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Effectiveness of cognitive rehabilitation for people with multiple sclerosis: a meta-synthesis of patient perspectives

KLEIN O; DRUMMOND A; MHIZHA MURIRA JR
NEUROPSYCHOL REHABIL , 2019, vol. 29, n° 4, p. 491-512
Doc n°: 189076
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : Effectiveness of cognitive rehabilitation for people with multiple sclerosis: a meta-synthesis of patient perspectives
Descripteurs : AE3 - SEP

In this meta-synthesis, we investigated how people with MS evaluate cognitive rehabilitation programmes. Participants reported benefits in cognitive function and other areas related to their quality of life. They reported improved mood and quality of their relationships, an increase in confidence and perseverance, and the programmes helped them to change their perceptions of their condition. All these areas may play a significant role with respect to the perceived effectiveness of cognitive rehabilitation and such effects should not be underestimated. More research to further pinpoint the relationship between these factors in people with MS is needed. While participants' suggested improvements show that some aspects of cognitive rehabilitation programmes could be improved, this synthesis indicates that the majority of participants evaluated them positively.

We would suggest that a qualitative approach should be incorporated in future RCTs to access valuable patient perspectives. Given the problems with outcome measures in cognitive rehabilitation, using multiple methods to evaluate its effectiveness will enable us to better understand the biopsychosocial nature of chronic illnesses such as MS.

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Langue : ANGLAIS

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