Goal management training ® home-based approach for mild cognitive impairment in Parkinson's disease: a multiple baseline case report

Neurocase. Oct-Dec 2018;24(5-6):276-286. doi: 10.1080/13554794.2019.1583345. Epub 2019 Mar 1.

Abstract

Approximately 30% of patients with Parkinson's disease experience mild cognitive impairment (PD-MCI), often affecting executive functions. Our objective was to assess tolerability, safety and preliminarily efficacy of Goal Management Training® (GMT) for PD-MCI. GMT was administered at home, for five weeks. Dysexecutive Questionnaire (DEX), Parkinson Disease Questionnaire (PDQ-39), Zoo Map Test and Dementia Rating Scale-II were administered before, one and four weeks after Adapted-GMT. Reliable Change Index (RCI) was calculated. One participant completed GMT with caregiver. Executive complaints decreased (DEX RCIs between -2.10 and -1.68), PDQ-39 was maintained (RCI = -0.18). Adapted-GMT seems safe for PD-MCI, but efficacy remains doubtful.

Keywords: Cognitive intervention; Parkinson’s disease; executive functions; goal management training; mild cognitive impairment.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cognitive Dysfunction / etiology
  • Cognitive Dysfunction / physiopathology
  • Cognitive Dysfunction / rehabilitation*
  • Cognitive Remediation / methods*
  • Executive Function* / physiology
  • Goals*
  • Home Care Services
  • Humans
  • Male
  • Outcome Assessment, Health Care*
  • Parkinson Disease / complications
  • Parkinson Disease / physiopathology
  • Parkinson Disease / rehabilitation*