Home and Community Based Cognitive Rehabilitation for People with Multiple Sclerosis: A Preliminary Study
Objectives: The goal of this presentation is to review the evolving model of home and community based Cognitive Rehabilitation Therapy for individuals with MS and to identify the core tools, resources, strategies and approaches that are specifically designed to meet the unique needs of people with MS.
Methods: Fifteen individuals with MS were assessed to determine their cognitive skills, functional abilities, and interest in the program. Ten individuals were selected to participate in a 26 session home and community based CRT program. CRT services occur in each participant’s own home and community to provide education, relevant skills training and strategy development, and to ensure in vivo application of skills and strategies to promote generalization and confidence. Assessments, including the MSNQ, Snyder Hope Scale, Mayo-Portland Inventory 4, Inventory of Environmental Factors, were conducted prior to the delivery of services, and at the conclusion of the program.
Results: As this project has not yet concluded at the time of this submission, a formal analysis of the data has not been conducted. Preliminary results are showing improvements in life satisfaction, hopefulness and function.
Conclusions: This model for home and community based services for people with MS is still under construction at this time. The project will conclude in the spring and it is expected that some techniques and practices will emerge that will inform the future delivery of home and community based CRT. Preliminary findings will be presented.