4.0 Review

Cognitive strategy training for adults with neurological conditions: a systematic review and meta-analysis exploring effect on occupational performance

Journal

BRITISH JOURNAL OF OCCUPATIONAL THERAPY
Volume 83, Issue 12, Pages 723-740

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/0308022620933095

Keywords

Rehabilitation; occupational therapy; activities of daily living; cognitive neurosciences

Categories

Funding

  1. National Heart Foundation of Australia Future Leaders Fellowship [GNT102055]
  2. La Trobe University Postgraduate Scholarship

Ask authors/readers for more resources

Introduction The objective of this systematic review was to synthesise the evidence for cognitive strategy training to determine its effectiveness to improve performance of activities of daily living in an adult neurological population. Method Medline, CINAHL, EMBASE, PSYCInfo, PsycBITE and Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews were searched until August 2019. Studies examining the effect of cognitive strategy training on functional performance were included. Population criteria included adults with non-progressive neurological conditions. External and internal validity of included studies was systematically evaluated using an appropriate methodological quality assessment for each study design. A content analysis was conducted of the methodologies used. Findings Forty-one studies met the inclusion criteria and were appraised for content, 16 randomised or quasi-randomised trials were meta-analysed. Trial quality was generally 'good', Physiotherapy Evidence Database scale scores ranged from 3 to 8 (out of 10). For activity performance outcomes post-intervention, there was a significant benefit of cognitive strategy training over usual care (standardised mean difference 0.79, 95% confidence interval 0.49-1.09;P < 0.00001). Conclusion More high-quality research is needed to strengthen the evidence base for cognitive strategy interventions to improve activity performance outcomes for adults with non-progressive neurological conditions. Systematic review registration PROSPERO CRD42016033728

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.0
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Rehabilitation

Co-creation and stroke rehabilitation: a scoping review

Joshua Dobe, Louise Gustafsson, Kim Walder

Summary: This paper conducts a scoping review to explore the application of co-creation in stroke rehabilitation. The results show that co-creation is a contemporary field in developing stroke rehabilitation services, but its application is inconsistent, requiring further research to establish clarity and consistency in terminology and methodologies.

DISABILITY AND REHABILITATION (2023)

Review Clinical Neurology

Personal experiences of appropriate access to post-acute care services in acquired brain injury: a scoping review

Kirstyn Laurie, Michele Foster, Louise Gustafsson

Summary: People with acquired brain injuries often face barriers to accessing appropriate rehabilitation services in the community. This study reviewed research from the perspective of service users to identify key characteristics of 'appropriate' post-acute care services. The analysis revealed important factors related to service characteristics and the healthcare system, highlighting the need for personalized access to ensure optimal recovery.

BRAIN IMPAIRMENT (2023)

Article Clinical Neurology

Mixed methods study to understand the experiences of adults with acquired brain injury and their family members who receive specialised rehabilitation

Elizabeth O'Shannessy, Sandra Reeder, Swarna Vishwanath, Sophie Hill, Andrew Perta, Laura Jolliffe, Jacqui Morarty, Peter Hunter, Natasha A. Lannin

Summary: This study aimed to explore the experiences of inpatients and their family members in a specialist acquired brain injury (ABI) rehabilitation service. The results showed high levels of satisfaction with the specialist service, but also highlighted issues with inconsistent communication, variable nursing care, and strengths and weaknesses of the rehabilitation environment. Key components of a positive experience included involvement in decision making and discharge planning, effective communication and information processes, and therapeutic relationships with staff.

BRAIN IMPAIRMENT (2023)

Article Rehabilitation

Perspectives of major traumatic injury survivors on accessibility and quality of rehabilitation services in rural Australia

Vanessa L. Sharp, Jodie E. Chapman, Betina Gardner, Jennie L. Ponsford, Melita J. Giummarra, Natasha A. Lannin, John Olver, Renerus J. Stolwyk

Summary: This study explored the experience of rural major traumatic injury survivors accessing rehabilitation services in Australia. The results showed that rural residents face challenges in accessing rehabilitation services, including poor knowledge of local services, travel burden, high financial costs, and a lack of experienced local practitioners. However, rural survivors expressed strong determination for independence and self-management of their recovery.

DISABILITY AND REHABILITATION (2023)

Article Rehabilitation

Uncovering the experiences of engaging in an inpatient occupation-based group program: the LifeSkills group

Kaitlyn Spalding, Amelia Di Tommaso, Louise Gustafsson

Summary: This study explores the experiences of patients participating in occupation-based group intervention and finds that it has value and usefulness in an inpatient rehabilitation setting, meeting patients' needs for client-centeredness, occupational engagement, and valued relationships.

SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY (2023)

Article Rehabilitation

Evaluation of an inpatient occupation-based group program using a process evaluation framework

Kaitlyn Spalding, Louise Gustafsson, Amelia Di Tommaso

Summary: This study evaluated the process and success factors of an occupation-based group in rehabilitation. The results showed that factors for success included consistency in group structure and support, using meaningful practice opportunities, and facilitating real-world experiences. Furthermore, there was no significant relationship between patient outcomes and training dose or patient demographics.

AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL (2023)

Article Health Policy & Services

Costs of acute hospitalisation for stroke and transient ischaemic attack in Australia

Joosup Kim, Rohan Grimley, Monique F. Kilkenny, Greg Cadigan, Trisha Johnston, Nadine E. Andrew, Amanda G. Thrift, Natasha A. Lannin, Vijaya Sundararajan, Dominique A. Cadilhac

Summary: This study aimed to describe the costs of hospital care for stroke and transient ischaemic attack (TIA) and investigate factors associated with costs. The results showed that medical and nursing costs were the major expenses for most patients with stroke or TIA and were relatively expensive.

HEALTH INFORMATION MANAGEMENT JOURNAL (2023)

Article Rehabilitation

Perceived service adequacy and unmet need after discharge from brain injury rehabilitation

Kirstyn Laurie, Michele M. Foster, David N. Borg, Louise Gustafsson

Summary: This study investigated the perceived needs and adequacy of post-acute services for individuals with acquired brain injury in the first six months after discharge. The study also examined the impact of funding and specialist transitional rehabilitation on unmet needs. The findings showed that the most commonly reported unmet needs were for rehabilitation services (60%), followed by healthcare (40%), social care (35%), personal care (32%), and environment-related needs (14%). Participants who attended transitional rehabilitation were more likely to report unmet healthcare needs.

DISABILITY AND REHABILITATION (2023)

Article Rehabilitation

Multiple-Case Study Exploration of an Occupational Perspective in a Persistent Pain Clinic

Kate Tonkin, Louise Gustafsson, Michael Deen, Jacqui Broadbridge

Summary: There is growing interest in using the Activity Card Sort Australia (18-64) as a client-centered and occupation-centered tool when working with people experiencing chronic pain. This study explored the process and experience of completing the ACS-Aus (18-64) with chronic pain patients. The findings revealed that the ACS-Aus (18-64) supported participants in re-engaging with their occupational identities and envisioning future occupational engagement.

OTJR-OCCUPATIONAL THERAPY JOURNAL OF RESEARCH (2023)

Review Rehabilitation

Occupational therapy in adults with chronic respiratory conditions: A scoping review

Amanda McCowan, Louise Gustafsson, Michelle Bissett, Bajee Krishna Sriram

Summary: Chronic respiratory diseases have a significant impact on occupational performance and engagement. This scoping review aimed to explore the range, context, and outcomes of occupational therapy services for adults with chronic respiratory conditions. The results revealed that occupational therapy interventions had positive impacts on patients in various aspects.

AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL (2023)

Article Rehabilitation

Interventions for Driving Disruption in Community Rehabilitation: A Chart Audit

Kerry Marnane, L. Gustafsson, J. Liddle, M. Molineux

Summary: This study aimed to document the prevalence of driving-related issues and the current practices of a community rehabilitation service regarding driving interventions. An audit of 80 medical records was conducted in a multidisciplinary community rehabilitation service in Brisbane, Australia.

DISABILITY AND REHABILITATION (2023)

Article Cardiac & Cardiovascular Systems

Physiotherapy practices when treating patients with COVID-19 during a pandemic: A survey study

Anthony Trojman, Judith Hough, Julie Hides, Louise Gustafsson, Orlando Flores, Jennifer Paratz

Summary: This study investigated how physiotherapists managed patients with COVID-19 in a hospital setting during the pandemic and found that they faced challenges in terms of staffing and expertise. The findings suggest the need for specialized training and clear guidelines to better manage COVID-19 patients and ensure the safety of physiotherapy staff.

HEART & LUNG (2023)

Article Rehabilitation

Personal factors, participation, and satisfaction post-stroke: A qualitative exploration

Melanie Hoyle, Louise Gustafsson, Pamela Meredith

Summary: This study explored how personal factors influence the experiences of participation and life satisfaction for individuals with stroke living in the community. Through qualitative in-depth interviews, three themes were identified, including the multifaceted nature of participation, the impact of pre/post-stroke self-discrepancies and threat appraisals on participation and life satisfaction outcomes. The findings suggest the value of examining personal factor-related interventions for post-stroke outcomes.

SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY (2023)

Article Rehabilitation

IMPLEMENTATION OF BEST PRACTICE GOAL-SETTING IN FIVE REHABILITATION SERVICES: A MIXED-METHODS EVALUATION STUDY

Amanda Baker, Masters Comm Rehab, Petrea Cornwell, Louise Gustafsson, Claire Stewart, Natasha A. Lannin

Summary: This implementation study aimed to enhance the key elements of clinical practice goal-setting across 5 rehabilitation services, and the results showed that the implementation package was successful at enhancing the goal-setting process. However, how the package is implemented within the team may impact outcomes.

JOURNAL OF REHABILITATION MEDICINE (2023)

Article Rehabilitation

Is communication key in stroke rehabilitation and recovery? National linked stroke data study

Sally Zingelman, Sarah J. Wallace, Joosup Kim, Simon Mosalski, Steven G. Faux, Dominique A. Cadilhac, Tara Alexander, Natasha A. Lannin, Muideen T. Olaiya, Ross Clifton, Christine T. Shiner, Susan Starr, Monique F. Kilkenny

Summary: The study found that the majority of stroke patients require communication support during rehabilitation, and communication gains post-stroke are associated with long-term outcomes such as quality of life and mortality. Factors such as aphasia, age, stroke severity, and previous stroke are associated with the need for communication support.

TOPICS IN STROKE REHABILITATION (2023)

No Data Available