NDLI: Cognitive Rehabilitation Therapies for Alzheimer’s Disease: A Review of Methods to Improve Treatment Engagement and Self-Efficacy

Content Provider	Springer Nature Link
Author	Choi, Jimmy Twamley, Elizabeth W.
Copyright Year	2013
Abstract	Cognitive rehabilitation therapies for Alzheimer’s disease (AD) are becoming more readily available to the geriatric population in an attempt to curb the insidious decline in cognitive and functional performance. However, people with AD may have difficulty adhering to these cognitive treatments due to denial of memory deficits, compromised brain systems, cognitive incapacity for self-awareness, general difficulty following through on daily tasks, lack of motivation, hopelessness, and apathy, all of which may be either due to the illness or be secondary to depression. Cognitive rehabilitation training exercises are also labor intensive and, unfortunately, serve as a repeated reminder about the memory impairments and attendant functional consequences. In order for cognitive rehabilitation methods to be effective, patients must be adequately engaged and motivated to not only begin a rehabilitation program but also to remain involved in the intervention until a therapeutic dosage can be attained. We review approaches to cognitive rehabilitation in AD, neuropsychological as well as psychological obstacles to effective treatment in this population, and methods that target adherence to treatment and may therefore be applicable to cognitive rehabilitation therapies for AD. The goal is to stimulate discussion among researchers and clinicians alike on how treatment effects may be mediated by engagement in treatment, and what can be done to enhance patient adherence for cognitive rehabilitation therapies in order to obtain greater cognitive and functional benefits from the treatment itself.
Starting Page	48
Ending Page	62
Page Count	15
File Format	PDF
ISSN	10407308
Journal	Neuropsychology Review
Volume Number	23
Issue Number	1
e-ISSN	15736660
Language	English
Publisher	Springer US
Publisher Date	2013-02-12
Publisher Place	Boston
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Cognitive rehabilitation Treatment engagement Adherence Motivation Public Health Neuropsychology Neurology Neuroradiology Health Psychology
Content Type	Text
Resource Type	Article
Subject	Neuropsychology and Physiological Psychology

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