cognitive rehabilitation program (CRP) is one of the efficient ways to improve the psychological problems of the elderly. CRP involves a complicated set of techniques that strive to reinforce or re-establish old patterns, initiate new behavioral patterns, or present a mechanism that aspires to compensate for the cognitive dysfunctions of the damaged nervous system [9].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Cognitive Rehabilitation Intervention on Hope and Depressive Mood State of the Elderly Cognitive Rehabilitation in Elderly

Namdari

Nasiri

Nejati

et al. 2019

JPRI

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Purpose: The aim of this study was to examine the effects of cognitive rehabilitation intervention on hope and depressive mood state of the elderly. Methods: In this field trial, 70 retired elderly people were recruited via convenience sampling method and were randomly allocated into intervention and control groups (n=35 per group). The intervention group participated in 12 one-hour sessions of cognitive rehabilitation program, whereas the control group received no intervention. Data were collected using a demographics form, Geriatric Depression Scale (Yesavage, 1983), and Snyder et al.’s Hope Scale (1991). Results: The mean depression score after intervention was significantly less in the intervention group than in the control group (P=0.004, t= 3.02). The mean hope score after intervention was significantly higher in the intervention group than in the control group (p <0.001, t= 4.38). Conclusion: Cognitive rehabilitation program can be a useful instrument for healthcare specialists to yield promising results. It can improve both the depressive mood and hope status in the elderly.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Effect of Cognitive Rehabilitation Intervention on Hope and Depressive Mood State of the Elderly Cognitive Rehabilitation in Elderly

Namdari

Nasiri

Nejati

et al. 2019

JPRI

View full text Add to dashboard Cite

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“…Continuous care should ideally be provided by physicians experienced in the complex management of these patients. Other than pharmacological management, persons with DLB might also benefit from counselling, psychological support or goal-oriented rehabilitation,48 particularly since this study has demonstrated the use of coping strategies to manage disease-related changes.…”

Section: Discussionmentioning

confidence: 99%

Living with dementia with Lewy bodies: an interpretative phenomenological analysis

et al. 2019

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ObjectiveTo explore the subjective experience of living with dementia with Lewy bodies (DLB).DesignA qualitative study of in-depth interviews using interpretative phenomenological analysis.SettingA memory clinic in Malmö, southern Sweden.ParticipantsA purposive sample of five male participants with DLB between the ages of 78 and 88 years and disease duration of 1.5–7 years.ResultsThree themes were identified in relation to the participants’ experiences of living with DLB: (1) disease impact, in terms of symptom experience and restricted participation and activities; (2) self-perception and coping strategies; (3) importance of others, such as healthcare, family and friends.ConclusionsThis study provides a broad insight into the first-hand experience of living with DLB and how it compares with other dementia types. Findings highlight factors characterising the disease experience and well-being, and how persons with DLB address challenges arising secondary to disease. These findings are important for both research and clinical practice, demonstrating the feasibility of direct involvement of DLB persons in identifying important aspects of care, which include improved healthcare services.

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“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Sturkenboom

Nott²,

Bloem

et al. 2020

J Rehabil Med

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When performing daily activities, people use internally generated cognitive strategies, or ways of thinking, to plan and execute appropriate actions. This is known as applied cognition. This article describes a study that sought to measure the efficiency of applied cognition of 190 persons with non-dementing Parkinson's disease who were living at home. Participants were asked to perform a usual activity in their own homes. Their performance was videotaped and scored by assessors. The standardized observation instrument measured the effective use of 34 applied cognitive strategy behaviours. These behaviours represent 4 information-processing domains: attention and sensory processing (Perceive), accessing task-related knowledge (Recall), planning and evaluation (Plan), and performance control (Perform). The results indicated that applied cognitive strategies used to plan, evaluate and control performance were the least efficient. The most efficient were those used for sensory discrimination and recalling facts. The subgroup with the more advanced Parkinson's disease had the least efficient use of applied cognition. The results may inform further development of suitable interventions to optimize activity performance. Objective: To explore the use of applied cognitive strategy behaviours during performance of daily activities in people with Parkinson's disease. Design: Quantitative cross-sectional design. Methods: A total of 190 persons living at home with non-dementing Parkinson's disease were videotaped while performing a self-chosen activity in their natural environment. The videotaped performance was scored using the "Perceive, Recall, Plan & Perform System of Task Analysis" to measure: (i) performance mastery; and (ii) effective use of 34 cognitive strategy behaviours covering: attention and sensory processing (Perceive), accessing taskrelated knowledge (Recall), response planning and evaluation (Plan) and performance control (Perform). Mean performance mastery and a hierarchy of least to most effective applied cognitive strategy behaviours were determined for the total group and for 2 subgroups based on disease severity. A multifaceted Rasch model was used for data analysis. Results: Mean performance mastery was 56% (standard deviation 28%). Least efficient cognitive strategy behaviours were those used for planning, evaluating and controlling performance and most efficient strategies were those used for sensory discrimination and recalling factual information. More advanced disease indicated less efficient use of applied cognition. Conclusion: The results suggest that the efficiency of applied cognitive strategy behaviours is compromised in a certain pattern in people with Parkinson's disease, and that it declines with disease progression.

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

Abstract: Cognitive rehabilitation is feasible and potentially effective for dementias associated with Parkinson's disease.

Cited by 43 publications

References 47 publications

Effect of Cognitive Rehabilitation Intervention on Hope and Depressive Mood State of the Elderly Cognitive Rehabilitation in Elderly

Effect of Cognitive Rehabilitation Intervention on Hope and Depressive Mood State of the Elderly Cognitive Rehabilitation in Elderly

Living with dementia with Lewy bodies: an interpretative phenomenological analysis

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

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