Cognitive strategy training for adults with neurological conditions : A systematic review and meta-analysis exploring effect on occupational performance

Journal article


Swanton, Ruth, Gustafsson, Louise, Froude, Elspeth, Hodson, Tenelle, McInerney, Michelle, Cahill, Liana S. and Lannin, Natasha A.. (2020). Cognitive strategy training for adults with neurological conditions : A systematic review and meta-analysis exploring effect on occupational performance. British Journal of Occupational Therapy. 83(12), pp. 723-740. https://doi.org/10.1177/0308022620933095
AuthorsSwanton, Ruth, Gustafsson, Louise, Froude, Elspeth, Hodson, Tenelle, McInerney, Michelle, Cahill, Liana S. and Lannin, Natasha A.
Abstract

Introduction
The objective of this systematic review was to synthesise the evidence for cognitive strategy training to determine its effectiveness to improve performance of activities of daily living in an adult neurological population.

Method
Medline, CINAHL, EMBASE, PSYCInfo, PsycBITE and Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews were searched until August 2019. Studies examining the effect of cognitive strategy training on functional performance were included. Population criteria included adults with non-progressive neurological conditions. External and internal validity of included studies was systematically evaluated using an appropriate methodological quality assessment for each study design. A content analysis was conducted of the methodologies used.

Findings
Forty-one studies met the inclusion criteria and were appraised for content, 16 randomised or quasi-randomised trials were meta-analysed. Trial quality was generally ‘good’, Physiotherapy Evidence Database scale scores ranged from 3 to 8 (out of 10). For activity performance outcomes post-intervention, there was a significant benefit of cognitive strategy training over usual care (standardised mean difference 0.79, 95% confidence interval 0.49–1.09; P < 0.00001).

Conclusion
More high-quality research is needed to strengthen the evidence base for cognitive strategy interventions to improve activity performance outcomes for adults with non-progressive neurological conditions.

Systematic review registration
PROSPERO CRD42016033728

Keywordsrehabilitation; occupational therapy; activities of daily living; cognitive neurosciences
Year2020
JournalBritish Journal of Occupational Therapy
Journal citation83 (12), pp. 723-740
PublisherSAGE Publications
ISSN0308-0226
Digital Object Identifier (DOI)https://doi.org/10.1177/0308022620933095
Scopus EID2-s2.0-85088029494
Research or scholarlyResearch
Page range723-740
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online16 Jul 2020
Publication process dates
Accepted18 May 2020
Deposited27 Aug 2021
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