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 consequences...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2016/8285041 |
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| author | Tamlyn J. Watermeyer John V. Hindle Julie Roberts Catherine L. Lawrence Anthony Martyr Huw Lloyd-Williams Andrew Brand Petra Gutting Zoe Hoare Rhiannon Tudor Edwards Linda Clare |
| author_facet | Tamlyn J. Watermeyer John V. Hindle Julie Roberts Catherine L. Lawrence Anthony Martyr Huw Lloyd-Williams Andrew Brand Petra Gutting Zoe Hoare Rhiannon Tudor Edwards Linda Clare |
| author_sort | Tamlyn J. Watermeyer |
| collection | DOAJ |
| 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). |
| format | Article |
| id | doaj-art-7be7a5f1982d4229920b6e8163f00fa1 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-7be7a5f1982d4229920b6e8163f00fa12025-08-20T03:35:45ZengWileyParkinson's Disease2090-80832042-00802016-01-01201610.1155/2016/82850418285041Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson’s Disease Dementia and Dementia with Lewy BodiesTamlyn J. Watermeyer0John V. Hindle1Julie Roberts2Catherine L. Lawrence3Anthony Martyr4Huw Lloyd-Williams5Andrew Brand6Petra Gutting7Zoe Hoare8Rhiannon Tudor Edwards9Linda Clare10School of Psychology, Bangor University, Bangor LL57 2AS, UKDepartment of Care for the Elderly, Betsi Cadwaladr University Health Board, Llandudno LL30 1LB, UKDivision of Mental Health and Learning Disabilities, Betsi Cadwaladr University Health Board, Ysbyty Gwynedd, Bangor LL57 2PW, UKSchool of Psychology, Bangor University, Bangor LL57 2AS, UKCentre for Research in Ageing and Cognitive Health (REACH), School of Psychology, University of Exeter, Exeter EX4 4QG, UKCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Normal Site, Bangor LL57 2PZ, UKThe North Wales Organisation for Randomised Trials in Health (NWORTH), Bangor University, Gwynedd, Bangor LL57 2PZ, UKCefni Hospital, Llangefni, Anglesey LL77 7PP, UKThe North Wales Organisation for Randomised Trials in Health (NWORTH), Bangor University, Gwynedd, Bangor LL57 2PZ, UKCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Normal Site, Bangor LL57 2PZ, UKCentre for Research in Ageing and Cognitive Health (REACH), School of Psychology, University of Exeter, Exeter EX4 4QG, UKAlongside 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).http://dx.doi.org/10.1155/2016/8285041 |
| spellingShingle | Tamlyn J. Watermeyer John V. Hindle Julie Roberts Catherine L. Lawrence Anthony Martyr Huw Lloyd-Williams Andrew Brand Petra Gutting Zoe Hoare Rhiannon Tudor Edwards Linda Clare Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson’s Disease Dementia and Dementia with Lewy Bodies Parkinson's Disease |
| 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 |
| url | http://dx.doi.org/10.1155/2016/8285041 |
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