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

Linda Clare, Julia C. Teale, Gill Toms, Aleksandra Kudlicka, Isobel Evans, Sharon Abrahams, Laura H. Goldstein, John V. Hindle, Aileen K Ho, Marjan Jahanshahi, Dawn Langdon, Robin Morris, Julie S. Snowden, Rhys Davies, Ivana Markova, Monica Busse, Jo Thompson-Coon

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Despite their 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.
Original languageEnglish
Pages (from-to) 443-471
JournalNeurorehabilitation
Volume43
Early online date8 Nov 2018
DOIs
Publication statusPublished - Jan 2019

Keywords

  • Parkinson’s disease
  • multiple sclerosis
  • frontotemporal dementia
  • motor neuron disease
  • Huntington’s disease
  • self-management
  • psychotherapy
  • caregiver

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