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Process evaluation of a self-management cognitive program for persons with multiple sclerosis.
OBJECTIVE: Cognitive changes are highly prevalent in multiple sclerosis (MS) however evidence-based research on cognitive rehabilitation programs for this population is only beginning to emerge. This article presents results from a process evaluation of a group-based, self-management cognitive intervention program developed specifically for people with MS. METHODS: Quantitative and qualitative data were collected using focus group interviews, facilitator reflection notes, and program evaluations. The data were used to identify the strengths and limitations of the program and to document recommendations for future development. Forty-one individuals met eligibility criteria and were enrolled in the program. RESULTS: Overall, participants reported that the program had a positive impact on their ability to manage cognitive symptoms. Program components that contributed to successful application of cognitive management strategies included increasing participant's knowledge of cognitive changes, problem-solving through cognitive challenges, practicing strategies through homework assignments, and conducting the program in a group format. Participants recommended that caregivers be included in future programs. CONCLUSION: Both content and structural components of the program facilitated participants' ability to manage cognitive changes and contributed to behavior changes made by the participants. PRACTICE IMPLICATIONS: This study points to the benefits of incorporating self-management programs into the cognitive rehabilitation process in MS.
Patient Educ Couns. 2009 Jul;76(1):77-83. Shevil E, Finlayson M. Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, Ramat Aviv, Tel Aviv 69978, Israel.
As a professional who regularly talks to groups about hypnotherapeutic medicine, over the years I’ve encountered more than one medical professional who has deemed that I have crossed the line and ventured unjustly into an area where they most certainly have superior knowledge. While my expertise is in the area of clinical applications of hypnosis, I feel that everyone who serves in healing professions must be aware of their continued need for further exploration and that they must accept the fact that they are very far from being perfect. One word that quickly calms the most ardent medical...
According to widely available statistics, too many people in Western countries failed to follow diets conducive to good health. Obesity is a major problem. While efforts are made to encourage healthy diets and proper exercise, they fail to be adequate.
Food serves the dual function. Not only is it necessary for physical nourishment, it also has a significant role in our feelings of emotional well-being. Additionally, it is related to our survival instinct. Thus we eat not only to survive physically, but also to survive emotionally. Our perceived need to handle negative stress and any...
Energy psychology and energy medicine can be lumped together under the complementary and alternative health care category that is also known as energy healing. The intention is to manipulate the body's energy flows in a way that she is a healthier balance and removes any blockages. Although this seems to be a rather new medical and psychological technique, in many ways it's based upon or influenced by ancient Eastern traditions involving chakras and energy meridians.
There are several specific techniques that come under the heading of energy healing. This includes Therapeutic Touch,...