Cognitive rehabilitation for Parkinson’s disease (Spencer et al., 2019)
Kristie A. Spencer
Jennifer Paul
Katherine
A. Brown
Taylor Ellerbrock
McKay Moore Sohlberg
10.23641/asha.10093493.v1
https://asha.figshare.com/articles/journal_contribution/Cognitive_rehabilitation_for_Parkinson_s_disease_Spencer_et_al_2019_/10093493
<div><b>Purpose: </b>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.</div><div><b>Method: </b>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.</div><div><b>Results: </b>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.</div><div><b>Conclusions: </b>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.</div><div><br></div><div><b>Supplemental Material S1.</b> Individual goals per goal attainment scaling method. </div><div><br></div><div><b>Supplemental Material S2. </b>Treatment session sample. </div><div><br></div><div>Spencer, K. A., Paul, J., Brown, K. A., Ellerbrock, T., & Sohlberg, M. M. (2019). Cognitive rehabilitation for individuals with Parkinson's disease: Developing and piloting an external aids treatment program. <i>American Journal of Speech-Language Pathology</i>. Advance online publication. https://doi.org/10.1044/2019_AJSLP-19-0078</div>
2019-11-07 23:14:21
Parkinson's
Parkinson's disease
cognition
rehabilitation
rehab
external
aid
treatment
program
develop
pilot
deficit
impairment
daily
activity
quality of life
neurology
psychology
neuropsychological
test
functional
improvement
patient-centered
goal
idiopathic
compensatory
personal
attainment
self report
spouse
cognitive
functioning
home
positive
motivated
systematic
approach
personalization
Neurology and Neuromuscular Diseases
Neurocognitive Patterns and Neural Networks