Article

The effectiveness of memory rehabilitation based on randomised controlled trials
and meta-analyses has been inconclusive, but patient reports based on qualitative
studies have been largely positive. We conducted a meta-synthesis of qualitative
studies of group-based memory rehabilitation programmes for people with
neurological conditions. Based on systematic searches of electronic databases and
reference lists, five papers (87 participants) were selected. Quality appraisal
of papers was conducted by two independent reviewers using the Critical Appraisal
Skills Programme tool. Data synthesis was guided by the meta-ethnography
approach. Five higher order themes were elicited. These suggested that memory
rehabilitation was associated with insight and acceptance of participants'
neurological condition and resultant cognitive deficits. The therapeutic effects
of the groups, with social support and leisure activities, helped with
participants' confidence. There were improvements in memory related to better
self-awareness and learning to use new skills and strategies to compensate for
memory deficits. These improvements also related to other psychological effects,
in terms of positively affected mood, confidence and fatigue. Ultimately, these
changes had a positive impact on daily life, with changes seen in the personal,
inter-personal and professional spheres. Therefore, this synthesis of qualitative
studies suggests that memory rehabilitation offers positive outcomes for people
with long-term neurological conditions.

Langue : ANGLAIS