Examinando por Autor "Montoya Murillo, Genoveva"

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  • Miniatura
    Ítem
    Effects of cognitive rehabilitation on cognition, apathy, quality of life, and subjective complaints in the elderly: a randomized controlled trial
    (Elsevier B.V., 2020-05) Montoya Murillo, Genoveva; Ibarretxe Bilbao, Naroa; Peña Lasa, Javier; Ojeda del Pozo, Natalia
    Objective: To determine the efficacy of a new-generation integrative cognitive rehabilitation (CR) program (Rehacop) on cognition, clinical symptoms, quality of life (QoL), and subjective complaints in the elderly. Design: A randomized controlled trial study with a cohort of elderly people over 55 years of age. Setting: Communities of the Basque Country (Spain). Participants: A total of 124 elderly participants (aged 79.00 ± 8.85 years) were randomized in the Rehacop group (RG) (n = 62) and control group (CG) (n = 62). Intervention: The RG attended 39 CR sessions for 3 months (3 sessions/week, 60-minute/session) with the Rehacop program. The CG performed occupational tasks with the same frequency and duration as the RG. Methods: Participants underwent a neuropsychological assessment at baseline and post-treatment which included cognitive, clinical, and functional tests. In addition, participants and their formal caregivers completed a subjective complaints questionnaire. The data were analyzed according to the intention to treat analysis and with participants who completed the study. This study was registered at clinicaltrials.gov (NCT03435029). Results: The RG showed significant improvements compared to the CG in neurocognition (ANCOVA timexgroup interaction effect size (ηp 2)=0.05, 90% confidence interval (CI) = 0.00–0.12). The RG also reduced apathy (ηp 2=0.06, 90% CI = 0.01–0.15) and participants’ subjective complaints (ηp 2=0.11, 90% CI = 0.03–0.21) and improved QoL (ηp 2=0.08, 90% CI = 0.01–0.17). Conclusions: Participants who attended the intervention improved their cognition, QoL, and reduced apathy and subjective complaints after treatment. These findings provide a new understanding of the benefits of CR in the elderly.
  • Miniatura
    Ítem
    A neuropsychological rehabilitation program for cognitive impairment in psychiatric and neurological conditions: a review that supports its efficacy
    (Hindawi Limited, 2019-10-21) Gómez-Gastiasoro, Ainara ; Peña Lasa, Javier ; Ibarretxe Bilbao, Naroa ; Lucas Jiménez, Olaia; Díez Cirarda, María; Rilo Cano, Oiane; Montoya Murillo, Genoveva; Zubiaurre Elorza, Leire ; Ojeda del Pozo, Natalia
    Neuropsychological rehabilitation has been the focus of much scientific research over the past decades due to its efficacy in different pathologies. Advances in the neuropsychology field have led to improvements and changes in neuropsychological interventions, which in turn have given rise to different approaches and rehabilitation programs. REHACOP is an integrative neuropsychological rehabilitation program designed by specialist neuropsychologists. With an integrated bottom-up and top-down approach, REHACOP includes neurocognition, social cognition, and daily living tasks hierarchically organized on an increasing level of difficulty. Task arrangement is addressed to maximize improvements and transfer effects into participant's daily living. To date, REHACOP has been implemented on different clinical samples such as patients with schizophrenia, multiple sclerosis (MS), and Parkinson's disease (PD). This manuscript presents the efficacy data of REHACOP across these three populations and discusses it in the context of the available literature. Overall, the magnitude of improvements obtained by means of REHACOP ranged from medium to high across samples. These changes were not restricted to specific neurocognitive domains since participants attending the REHACOP program also showed changes in social cognition and daily functioning variables by means of both direct and transfer effects. Results regarding REHACOP's efficacy in psychiatric and neurological conditions have contributed to expanding the existing evidence about the use of structured neuropsychological rehabilitation. In addition, the results obtained after its implementation highlighted the need and importance of designing and implementing integrative neuropsychological rehabilitation programs that are focused not only on cognition per se but also on participants' performance in daily living.