
Contributions
Abstract: EP1826
Type: ePoster
Abstract Category: Therapy - symptomatic - 33 Treatment of specific symptoms
Background: Memory, attention and executive function are commonly reported cognitive problems by people with multiple sclerosis (MS). These problems can severely affect quality of life of the individual, their family and carers. Although the effectiveness of cognitive rehabilitation programmes has been evaluated in clinical trials, inadequate reporting of the content of the interventions may prevent clinical implementation.
The overall aim of this research is to develop a clinician-informed, evidence-based checklist to guide researchers to better report cognitive rehabilitation studies in order to increase clinical impact.
Methods: This mixed-methods research consists of three stages:
(i) A systematic review and narrative synthesis of the literature on the content and quality of reporting of cognitive rehabilitation for people with MS;
(ii) A content analysis and time-sampling analysis of video recordings of an intervention delivered in an ongoing multi-centre trial of Cognitive Rehabilitation of Attention and Memory in MS (CRAMMS), focusing on the content of treatment sessions. Findings from these two stages will form stage three;
(iii) A modified Delphi consensus study with healthcare professionals and researchers who work with people with MS, to establish key aspects of the intervention that researchers should report for the clinical translation of cognitive rehabilitation. This will result in a consensus checklist.
Results:
(i) 52 studies involving various types of MS and techniques to improve difficulties with memory, attention and executive function were included in the systematic review. The results showed that important features of cognitive rehabilitation were not reported well. For example: whether participants were treated individually or in a group was only reported in 46% of the papers; the intervention techniques used and how they facilitated improvement of cognitive problems and/or function was only reported in 38% of the papers.
(ii) Data analysis of the content of the CRAMMS intervention is in progress.
(iii) The Delphi consensus study will commence in August 2017.
Conclusion: The development of a clinician-informed, evidence-based checklist may enable researchers to report important aspects of complex interventions. This may improve potential clinical uptake of effective interventions.
Disclosure: This study is funded by the UK MS Society. The CRAMMS study mentioned is funded by the UK National Institute for Health Research.
The authors declare no other conflict of interest.
Abstract: EP1826
Type: ePoster
Abstract Category: Therapy - symptomatic - 33 Treatment of specific symptoms
Background: Memory, attention and executive function are commonly reported cognitive problems by people with multiple sclerosis (MS). These problems can severely affect quality of life of the individual, their family and carers. Although the effectiveness of cognitive rehabilitation programmes has been evaluated in clinical trials, inadequate reporting of the content of the interventions may prevent clinical implementation.
The overall aim of this research is to develop a clinician-informed, evidence-based checklist to guide researchers to better report cognitive rehabilitation studies in order to increase clinical impact.
Methods: This mixed-methods research consists of three stages:
(i) A systematic review and narrative synthesis of the literature on the content and quality of reporting of cognitive rehabilitation for people with MS;
(ii) A content analysis and time-sampling analysis of video recordings of an intervention delivered in an ongoing multi-centre trial of Cognitive Rehabilitation of Attention and Memory in MS (CRAMMS), focusing on the content of treatment sessions. Findings from these two stages will form stage three;
(iii) A modified Delphi consensus study with healthcare professionals and researchers who work with people with MS, to establish key aspects of the intervention that researchers should report for the clinical translation of cognitive rehabilitation. This will result in a consensus checklist.
Results:
(i) 52 studies involving various types of MS and techniques to improve difficulties with memory, attention and executive function were included in the systematic review. The results showed that important features of cognitive rehabilitation were not reported well. For example: whether participants were treated individually or in a group was only reported in 46% of the papers; the intervention techniques used and how they facilitated improvement of cognitive problems and/or function was only reported in 38% of the papers.
(ii) Data analysis of the content of the CRAMMS intervention is in progress.
(iii) The Delphi consensus study will commence in August 2017.
Conclusion: The development of a clinician-informed, evidence-based checklist may enable researchers to report important aspects of complex interventions. This may improve potential clinical uptake of effective interventions.
Disclosure: This study is funded by the UK MS Society. The CRAMMS study mentioned is funded by the UK National Institute for Health Research.
The authors declare no other conflict of interest.