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Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies

Alongside the physical symptoms associated with Parkinson's disease dementia and dementia with Lewy bodies, health services must also address the cognitive impairments that accompany these conditions. There is growing interest in the use of nonpharmacological approaches to managing the conseque...

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Autores principales: Watermeyer, Tamlyn J., Hindle, John V., Roberts, Julie, Lawrence, Catherine L., Martyr, Anthony, Lloyd-Williams, Huw, Brand, Andrew, Gutting, Petra, Hoare, Zoe, Edwards, Rhiannon Tudor, Clare, Linda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942668/
https://www.ncbi.nlm.nih.gov/pubmed/27446628
http://dx.doi.org/10.1155/2016/8285041
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author Watermeyer, Tamlyn J.
Hindle, John V.
Roberts, Julie
Lawrence, Catherine L.
Martyr, Anthony
Lloyd-Williams, Huw
Brand, Andrew
Gutting, Petra
Hoare, Zoe
Edwards, Rhiannon Tudor
Clare, Linda
author_facet Watermeyer, Tamlyn J.
Hindle, John V.
Roberts, Julie
Lawrence, Catherine L.
Martyr, Anthony
Lloyd-Williams, Huw
Brand, Andrew
Gutting, Petra
Hoare, Zoe
Edwards, Rhiannon Tudor
Clare, Linda
author_sort Watermeyer, Tamlyn J.
collection PubMed
description Alongside the physical symptoms associated with Parkinson's disease dementia and dementia with Lewy bodies, health services must also address the cognitive impairments that accompany these conditions. There is growing interest in the use of nonpharmacological approaches to managing the consequences of cognitive disorder. Cognitive rehabilitation is a goal-orientated behavioural intervention which aims to enhance functional independence through the use of strategies specific to the individual's needs and abilities. Fundamental to this therapy is a person's capacity to set goals for rehabilitation. To date, no studies have assessed goal setting in early-stage Parkinson's disease dementia or dementia with Lewy bodies. Semistructured interviews were carried out with 29 participants from an ongoing trial of cognitive rehabilitation for people with these conditions. Here, we examined the goal statements provided by these participants using qualitative content analysis, exploring the types and nature of the goals set. Participants' goals reflected their motivations to learn new skills or improve performance in areas such as technology-use, self-management and orientation, medication management, and social and leisure activities. These results suggest that goal setting is achievable for these participants, provide insight into the everyday cognitive difficulties that they experience, and highlight possible domains as targets for intervention. The trial is registered with ISRCTN16584442 (DOI 10.1186/ISRCTN16584442 13/04/2015).
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spelling pubmed-49426682016-07-21 Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies Watermeyer, Tamlyn J. Hindle, John V. Roberts, Julie Lawrence, Catherine L. Martyr, Anthony Lloyd-Williams, Huw Brand, Andrew Gutting, Petra Hoare, Zoe Edwards, Rhiannon Tudor Clare, Linda Parkinsons Dis Research Article Alongside the physical symptoms associated with Parkinson's disease dementia and dementia with Lewy bodies, health services must also address the cognitive impairments that accompany these conditions. There is growing interest in the use of nonpharmacological approaches to managing the consequences of cognitive disorder. Cognitive rehabilitation is a goal-orientated behavioural intervention which aims to enhance functional independence through the use of strategies specific to the individual's needs and abilities. Fundamental to this therapy is a person's capacity to set goals for rehabilitation. To date, no studies have assessed goal setting in early-stage Parkinson's disease dementia or dementia with Lewy bodies. Semistructured interviews were carried out with 29 participants from an ongoing trial of cognitive rehabilitation for people with these conditions. Here, we examined the goal statements provided by these participants using qualitative content analysis, exploring the types and nature of the goals set. Participants' goals reflected their motivations to learn new skills or improve performance in areas such as technology-use, self-management and orientation, medication management, and social and leisure activities. These results suggest that goal setting is achievable for these participants, provide insight into the everyday cognitive difficulties that they experience, and highlight possible domains as targets for intervention. The trial is registered with ISRCTN16584442 (DOI 10.1186/ISRCTN16584442 13/04/2015). Hindawi Publishing Corporation 2016 2016-06-29 /pmc/articles/PMC4942668/ /pubmed/27446628 http://dx.doi.org/10.1155/2016/8285041 Text en Copyright © 2016 Tamlyn J. Watermeyer et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Watermeyer, Tamlyn J.
Hindle, John V.
Roberts, Julie
Lawrence, Catherine L.
Martyr, Anthony
Lloyd-Williams, Huw
Brand, Andrew
Gutting, Petra
Hoare, Zoe
Edwards, Rhiannon Tudor
Clare, Linda
Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies
title Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies
title_full Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies
title_fullStr Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies
title_full_unstemmed Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies
title_short Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies
title_sort goal setting for cognitive rehabilitation in mild to moderate parkinson's disease dementia and dementia with lewy bodies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942668/
https://www.ncbi.nlm.nih.gov/pubmed/27446628
http://dx.doi.org/10.1155/2016/8285041
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