neurodegeneratieve aandoeningen (Parkinson), stoornissen in executieve functies deficits in planning execution and regulation of goal directed behaviour
Conditions
Interventions
Strategic Executive Training
Module 1 (min. 3 sessions max. 4): in this module the emphasis lies on
providing information about and increasing the patient*s insight into their
deficits. First, info
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1)Deficient score on the Behavioral Assessment of the Dysexecutive Syndrome (BADS, Wilson et al. 1996), based on the same criteria as in former study by Spikman et al. (2010). 2)Deficient score on the Dysexecutive Questionnaire for patients and proxies (DEX, Wilson et al., 1996), meaning some degree of experienced problems with executive functioning in daily life. The criteria is a total score of 20 or more, based on former study by Spikman et al. (2010).
Exclusion criteria
Exclusion criteria: -Advanced stage of dementia (SCales for Outcomes in PArkinson*s disease-cognition, Marinus et al., 2003):totalscore 14 or lower or disturbing cognitive problems based on the different SCOPA-cog scores of subscales (memory, perception, language). -Severe depression (Hospitial Anxiety and Depression Scale, Zigmond & Snaith, 1983): defined as a score of 15 or higher on the different scales. -Symptoms like hallucinations and delusions (Neuropsychiatric Inventory, Cummings, 1994):defined as frequency of 3/4 and severity as 2/3 per scale. -Impulsive-compulsive disorders (ICD's) (Questionnaire for Impulsive-compulsive disorder in Parkinson's disease, Weintraub et al., 2009). -Cerebral comorbidity -Stage 5 of Hoehn & Yahr, stage 4 needs to be judged by the neuropsychologist who gives the treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of executive functioning on participation level, defined as a significant difference between pre- and postmeasurement on the Role Resumption List (Spikman et al., 2010). | — |
Secondary
| Measure | Time frame |
|---|---|
| Tests executive functions (included social cognition) • Behavioral Assessment of Dysexecutive Syndrome (BADS, Wilson et al., 1996), • Letterfluency ( ), Category fluency (GIT, Luteijn & van der Ploeg, 1998) • Executive Secretarial Task (follow-up EST, Lamberts, Evans & Spikman, 2009), • Digit span backwards (WAIS, Stinissen et al., 1970) • Virtual supermarket (Klinger, 2009). • Sociale cognition: Facial Expression of Emotional Stimuli Test (FEEST, Young et al., 2002) • Strange stories (Happé, 1994) • Iowa Gambling Task (IGT, Bechara et al., 1994), • Sustained attention to Response Task (SART, Robertson et al., 1997). Tests general cognitive functioning • 15 Words Test (Deelman et al., 1980) • Premorbid estimation of IQ: Dutch version of the NART (NLV, Schmand et al., 1992). • Test of Everyday Attention (TEA, Robertson et al., 1994) • Stroop Color Word Test (Stroop, 1935) • Trail Making Test (TMT, Reitan, 1958). Questionnaires/checklists executive functioning • Rating Of Perceived Participation (Sandström & Lundin-Olsson, 2007) • Goal attainment scaling: list of treatment goals (Spikman, 2009) • Dysexecutive Questionnaire (DEX, Wilson et al., 1996) • Executive Observation List (EO, Pollens, McBratnie & Burton, 1988, vertaling J.M. Spikman, 1996) • Parkinson*s Disease Questionnaire-39 (PDQ-39, Jenkinson et al., 1997). • Brock Adaptive Functioning Questionnaire (BAFQ, Dywan & Segalowitz, 1996) Questionnaire quality of life • Quality of Life after Brain Injury (QOLIBRI, Von Steinbuchel et al., 2005) | — |
Countries
Netherlands
Outcome results
None listed