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Improving Memory in Outpatients with Neurological Disorders Using a Group-Based Training Program

Published online by Cambridge University Press:  18 May 2012

Kylie Radford ,
Suncica Lah ,
Zoë Thayer ,
Miranda J. Say  and
Laurie A. Miller
Kylie Radford
Affiliation:
School of Psychology, University of Sydney, Sydney, Australia
Suncica Lah
Affiliation:
School of Psychology, University of Sydney, Sydney, Australia
Zoë Thayer
Affiliation:
Neuropsychology Unit, Royal Prince Alfred Hospital, Sydney, Australia
Miranda J. Say
Affiliation:
Psychology Department, Macquarie University, Sydney, Australia
Laurie A. Miller*
Affiliation:
School of Psychology, University of Sydney, Sydney, Australia Neuropsychology Unit, Royal Prince Alfred Hospital, Sydney, Australia
*
Correspondence and reprint requests to: Laurie A. Miller, Neuropsychology Unit, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia. E-mail: [email protected]
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Abstract

Memory problems are common in patients with a range of neurological conditions, but there have been few attempts to provide and evaluate the usefulness of memory training for groups of neurological outpatients. We used a waitlist-controlled trial design to assess the effectiveness of a newly created, 6-session intervention, which involved training in the use of compensatory strategies as well as education regarding memory function, neurological damage, sleep and lifestyle factors that have an impact on memory. Fifty-six patients with neurological conditions (e.g., stroke, epilepsy) and memory complaints completed the training and assessments. Outcomes were evaluated in terms of reported strategy use as well as objective and subjective measures of anterograde and prospective memory. Training resulted in significant improvements on number of strategies used, scores on the Rey Auditory Verbal Learning Test (total learning and delayed recall) and self-report on the Comprehensive Assessment of Prospective Memory. Improvements were stable at 3-month follow-up. Better individual outcomes were related to lower baseline memory scores, fewer symptoms of depression and greater self-awareness of memory function. Overall the study provides encouraging results to indicate that patients with neurological conditions such as stroke and epilepsy can show improvements in memory after a relatively short group-based intervention. (JINS, 2012, 18, 1–11)

Keywords

Prospective memoryRehabilitationBrain lesionsStrokeEpilepsyNeuropsychological outcome
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 18 , Issue 4 , July 2012 , pp. 738 - 748
Copyright
Copyright © The International Neuropsychological Society 2012

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References

Andrewes, D.G., Kinsella, G., Murphy, M. (1996). Using a memory handbook to improve everyday memory in community-dwelling older adults with memory complaints. Experimental Aging Research, 22, 305–322.CrossRefGoogle ScholarPubMed
Anson, K., Ponsford, J. (2006). Who benefits? Outcome following a coping skills group intervention for traumatically brain injured individuals. Brain Injury, 20, 1–13.CrossRefGoogle ScholarPubMed
Berg, I.J., Koning-Haanstra, M., Deelman, B.G. (1991). Long-term effects of memory rehabilitation: A controlled study. Neuropsychological Rehabilitation, 1, 97–111.CrossRefGoogle Scholar
Chau, L., Lee, J., Fleming, J., Roche, N., Shum, D. (2007). Reliability and normative data for the Comprehensive Assessment of Prospective Memory (CAPM). Neuropsychological Rehabilitation, 17, 707–722.CrossRefGoogle ScholarPubMed
Cicerone, K.D., Langenbahn, D.M., Braden, C., Malec, J.F., Kalmar, K., Fraas, M., Ashman, T. (2011). Evidence-based cognitive rehabilitation: Updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation, 92, 519–530.CrossRefGoogle ScholarPubMed
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.CrossRefGoogle ScholarPubMed
Craik, F.I.M., Wincour, G., Palmer, H., Binns, M.A., Edwards, M., Bridges, K., Stuss, D.T. (2007). Cognitive rehabilitation in the elderly: Effects on memory. Journal of the International Neuropsychological Society, 13, 132–142.CrossRefGoogle ScholarPubMed
Dirette, D. (2002). The development of awareness and the use of compensatory strategies for cognitive deficits. Brain Injury, 16, 861–871.CrossRefGoogle ScholarPubMed
Evans, J.J., Wilson, B.A. (1992). A memory group for individuals with brain injury. Clinical Rehabilitation, 6, 75–81.CrossRefGoogle Scholar
Evans, J.J., Wilson, B.A., Needham, P., Brentnall, S. (2003). Who makes good use of memory aids? Results of a survey of people with acquired brain injury. Journal of the International Neuropsychological Society, 9, 925–935.CrossRefGoogle ScholarPubMed
Evans, S., Day, S., & Royston, P. (2004). Minim: Allocation by minimisation in clinical trial [computer software & manual]. Retrieved from www.sghms.ac.uk/depts/phs/guide/randser.htmGoogle Scholar
Fish, J., Evans, J.J., Nimmo, M., Martin, E., Kersel, D., Bateman, A., Manly, T. (2007). Rehabilitation of executive dysfunction following brain injury: “Content-free” cueing improves everyday prospective memory performance. Neuropsychologia, 45, 1318–1330.CrossRefGoogle ScholarPubMed
Fleming, J.M., Riley, L., Gill, H., Gullo, M.J., Strong, J., Shum, D. (2008). Predictors of prospective memory in adults with traumatic brain injury. Journal of the International Neuropsychological Society, 14, 823–831.CrossRefGoogle ScholarPubMed
Fleming, J.M., Shum, D., Strong, J., Lightbody, S. (2005). Prospective memory rehabilitation for adults with traumatic brain injury: A compensatory training programme. Brain Injury, 19, 1–10.CrossRefGoogle ScholarPubMed
Fleming, J.M., Strong, J. (1995). Self-awareness of deficits following acquired brain injury. Considerations for rehabilitation. British Journal of Occupational Therapy, 58, 55–58.CrossRefGoogle Scholar
Furst, C. (1986). The memory derby: Evaluating and remediating intention memory. Cognitive Rehabilitation, 4, 24–26.Google Scholar
Geffen, G.M., Butterworth, P., Geffen, L.B. (1994). Test-retest reliability of a new form of the Auditory Verbal Learning Test (AVLT). Archives of Clinical Neuropsychology, 9, 303–316.CrossRefGoogle ScholarPubMed
Geffen, G.M., Moar, K.J., O'Hanlon, A.P. (1990). The AVLT (Rey): Performance of 16-86 year olds of average intelligence. The Clinical Neuropsychologist, 4, 45–63.CrossRefGoogle Scholar
Hampstead, B.M., Sathian, K., Moore, A.B., Nalisnick, C., Stringer, A.Y. (2008). Explicit memory training leads to improved memory for face-name pairs in patients with mild cognitive impariment: Results of a pilot investigation. Journal of the International Neuropsychological Society, 14, 883–889.CrossRefGoogle Scholar
Helmstaedter, C., Loer, B., Wohlfahrt, R., Hammen, A., Saar, J., Steinhoff, B.J., Schulze-Bonhage, A. (2008). The effects of cognitive rehabilitation on memory outcome after temporal lobe epilepsy surgery. Epilepsy & Behavior, 12, 402–409.CrossRefGoogle ScholarPubMed
Hildebrandt, H., Bussmann-Mork, B., Schwendemann, G. (2006). Group therapy for memory impaired patients: A partial remediation is possible. Journal of Neurology, 253, 512–519.CrossRefGoogle ScholarPubMed
Howell, D.C. (2007). Statistical methods for psychology (6th ed.). New York: Wadsworth Publishing.Google Scholar
Intons-Peterson, M.J., Fournier, J. (1986). External and internal memory aids: When and how often do we use them? Journal of Experimental Psychology: General, 115, 267–280.CrossRefGoogle Scholar
Jacobson, N.S., Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychologv, 59, 12–19.CrossRefGoogle ScholarPubMed
Jennett, S.M., Lincoln, N.B. (1991). An evaluation of the effectiveness of group therapy for memory problems. International Disability Studies, 13, 83–86.CrossRefGoogle ScholarPubMed
Kapur, N., Pearson, D. (1983). Memory symptoms and memory performance of neurological patients. British Journal of Psychology, 74, 409–415.CrossRefGoogle ScholarPubMed
Kaschel, R., Della Sala, S., Cantagallo, A., Fahlbock, A., Laaksonen, R., Kazen, M. (2002). Imagery mnemonics for the rehabilitation of memory: A randomised group controlled trial. Neuropsychological Rehabilitation, 12, 127–153.CrossRefGoogle Scholar
Kinsella, G., Murtagh, D., Landry, A., Homfray, K., Hammond, M., O'Beirne, L., Ponsford, J. (1996). Everyday memory following traumatic brain injury. Brain Injury, 10, 499–507.CrossRefGoogle ScholarPubMed
Lezak, M., Howieson, D.B., Loring, D.W. (2004). Neuropsychological Assessment (4th ed.). New York: Oxford University Press.Google Scholar
Lovibond, P.F., Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scale (DASS) with the Beck Depression and Anxiety Inventories. Behaviour, Research and Therapy, 33, 335–343.CrossRefGoogle ScholarPubMed
Malec, E.A., Goldstein, G., McCue, M. (1991). Predictors of memory training success in patients with closed-head injury. Neuropsychology, 5, 29–34.CrossRefGoogle Scholar
Mateer, C.A., Sohlberg, M.M. (1988). A paradigm shift in memory rehabilitation. In H.A. Whitaker (Ed.), Neuropsychological studies of nonfocal brain damage. New York: Springer-Verlag.Google Scholar
Mateer, C.A., Sohlberg, M.M., Crinean, J. (1987). Perceptions of memory function in individuals with closed-head injury. Journal of Head Trauma Rehabilitation, 2, 74–84.CrossRefGoogle Scholar
Nair, R., Lincoln, N. (2007). Cognitive rehabilitation for memory deficits following stroke. Cochrane Database of Systematic Reviews, 3, CD002293. doi:10.1002/14651858.CD002293.pub2Google Scholar
Nelson, H.E., Willison, J. (1991). The National Adult Reading Test (NART) (2nd ed.). Windsor, UK: NFER Nelson.Google Scholar
Noe, E., Ferri, J., Caballero, M.C., Villodre, R., Sanchez, A., Chirivella, J. (2005). Self-awareness after acquired brain injury: Predictors and rehabilitation. Journal of Neurology, 252, 168–175.CrossRefGoogle ScholarPubMed
Ownsworth, T., Little, T., Turner, B., Hawkes, A., Shum, D. (2008). Assessing emotional status following acquired brain injury: The clinical potential of the depression, anxiety and stress scales. Brain Injury, 22, 858–869.CrossRefGoogle ScholarPubMed
Radford, K., Lah, S., Say, M.J., Miller, L.A. (2011). Validation of a new measure of prospective memory: The Royal Prince Alfred Prospective Memory Test. The Clinical Neuropsychologist, 25, 127–140.CrossRefGoogle ScholarPubMed
Radford, K., Lah, S., Thayer, Z., Miller, L.A. (2011). Effective group-based memory training for patients with epilepsy. Epilepsy & Behavior, 22, 272–278.CrossRefGoogle ScholarPubMed
Radford, K., Say, M., Thayer, Z., Miller, L.A. (2010). Making the most of your memory: An everyday memory skills program. Sydney: ASSBI Resources.Google Scholar
Raskin, S., Sohlberg, M.M. (1996). The efficacy of prospective memory training in two adults with brain injury. Journal of Head Trauma Rehabilitation, 11, 32–51.CrossRefGoogle Scholar
Rees, L., Marshall, S., Hartridge, C., Mackie, D., Weiser, M. (2007). Cognitive interventions post acquired brain injury. Brain Injury, 21, 161–200.CrossRefGoogle ScholarPubMed
Rey, A. (1958). L'examen clinique en psychologie. Paris: Presse Universitaire de France.Google Scholar
Roche, N.L., Fleming, J.M., Shum, D. (2002). Self-awareness of prospective memory failure in adults with traumatic brain injury. Brain Injury, 16, 931–945.CrossRefGoogle ScholarPubMed
Ryan, T.V., Ruff, R.M. (1988). The efficacy of structured memory retraining in a group comparison of head trauma patients. Archives of Clinical Neuropsychology, 3, 165–179.CrossRefGoogle Scholar
Schmitter-Edgecombe, M., Fahy, J.F., Whelan, J.P., Long, C.J. (1995). Memory remediation after severe closed head injury: Notebook training versus supportive therapy. Journal of Consulting and Clinical Psychology, 63, 484–489.CrossRefGoogle ScholarPubMed
Sohlberg, M.M., Kennedy, M., Avery, J., Coelho, C., Turkstra, L., Ylvisaker, M., Yorkston, K. (2007). Evidence-based practice for the use of external aids as a memory compensation technique. Journal of Medical Speech-Language Pathology, 15, xv–li.Google Scholar
Tabachnick, B.G., Fidell, L.S. (1996). Using multivariate statistics (3rd ed.). New York: Harper Collins.Google Scholar
Thickpenny-Davis, K.L., Barker-Collo, S.L. (2007). Evaluation of a structured group format memory rehabilitation program for adults following brain injury. Journal of Head Trauma Rehabilitation, 22, 303–313.CrossRefGoogle ScholarPubMed
Thompson, P.J., Corcoran, R. (1992). Everyday memory failures in people with epilepsy. Epilepsia, 33(Suppl 6), S18–S20.Google ScholarPubMed
Wilson, B.A., Cockburn, J., Baddeley, A. (1985). The Rivermead Behavioural Memory Test. Bury St. Edmunds, UK: Thames Valley Test.Google Scholar
Wilson, B.A., Moffat, N. (1992). The development of group memory therapy. In B.A. Wilson & N. Moffat (Eds.), Clinical management of memory problems. London: Chapman & Hall.CrossRefGoogle Scholar