Efficacy and Feasibility of Remote Cognitive Remediation Therapy in Parkinson's Disease: A Randomized Controlled Trial Lisa Hoffman, Nicholas D. Burt, Nicholas R. Piniella, Madison Baker, Nicole Volino, Saeed Yasin, Min-Kyung Jung, Adena Leder, Amber Sousa, "Efficacy and Feasibility of Remote Cognitive Remediation Therapy in Parkinson’s Disease: A Randomized Controlled Trial", Parkinson’s Disease, vol. 2023, Article ID 6645554, 10 pages, 2023. https://doi.org/10.1155/2023/6645554
Abstract: This study investigates the effectiveness and feasibility of remote Cognitive Remediation Therapy (CRT) in patients with Parkinson's disease (PD), focusing on cognitive function and quality of life. Non-motor symptoms, including cognitive impairment, often affect PD patients, significantly impacting their daily lives. Although no pharmacological treatments have proven effective for these symptoms, non-pharmacological approaches such as CRT and physical exercise have shown promise. This randomized controlled trial explores the potential benefits of remote CRT for PD patients participating in an organized group exercise program.
Methods: Twenty-four PD subjects were recruited from Rock Steady Boxing (RSB), a non-contact group exercise program. They underwent evaluations using standard neuropsychological assessments and quality of life measures. The subjects were then randomly assigned to either a control group or an intervention group. The intervention group engaged in remote CRT sessions for ten weeks, meeting online twice a week for one hour each session. These sessions involved multi-domain cognitive exercises and group discussions.
Results: After the study, 21 subjects completed the evaluation. Comparing the two groups over time, the control group (n=10) displayed a decline in overall cognitive performance, approaching statistical significance. Additionally, the control group experienced a statistically significant decrease in delayed memory and self-reported cognition. Conversely, the intervention group (n=11) did not exhibit these declines and reported a positive experience with the CRT sessions, noting subjective improvements in their daily lives. Conclusions: This randomized controlled pilot study suggests that remote CRT for PD patients is not only feasible but also enjoyable. Importantly, it may help slow the progression of cognitive decline, as indicated by the preservation of cognitive function in the intervention group. Further research is warranted to investigate the long-term effects of such a program on PD patients' cognitive function and quality of life.
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