A pilot study of the feasibility and efficacy of an online group memory strategy training program for adults with epilepsy

Memory deficits are a common comorbidity in epilepsy and memory rehabilitation has been identified as a priority treatment need by adults with epilepsy. This study investigated the impact of an online group intervention, Strategies for Epilepsy and Memory (STREAM), on self-reported perception and satisfaction with memory and use of strategies to mitigate memory failures in everyday life. The program consisted of eight, weekly, one-hour sessions that provided education on memory, strategies and how to implement them, and life-style factors that influence memory. Twenty-seven adults (mean age 43.3 yrs) completed the Multifactorial Memory Questionnaire at baseline and again at 2 weeks and 3 months following completion of STREAM. Scores increased after participation in STREAM and these increases were maintained at follow-up, indicating success of the program in improving self-perceptions of memory and the use of strategies. Participants valued the educational aspects of the program as well as the support received from others sharing similar experiences with epilepsy. The results suggest that this format of memory rehabilitation is both feasible and effective, and set the stage for future randomized control trials.