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Dementia
Published in Henry J. Woodford, Essential Geriatrics, 2022
Cognitive rehabilitation, for people with mild to moderate cognitive impairment, aims to attenuate reduction in functional ability. It is delivered through individualised problem-solving therapy. Relevant goals are first identified. Interventions can then include environmental adaptations, compensatory strategies, memory aids and procedural learning of skills. There is some clinical trial evidence of a beneficial effect.99
Defence rehabilitation
Published in Ian Greaves, Military Medicine in Iraq and Afghanistan, 2018
Cognitive deficits frequently overshadow physical deficits as the cause of difficulties in social adaptation, independent living, family life and vocational activity. Without appropriate intervention, cognitive deficits can lead to frustration, anxiety, depression and social withdrawal. Cognitive rehabilitation is provided by specialist occupational therapists. It focuses on regaining those cognitive skills which are lost or altered as a result of neurological trauma or illness. The process includes gaining skills through direct retraining, learning to use compensatory strategies and education about cognitive skills.
Application of errorless learning in schizophrenia
Published in Catherine Haslam, Roy P.C. Kessels, Errorless Learning in Neuropsychological Rehabilitation, 2018
Two distinct, though complementary, cognitive rehabilitation approaches have been used. The first involves use of restorative strategies that aim to enhance and repair deficient cognitive processes. However, there is limited evidence of the efficacy of this approach in schizophrenia or other disorders. There is greater support for the second approach involving compensation. This aims to improve function through use of various strategies and aids and even drawing on better-preserved cognitive functions to reduce the impact of impairment (Lehman et al., 2004; Twamley, Jeste & Bellack, 2003). It is in this domain that EL learning has been introduced into rehabilitation programs as a strategy to compensate for cognitive impairment, particularly in the area of memory.
Effectiveness of interventions for the improvement of mental health and well-being post-concussion: a systematic review
Published in Brain Injury, 2023
Allie J. Tracey, André G. Bateman, Shelby E. Baez, Tracey Covassin
Furthermore, Jak et al. (30) compared a CPT and a variation of CPT (SMART-CPT) in a RCT to find that both groups showed significant improvements in QOL, and those who received SMART-CPT observed greater improvements in neuropsychological symptoms such as attention, learning/memory, and novel problem solving. Finally, Gartell et al. (40) instructed participants to use the SwapMyMood App, which offers personalized solutions to individualized challenges related to real-time situational coping, all the while addressing barriers to traditional metacognitive strategy instruction. Ultimately, the researchers found that the SwapMyMood group did demonstrate improvements in perceived goal attainment, emotion regulation, and executive functioning; however, no significant differences between the experimental and comparison groups were found. Overall, the cognitive rehabilitation interventions showed significant improvements in mental health, well-being, and psychosocial outcomes.
Reflections on a personalized cognitive rehabilitation intervention: Experiences of people living with dementia and their carers participating in the GREAT trial
Published in Neuropsychological Rehabilitation, 2022
Krystal Warmoth, Sarah Morgan-Trimmer, Aleksandra Kudlicka, Gill Toms, Ian A. James, Bob Woods
Originally developed for people with neuropsychological injury, cognitive rehabilitation is a goal-oriented, problem-solving approach for managing or reducing disability and maximizing engagement and social participation; it does not aim to train cognition or directly improve performance on cognitive tasks (Clare, 2008, 2017). Instead, this intervention is intended to support everyday activities of daily living by addressing the impact of cognitive impairment on the functional ability by using a mixture of evidence-based rehabilitative approaches aimed at restoring function (where feasible), implementing compensatory strategies, or modifying the environment (Clare, 2008; Clare & Woods, 2001; Poulos et al., 2017). Cognitive rehabilitation aims to tackle the difficulties considered most relevant by people living with dementia and their carers (family members and/or supporters) (Clare, 2008, 2017).
What is known about the cost-effectiveness of neuropsychological interventions for individuals with acquired brain injury? A scoping review
Published in Neuropsychological Rehabilitation, 2021
Renerus J. Stolwyk, James R. Gooden, Joosup Kim, Dominique A. Cadilhac
In previous reviews, authors have highlighted the lack of reliable and methodologically appropriate evidence for assessing the cost-effectiveness of rehabilitation interventions in ABI; and the tendency for these studies to only include inpatient and outpatient hospital costs (McGregor & Pentland, 1997; Worthington, da Silva Ramos, & Oddy, 2017). Consideration of other costs such as lost production, out-of-pocket costs incurred by the individual or family, or costs of community/social care and home modifications could significantly alter the outcome of an analysis (Worthington et al., 2017). Worthington and colleagues (2017) also noted that specific interventions for cognitive disorders were lacking in detail with regard to the costs involved, and that despite evidence for cognitive rehabilitation being beneficial, the cost-effectiveness of these interventions was largely unknown. While they concluded this was still an emerging area of research, what was lacking within this review was an evaluation of the quality of the evaluations conducted and specific recommendations on how future research could be improved.