A Cognitive Occupation-Based Programme for People with Multiple Sclerosis: A Study to Test Feasibility and Clinical Outcomes. (2nd May 2018)

• Record Type: Journal Article
• Authors: Reilly, Sean; Hynes, Sinéad M.
• Other Names: Copley Jodie A. Academic Editor.
• Is Part Of: Occupational therapy international. Volume 2018(2018)
• Publication Date: 2018-05-02
• Subjects: Occupational therapy -- Periodicals; Occupational Therapy -- Periodicals; Rehabilitation -- Periodicals; Ergothérapie -- Périodiques; 615.8515
• DOI: 10.1155/2018/1614901
• Languages: English
• ISSNs: 0966-7903

Abstract

Abstract : Cognitive impairments are common in MS and affect personal, social, and occupational functioning. There is a developing body of evidence highlighting the role of cognitive rehabilitation, but there is still no evidence for a validated holistic approach. The aim of this study was to assess the effectiveness of Cognitive Occupation-Based Programme for People with Multiple Sclerosis (COB-MS) for improving daily life and cognitive impairment. This study used an experimental pretest/posttest design with eight-week follow-up. Participants were recruited from MS networks using convenience sampling. The primary outcome measure was the GAS. Secondary outcomes included the OSA-DLS, CVLT-II, BVMT-R, SDMT, TMT, BRIEF-A, and EMQ-R. Twelve participants were recruited, aged 39–73 years (mean: 55.08; SD: 9.61). There were statistically significant improvements in the GAS (p < . 002 ), CVLT-II: total free recall (p < . 000 ), short delay free recall (p < . 018 ), long delay free recall (p < . 008 ), BVMT-R total recall (p < . 000 ), TMT part B (p < . 044 ), and EMQ-R (p < . 006 ). Except for the BRIEF-A, clinically significant improvements were observed in secondary outcome measures at posttest and follow-up. Limitations include selection bias and subtle practice effects in cognitive measures. Results suggest that a larger scale study is justified considering improvements seen in daily life and cognitive measures.