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Cognitive rehabilitation, self-management, psychotherapeutic and caregiver support interventions in progressive neurodegenerative conditions: A scoping review

Clare, Linda, Teale, Julia C., Toms, Gill, Kudlicka, Aleksandra, Evans, Isobel, Abrahams, Sharon, Goldstein, Laura H., Hindle, John V., Ho, Aileen K., Jahanshahi, Marjan, Langdon, Dawn, Morris, Robin, Snowden, Julie S., Davies, Rhys, Markova, Ivana, Busse-Morris, Monica and Thompson-Coon, Jo 2019. Cognitive rehabilitation, self-management, psychotherapeutic and caregiver support interventions in progressive neurodegenerative conditions: A scoping review. NeuroRehabilitation 43 (4) , pp. 443-471. 10.3233/NRE-172353

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Abstract

BACKGROUND: Despite its potentially significant impact, cognitive disability may be overlooked in a number of progressive neurodegenerative conditions, as other difficulties dominate the clinical picture. OBJECTIVE: We examined the extent, nature and range of the research evidence relating to cognitive rehabilitation, self-management, psychotherapeutic and caregiver support interventions in Parkinsonian disorders, multiple sclerosis (MS), frontotemporal dementias (FTD), motor neuron disease and Huntington’s disease. METHODS: Scoping review based on searches of MEDLINE and CINAHL up to 15 March 2016. RESULTS: We included 140 eligible papers. Over half of the studies, and almost all the randomised controlled trials, related to MS, while a number of single case studies described interventions for people with FTD. CR interventions addressed functional ability, communication and interaction, behaviour or memory. The majority of psychotherapy interventions involved cognitive behavioural therapy for depression or anxiety. Self-management interventions were mainly available for people with MS. There were few reports of interventions specific to caregivers. Numerous methodological challenges were identified. CONCLUSIONS: The limited range of studies for all conditions except MS suggests a need firstly to synthesise systematically the available evidence across conditions and secondly to develop well-designed studies to provide evidence about the effectiveness of CR and other psychological interventions.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: IOS Press
ISSN: 1053-8135
Date of First Compliant Deposit: 22 January 2019
Date of Acceptance: 6 March 2018
Last Modified: 02 Jul 2019 05:34
URI: http://orca.cf.ac.uk/id/eprint/118594

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