Long Term Conditions

Cognitive impact - Reducing the long term impact of cognitive problems

1. Psychological and behavioural interventions

Prof. Nadina Lincoln and team’s (Shirley Thomas, Roshan das Nair, Emma Sinclair, Eirini Kontou) main research projects in stroke rehabilitation are a trial of behavioural treatment for people with low mood and aphasia (CALM) and evaluating screening measures for cognitive impairment after stroke.

We have evaluated group psychological interventions to improve emotional adjustment in people with multiple sclerosis. An initial study showed that these groups improved mood and were cost effective, but only half of those allocated to group intervention attended the groups. We are now comparing group and individual intervention, in order to evaluate a combined individual and group intervention for people with multiple sclerosis.

We are also evaluating intervention for people with cognitive impairments. A Phase III multi-centre randomised controlled trial exploring the Rehabilitation of Memory in Brain Injuries (ReMemBrIn) and a PhD studentship assessing the effect of text message reminders in people with multiple sclerosis.

Studies

 

2. Assessing fitness to drive in people with Long term conditions

Research has involved studies on the assessment of fitness to drive in people with stroke, traumatic brain injury, Parkinson's disease, multiple sclerosis and dementia.

We have developed cognitive test batteries, which can identify those who are safe to drive and those who need on road driving assessment. These batteries are being refined to make them easier to use in clinical practice by conducting further analyses and independent validation studies. We are also exploring techniques to make them more accessible by using electronic assessment methods to replace the traditional therapist administered cognitive assessment. Further studies will explore the barriers to the uptake of cognitive screening tests in clinical practice.

Published assessments. 
 

Studies

 

 

Long Term Conditions Research Group

School of Medicine
Division of Rehabilitation and Ageing
telephone: +44 (0)115 823 0226
email:kate.radford@nottingham.ac.uk