Back to Search
Start Over
Goal-orientated cognitive rehabilitation for dementias associated with Parkinson's disease-A pilot randomised controlled trial
- Source :
- International journal of geriatric psychiatry. 33(5)
- Publication Year :
- 2017
-
Abstract
- OBJECTIVE: To examine the appropriateness and feasibility of cognitive rehabilitation for people with dementias associated with Parkinson's in a pilot randomised controlled study.\ud \ud METHODS: This was a single-blind pilot randomised controlled trial of goal-oriented cognitive rehabilitation for dementias associated with Parkinson's. After goal setting, participants were randomised to cognitive rehabilitation (n = 10), relaxation therapy (n = 10), or treatment-as-usual (n = 9). Primary outcomes were ratings of goal attainment and satisfaction with goal attainment. Secondary outcomes included quality of life, mood, cognition, health status, everyday functioning, and carers' ratings of goal attainment and their own quality of life and stress levels. Assessments were at 2 and 6 months following randomisation.\ud \ud RESULTS: At 2 months, cognitive rehabilitation was superior to treatment-as-usual and relaxation therapy for the primary outcomes of self-rated goal attainment (d = 1.63 and d = 1.82, respectively) and self-rated satisfaction with goal attainment (d = 2.04 and d = 1.84). At 6 months, cognitive rehabilitation remained superior to treatment-as-usual (d = 1.36) and relaxation therapy (d = 1.77) for self-rated goal attainment. Cognitive rehabilitation was superior to treatment as usual and/or relaxation therapy in a number of secondary outcomes at 2 months (mood, self-efficacy, social domain of quality of life, carers' ratings of participants' goal attainment) and at 6 months (delayed recall, health status, quality of life, carer ratings of participants' goal attainment). Carers receiving cognitive rehabilitation reported better quality of life, health status, and lower stress than those allocated to treatment-as-usual.\ud \ud CONCLUSIONS: Cognitive rehabilitation is feasible and potentially effective for dementias associated with Parkinson's disease.
- Subjects :
- Adult
Male
medicine.medical_specialty
Health Status
Pilot Projects
Relaxation Therapy
law.invention
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Cognition
Randomized controlled trial
law
Medicine
Dementia
Humans
Single-Blind Method
030212 general & internal medicine
Cognitive rehabilitation therapy
Goal setting
Aged
Self-efficacy
Cognitive Behavioral Therapy
business.industry
Parkinson Disease
Middle Aged
medicine.disease
Self Efficacy
C800
Psychiatry and Mental health
Affect
Mood
Caregivers
Physical therapy
Quality of Life
Female
Geriatrics and Gerontology
business
Cognition Disorders
Goals
030217 neurology & neurosurgery
Stress, Psychological
Subjects
Details
- ISSN :
- 10991166 and 08856230
- Volume :
- 33
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- International journal of geriatric psychiatry
- Accession number :
- edsair.doi.dedup.....b847e9034a558a0ae02ef2a765c58343