1. Epilepsy Behav. 2015 Mar;44:192-4. doi: 10.1016/j.yebeh.2014.12.036. Epub 2015
Feb 27.

Design and feasibility of a memory intervention with focus on self-management for
cognitive impairment in epilepsy.

Caller TA(1), Secore KL(2), Ferguson RJ(3), Roth RM(4), Alexandre FP(2), Henegan 
PL(2), Harrington JJ(2), Jobst BC(2).

Author information: 
(1)Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Electronic address: Tracie.A.Caller@dartmouth.edu.
(2)Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
(3)Eastern Maine Medical Center, Bangor, ME, USA.
(4)Neuropsychology Program, Department of Psychiatry, Geisel School of Medicine
at Dartmouth, Lebanon, NH, USA.

The aim of this study was to assess the feasibility of a self-management
intervention targeting cognitive dysfunction to improve quality of life and
reduce memory-related disability in adults with epilepsy. The intervention
incorporates (1) education on cognitive function in epilepsy, (2) self-awareness 
training, (3) compensatory strategies, and (4) application of these strategies in
day-to-day life using problem-solving therapy. In addition to the behavioral
modification, formal working memory training was conducted by utilizing a
commercially available program in a subgroup of patients. Our findings suggest
that a self-management intervention targeting cognitive dysfunction was feasible 
for delivery to a rural population with epilepsy, with 13 of 16 enrolled
participants completing the 8-session program. Qualitative data indicate high
satisfaction and subjective improvement in cognitive functioning in day-to-day
life. These findings provide support for further evaluation of the efficacy of
this intervention through a randomized controlled trial.

Copyright © 2015 Elsevier Inc. All rights reserved.

DOI: 10.1016/j.yebeh.2014.12.036 
PMID: 25731132  [Indexed for MEDLINE]