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

Autor: Caller TA; Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. Electronic address: Tracie.A.Caller@dartmouth.edu., Secore KL; Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA., Ferguson RJ; Eastern Maine Medical Center, Bangor, ME, USA., Roth RM; Neuropsychology Program, Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA., Alexandre FP; Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA., Henegan PL; Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA., Harrington JJ; Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA., Jobst BC; Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Jazyk: angličtina
Zdroj: Epilepsy & behavior : E&B [Epilepsy Behav] 2015 Mar; Vol. 44, pp. 192-4. Date of Electronic Publication: 2015 Feb 27.
DOI: 10.1016/j.yebeh.2014.12.036
Abstrakt: 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.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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