Design and feasibility of a memory intervention with focus on self-management for cognitive impairment in epilepsy

被引:14
作者
Caller, Tracie A. [1 ]
Secore, Karen L. [1 ]
Ferguson, Robert J. [3 ]
Roth, Robert M. [2 ]
Alexandre, Faith P. [1 ]
Henegan, Patricia L. [1 ]
Harrington, Jessica J. [1 ]
Jobst, Barbara C. [1 ]
机构
[1] Dartmouth Hitchcock Med Ctr, Dept Neurol, Lebanon, NH 03753 USA
[2] Geisel Sch Med Dartmouth, Dept Psychiat, Neuropsychol Program, Lebanon, NH USA
[3] Eastern Maine Med Ctr, Bangor, ME USA
关键词
Epilepsy; Comorbidity; Cognition; Memory; Self-management; TEMPORAL-LOBE EPILEPSY; WORKING-MEMORY; BRAIN-INJURY; QUALITY; REHABILITATION; PERFORMANCE; DEPRESSION; ADULTS; CARE;
D O I
10.1016/j.yebeh.2014.12.036
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
The aim of this study was to assess the feasibility of a self-management intervention targeting cognitive dysfunction to improve quality of life and reduce memory-related disability in adults with epilepsy. The intervention incorporates (1) education on cognitive function in epilepsy, (2) self-awareness training, (3) compensatory strategies, and (4) application of these strategies in day-to-day life using problem-solving therapy. In addition to the behavioral modification, formal working memory training was conducted by utilizing a commercially available program in a subgroup of patients. Our findings suggest that a self-management intervention targeting cognitive dysfunction was feasible for delivery to a rural population with epilepsy, with 13 of 16 enrolled participants completing the 8-session program. Qualitative data indicate high satisfaction and subjective improvement in cognitive functioning in day-to-day life. These findings provide support for further evaluation of the efficacy of this intervention through a randomized controlled trial. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:192 / 194
页数:3
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