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Parkinson’s Disease
Volume 2016 (2016), Article ID 8285041, 8 pages
http://dx.doi.org/10.1155/2016/8285041
Research Article

Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson’s Disease Dementia and Dementia with Lewy Bodies

1School of Psychology, Bangor University, Bangor LL57 2AS, UK
2Department of Care for the Elderly, Betsi Cadwaladr University Health Board, Llandudno LL30 1LB, UK
3The College of Health & Behavioural Sciences, Bangor University, Bangor LL57 2UW, UK
4Division of Mental Health and Learning Disabilities, Betsi Cadwaladr University Health Board, Ysbyty Gwynedd, Bangor LL57 2PW, UK
5Centre for Research in Ageing and Cognitive Health (REACH), School of Psychology, University of Exeter, Exeter EX4 4QG, UK
6PenCLAHRC, Institute of Health Research, University of Exeter Medical School, Exeter EX1 2LU, UK
7Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Normal Site, Bangor LL57 2PZ, UK
8The North Wales Organisation for Randomised Trials in Health (NWORTH), Bangor University, Gwynedd, Bangor LL57 2PZ, UK
9Cefni Hospital, Llangefni, Anglesey LL77 7PP, UK

Received 31 March 2016; Accepted 1 June 2016

Academic Editor: Tien K. Khoo

Copyright © 2016 Tamlyn J. Watermeyer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Alongside the physical symptoms associated with Parkinson’s disease dementia and dementia with Lewy bodies, health services must also address the cognitive impairments that accompany these conditions. There is growing interest in the use of nonpharmacological approaches to managing the consequences of cognitive disorder. Cognitive rehabilitation is a goal-orientated behavioural intervention which aims to enhance functional independence through the use of strategies specific to the individual’s needs and abilities. Fundamental to this therapy is a person’s capacity to set goals for rehabilitation. To date, no studies have assessed goal setting in early-stage Parkinson’s disease dementia or dementia with Lewy bodies. Semistructured interviews were carried out with 29 participants from an ongoing trial of cognitive rehabilitation for people with these conditions. Here, we examined the goal statements provided by these participants using qualitative content analysis, exploring the types and nature of the goals set. Participants’ goals reflected their motivations to learn new skills or improve performance in areas such as technology-use, self-management and orientation, medication management, and social and leisure activities. These results suggest that goal setting is achievable for these participants, provide insight into the everyday cognitive difficulties that they experience, and highlight possible domains as targets for intervention. The trial is registered with ISRCTN16584442 (DOI 10.1186/ISRCTN16584442 13/04/2015).