多发性硬化症的认知刺激活动:定性可行性研究。

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Andreas Kirknæs Færk, Jakob Lindegaard Lund, Finn Sellebjerg, Helene Højsgaard Chow, Lisbet Marstrand, Mia Loft
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引用次数: 0

摘要

简介:一些多发性硬化症(pwMS)患者表现出高认知储备(CR),可能减轻认知能力下降。认知刺激活动(CSA)有助于CR,这表明涉及CSA的干预措施可能会增强ms的认知功能。目标/目的:评估旨在提高CSA参与(如阅读、写作、语言学习)的干预措施的可行性。方法:采用随机对照试验,干预12周后对参与者进行访谈。参与者是根据预先指定的标准选择的,以确保样本的多样性。访谈被逐字记录下来,并使用归纳内容分析方法进行分析。结果:访谈14名参与者。参与者认为干预是可行和可接受的。益处包括主观认知的改善,损伤意识的增强,以及对补偿策略的参与。一些人报告了间接的好处,包括情绪和身体功能的改善。障碍包括缺乏培训结构,干预的技术方面,繁忙的日程安排,以及没有严格遵守协议的内疚。障碍在进展性MS、年龄较小、日程繁忙和干预前活动水平高的参与者中最为普遍。结论:个体化干预提高pwMS患者csa是可行的。未来的干预措施可能会受益于将低至中等程度参与csa的人包括在内,并应考虑在此过程中实施进展措施以保持动机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitively stimulating activities in multiple sclerosis: A qualitative feasibility study.

Introduction: Some people with multiple sclerosis (pwMS) exhibit high cognitive reserve (CR), potentially mitigating cognitive decline. Cognitively stimulating activities (CSAs) contribute to CR, suggesting that interventions entailing CSAs may enhance cognitive function in MS.

Objectives/aims: To evaluate the feasibility of an intervention designed to increase CSA participation (e.g., reading, writing, language learning).

Methods: Participants were interviewed after a 12-week intervention in a randomized controlled trial. Participants were selected based on prespecified criteria to ensure sample diversity. Interviews were transcribed verbatim and analyzed using an inductive content analysis approach.

Results: 14 participants were interviewed. The intervention was deemed feasible and acceptable by participants. Benefits included subjective cognitive improvements, increased impairment awareness, and engagement in compensatory strategies. Some reported indirect benefits, including improvements in mood and physical functioning. Barriers included a lack of training structure, technical aspects of the intervention, busy schedules, and guilt from not strictly adhering to protocol. Barriers were most prevalent in participants with progressive MS, younger age, busy schedules, and high pre-intervention activity levels.

Conclusion: An individualized intervention to increase CSAs in pwMS is feasible. Future interventions could benefit from including people with low to medium participation in CSAs and should consider implementing measures of progress along the way to maintain motivation.

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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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