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Rates of Adherence to Neuropsychological Care in MS

Int J MS Care; ePub 2018 Jun 25; Stimmel, et al

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.

Citation:

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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