Contributions
Abstract: EP1688
Type: Poster Sessions
Abstract Category: Therapy - Symptomatic treatment
Introduction: People with multiple sclerosis (PwMS) frequently report cognitive problems, which can affect function and quality of life. Although the effectiveness of cognitive rehabilitation to address these problems is evaluated in research studies, inadequate reporting of the content of the interventions may hamper clinical implementation.
Aims: To develop an evidence-based, clinician-informed checklist to guide researchers to better report cognitive rehabilitation studies in order to increase the clinical impact of research.
Objectives: To review how cognitive rehabilitation for PwMS is reported in scientific journals; to complete a detailed analysis of the actual content of the intervention delivered as part of a large-scale cognitive rehabilitation in MS (CRAMMS) trial; to reach consensus on the content of cognitive rehabilitation interventions for people with MS that should be reported in research studies.
Methods: Mixed-methods research with three phases: (1) A systematic review of descriptions of the content of cognitive interventions to document salient details and omissions in reporting; (2) A content analysis and time-sampling analysis of video recordings of an intervention delivered as part of the CRAMMS trial, focusing on the content of treatment. Findings from these two stages informed phase three; (3) A modified Delphi consensus study with healthcare professionals and researchers who work with PwMS, which ascertained the key aspects of cognitive rehabilitation that research studies should report to enable implementation in clinical practice. The outcome of this stage will be a consensus checklist.
Results: (1) 54 studies involving different types of MS and techniques to address difficulties with memory, attention and executive function were included in the review. The published results showed that important features of cognitive rehabilitation, such as intervention procedures, were not reported well. (2) The content analysis showed that all components of the CRAMMS manual were delivered as planned. The most frequent discussion topic for both therapists and patients was memory and attention coping strategies. (3) The Delphi consensus study is ongoing.
Conclusions: The development of an appropriate, clinician-informed, evidence-based checklist is vital as it will enable researchers to report important aspects of complex cognitive rehabilitation interventions which may enhance the implementation of such research in clinical practice.
Disclosure: This study is funded by the UK MS Society. Jacqueline R Mhizha-Murira: nothing to disclose. Professor Roshan dasNair: nothing to disclose. Professor Avril Drummond: nothing to disclose.
Abstract: EP1688
Type: Poster Sessions
Abstract Category: Therapy - Symptomatic treatment
Introduction: People with multiple sclerosis (PwMS) frequently report cognitive problems, which can affect function and quality of life. Although the effectiveness of cognitive rehabilitation to address these problems is evaluated in research studies, inadequate reporting of the content of the interventions may hamper clinical implementation.
Aims: To develop an evidence-based, clinician-informed checklist to guide researchers to better report cognitive rehabilitation studies in order to increase the clinical impact of research.
Objectives: To review how cognitive rehabilitation for PwMS is reported in scientific journals; to complete a detailed analysis of the actual content of the intervention delivered as part of a large-scale cognitive rehabilitation in MS (CRAMMS) trial; to reach consensus on the content of cognitive rehabilitation interventions for people with MS that should be reported in research studies.
Methods: Mixed-methods research with three phases: (1) A systematic review of descriptions of the content of cognitive interventions to document salient details and omissions in reporting; (2) A content analysis and time-sampling analysis of video recordings of an intervention delivered as part of the CRAMMS trial, focusing on the content of treatment. Findings from these two stages informed phase three; (3) A modified Delphi consensus study with healthcare professionals and researchers who work with PwMS, which ascertained the key aspects of cognitive rehabilitation that research studies should report to enable implementation in clinical practice. The outcome of this stage will be a consensus checklist.
Results: (1) 54 studies involving different types of MS and techniques to address difficulties with memory, attention and executive function were included in the review. The published results showed that important features of cognitive rehabilitation, such as intervention procedures, were not reported well. (2) The content analysis showed that all components of the CRAMMS manual were delivered as planned. The most frequent discussion topic for both therapists and patients was memory and attention coping strategies. (3) The Delphi consensus study is ongoing.
Conclusions: The development of an appropriate, clinician-informed, evidence-based checklist is vital as it will enable researchers to report important aspects of complex cognitive rehabilitation interventions which may enhance the implementation of such research in clinical practice.
Disclosure: This study is funded by the UK MS Society. Jacqueline R Mhizha-Murira: nothing to disclose. Professor Roshan dasNair: nothing to disclose. Professor Avril Drummond: nothing to disclose.