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- Title
Cognitive Rehabilitation for Individuals With Parkinson's Disease: Developing and Piloting an External Aids Treatment Program.
- Authors
Spencer, Kristie A.; Paul, Jennifer; Brown, Katherine A.; Ellerbrock, Taylor; Sohlberg, McKay Moore
- Abstract
Purpose: Cognitive deficits are common in Parkinson's disease (PD) and can have a detrimental effect on daily activities. To date, most cognitive treatments have had an impairment-based focus with primary outcome measures of formal neuropsychological test scores. Few, if any, studies have focused on functional improvement or patient-centered goals. Method: Three individuals with idiopathic PD participated in an 8-week pilot treatment program to train for the use of compensatory external aids to achieve personalized goals. Goal attainment scaling was the primary outcome measure, which was independently judged by multiple raters at baseline, postintervention, and 1 month posttreatment and analyzed via T-score analysis. Descriptive measures, including self-report and spouse-report rating scales of cognitive functioning, were employed. Results: All 3 participants improved in the majority of their laboratory and home goals posttreatment, as measured by goal attainment scaling, and maintained gains for the majority of goals 1 month posttreatment. Conclusions: This is the 1st known study to implement an external aids treatment program with patient-centered goals for individuals with cognitive deficits from PD. Positive outcomes were likely influenced by 3 factors: (a) a theoretically motivated focus on external aids; (b) a well-documented, systematic approach to instruction; and (c) the personalization of goals.
- Subjects
DRUG therapy for Parkinson's disease; COGNITION disorders; INTERVIEWING; LIFE skills; NEUROPSYCHOLOGICAL tests; RESEARCH methodology; PARKINSON'S disease; PSYCHOLOGICAL tests; QUESTIONNAIRES; PILOT projects; TREATMENT effectiveness; HUMAN services programs; INDEPENDENT living; PATIENT-centered care; DESCRIPTIVE statistics
- Publication
American Journal of Speech-Language Pathology, 2020, Vol 29, Issue 1, p1
- ISSN
1058-0360
- Publication type
Article
- DOI
10.1044/2019_AJSLP-19-0078