Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

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.


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.

This Week's Must Reads

Examining Brain Markers for Late-Onset Epilepsy, Neurology; ePub 2019 Jan 25; Johnson, et al

Hearing Loss Linked Cognitive Decline Risk in Men, Alzheimers Dement; ePub 2019 Jan 29; Curhan, et al

Brain Cholesterol Metabolism and PD Examined, Mov Disord; ePub 2019 Jan 25; Huang, et al

Sleep Behavior Disorder, Clinical Progression in PD, Parkinsonism Relat Disord; ePub 2019 Jan 29; Duarte Folle, et al

Spontaneous Subarachnoid Hemorrhage During Pregnancy, J Stroke Cerebrovasc Dis; ePub 2019 Jan 30; Limaye, et al

Must Reads in Multiple Sclerosis

Prevalence of Asthma in Persons with MS, Mult Scler Relat Disord; ePub 2018 Dec 11; Hill, et al

Normal-Appearing White Matter in MS Examined, Neuroradiology; ePub 2018 Dec 12; Yu, et al

MS Disease Burden: Which Symptoms Matter Most?, Mult Scler Relat Disord; 2018 Oct; Barin, et al

Retinal Layer Thickness and MS Conversion Risk, Mult Scler; ePub 2018 Dec 3; Filippatou, et al

Importance of Coping and QOL in People with MS, Int J MS Care; ePub 2018 Dec 6; Grech, et al