ECTRIMS eLearning

Cognitive problems in people with Multiple sclerosis: A mixed methods study on the provision and perceived effectiveness of cognitive rehabilitation
ECTRIMS Learn. das Nair R. 10/25/17; 199840; EP1820
Roshan das Nair
Roshan das Nair
Contributions
Abstract

Abstract: EP1820

Type: ePoster

Abstract Category: Therapy - symptomatic - 33 Treatment of specific symptoms

Background: Two-thirds of people with multiple sclerosis (MS) experience cognitive problems associated with attention and memory. Cognitive rehabilitation to improve such cognitive deficits and help people cope with these problems has emerged as a potential treatment approach. However, the evidence regarding its effectiveness is mixed and cognitive rehabilitation is not routinely provided in the UK. Therefore, this study addresses two main questions: What are patients' perspectives on the effectiveness of cognitive rehabilitation? How is cognitive rehabilitation delivered nationally?
Method: This study comprises three phases. Phase 1 was a meta-synthesis agglomerating findings of qualitative studies examining patient perspectives of the effectiveness of cognitive rehabilitation programmes. Phase 2 investigates patient perspectives, using semi-structured interviews, of a group-based rehabilitation programme. Phase 3 is a survey examining the provision of cognitive rehabilitation nationally.
Data analysis: The meta-synthesis and interview data were analysed using thematic analysis.
The survey will be analysed using descriptive statistics.
Results: The meta-synthesis highlighted the perceived benefits of cognitive rehabilitation in people with MS. Participants reported benefits in cognitive function and other areas related to their quality of life. They reported improved mood and quality of their relationships, an increase in confidence and perseverance, and the programme helped them to change their perceptions of their condition. The group-component was often referred to as a beneficial aspect as it helped patients to experience a sense of community and support. Preliminary results of the second phase suggest that people do manage better after a group-based rehabilitation programme compared to people who have not participated in cognitive rehabilitation. The national survey is underway.
Conclusion: The knowledge and insight generated from each phase of this study will provide an overview of the provision and perceived impact of cognitive rehabilitation. This may inform and improve current practice and services for people with MS.
Disclosure: Conflict of interest: None
Source of funding: This study is supported by the MS Society PhD studentship 'Delivering cognitive rehabilitation to people with MS'

Abstract: EP1820

Type: ePoster

Abstract Category: Therapy - symptomatic - 33 Treatment of specific symptoms

Background: Two-thirds of people with multiple sclerosis (MS) experience cognitive problems associated with attention and memory. Cognitive rehabilitation to improve such cognitive deficits and help people cope with these problems has emerged as a potential treatment approach. However, the evidence regarding its effectiveness is mixed and cognitive rehabilitation is not routinely provided in the UK. Therefore, this study addresses two main questions: What are patients' perspectives on the effectiveness of cognitive rehabilitation? How is cognitive rehabilitation delivered nationally?
Method: This study comprises three phases. Phase 1 was a meta-synthesis agglomerating findings of qualitative studies examining patient perspectives of the effectiveness of cognitive rehabilitation programmes. Phase 2 investigates patient perspectives, using semi-structured interviews, of a group-based rehabilitation programme. Phase 3 is a survey examining the provision of cognitive rehabilitation nationally.
Data analysis: The meta-synthesis and interview data were analysed using thematic analysis.
The survey will be analysed using descriptive statistics.
Results: The meta-synthesis highlighted the perceived benefits of cognitive rehabilitation in people with MS. Participants reported benefits in cognitive function and other areas related to their quality of life. They reported improved mood and quality of their relationships, an increase in confidence and perseverance, and the programme helped them to change their perceptions of their condition. The group-component was often referred to as a beneficial aspect as it helped patients to experience a sense of community and support. Preliminary results of the second phase suggest that people do manage better after a group-based rehabilitation programme compared to people who have not participated in cognitive rehabilitation. The national survey is underway.
Conclusion: The knowledge and insight generated from each phase of this study will provide an overview of the provision and perceived impact of cognitive rehabilitation. This may inform and improve current practice and services for people with MS.
Disclosure: Conflict of interest: None
Source of funding: This study is supported by the MS Society PhD studentship 'Delivering cognitive rehabilitation to people with MS'

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