A cognitive occupation-based programme for people with multiple sclerosis: A new occupational therapy cognitive rehabilitation intervention.

Sinéad M Hynes, Susan Forwell
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Abstract

Introduction: Cognitive difficulties have been reported to have the greatest effect on function and quality of life in people with multiple sclerosis, affecting 50-60% of people. To date, few interventions have been developed to treat cognitive issues in multiple sclerosis. Here we report on a Cognitive Occupation-Based programme (COB-MS) for people with Multiple Sclerosis an evidence-based intervention to address everyday problems encountered due to cognitive difficulties. The aim of this research was to explore the views of people with multiple sclerosis and occupational therapists on the programme and its potential implementation in practice.

Methods: Data were elicited from a purposive sample of 12 people from two stakeholder groups, people with multiple sclerosis (n = 5) and occupational therapists (n = 7), through focus groups and interviews. The programme and related materials were presented, and contributions recorded, transcribed and thematically analysed.

Results: Two main themes were identified from analysis of the data: response to the intervention and challenges to implementing the programme. Occupational therapists agreed that the COB-MS is client-centred. People with multiple sclerosis thought that it was a validating intervention. The overall format was viewed to be useful and feasible.

Conclusion: The COB-MS for people with Multiple Sclerosis is the first known cognitive intervention using an occupation frame of reference to address difficulties faced among persons with multiple sclerosis and was found to be timely and relevant to the needs of the population.

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针对多发性硬化症患者的认知职业计划:一种新的职业治疗认知康复干预措施。
简介据报道,认知障碍对多发性硬化症患者的功能和生活质量影响最大,50%-60%的患者会出现认知障碍。迄今为止,治疗多发性硬化症认知问题的干预措施还很少。在此,我们报告了一项针对多发性硬化症患者的认知职业计划(COB-MS),这是一项以证据为基础的干预措施,旨在解决由于认知困难而遇到的日常问题。这项研究的目的是探讨多发性硬化症患者和职业治疗师对该计划的看法以及在实践中实施该计划的可能性:通过焦点小组和访谈的方式,从两个利益相关群体(多发性硬化症患者(5 人)和职业治疗师(7 人))的 12 个有目的性的样本中收集数据。对计划和相关材料进行了介绍,并对参与者的发言进行了记录、转录和主题分析:通过对数据的分析,确定了两大主题:对干预措施的反应和实施计划所面临的挑战。职业治疗师一致认为 COB-MS 是以客户为中心的。多发性硬化症患者认为这是一项有效的干预措施。整体形式被认为是有用和可行的:针对多发性硬化症患者的 COB-MS 是首个使用职业参照框架来解决多发性硬化症患者所面临的困难的认知干预方法,该干预方法被认为是及时的,并且符合人们的需求。
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