Adherence to recommendations made following neuropsychological testing is low in patients with multiple sclerosis (MS), according to a recent study. Of 66 patients seen for neuropsychological testing at an MS center in Teaneck, NJ, in 2015–2016, 55 were eligible for this study. 45 patients were reached (mean age: 43.4 years; 75.6% women), and all agreed to a phone interview involving questions regarding adherence to treatment recommendations. Other information was obtained through retrospective chart review. Researchers found:
- Overall, self-reported adherence to recommendations made from neuropsychological testing was 38%.
- Adherence rate varied depending on recommendation type.
- Psychopharmacological management had the highest rate (80%), while referrals for cognitive rehabilitation had the lowest (6.5%).
- Reasons for non-adherence included needing more information and wishing to speak with one's physician regarding the recommendations.
- Adherence was associated with patients' ability to spontaneously recall at least some of their recommendations and with receiving both a written report and a phone call with the results from testing.
Stimmel M, Shagalow S, Seng EK, et al. Rates of adherence to neuropsychological recommendations among patients with multiple sclerosis. [Published online ahead of print June 25, 2018]. Int J MS Care. doi:10.7224/1537-2073.2017-089.
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