The impact of cognitive interventions on cognitive symptoms in idiopathic Parkinson’s disease: a systematic review

This systematic review addressed efficacy of cognitive stimulation (CS), cognitive training (CT), and cognitive rehabilitation (CR) to improve cognitive functions in Parkinson’s disease (PD) with (PD-MCI) and without mild cognitive impairment (PD-H). Five databases were searched. Twelve CT, four CS, and a combination of CT with CR were found. PD-H benefited from CT or CS compared to active or passive controls in 42.1% of cognitive tests, and in 33.3% of psychological and functional measures. PD-MCI alone, compared with controls, only improved in 6.9% of cognitive measures after CT. PD-H and PD-MCI, alone or together, somehow improved information processing speed, attention, working memory, executive functions, and visual episodic memory. PD-MCI improved better than PD-H in global cognition and planning abilities. The outcomes suggest some efficacy of cognitive interventions in PD. However, small samples, lack of information regarding standardization of interventions, and poor methodological quality limit results validity and prevent firm conclusions.     

The Role of Family in Latino Males’ Occupational Identity Development: A Thematic Analysis Based on Participants’ Occupation Outcomes

The continued growth of the Latino population in the United States is reshaping the nation’s workforce. Given that the majority of Latino children are raised in circumstances that limit their psychosocial development and success in the labor market, and given that Latino men continually lag behind their female peers in educational attainment, understanding how this population develops an occupational identity vis-à-vis their family contexts has become increasingly important. This study, utilizing a qualitative design, retrospectively explored the occupational identity development experiences vis-à-vis family of Latino boys born, raised, and living in California. Following a constructivist grounded theory approach, the purpose of the study was to generate a middle range theory of how Latino boys develop an occupational identity in the home that also explains the divergence of working-class and white-collar occupational paths. Interviews with Latino Americans were conducted using semi-structured interviewing techniques. Nine themes emerged from the data that, when pieced together, produce a model of the occupational identity development trajectories of the participants. Implications of the findings include a need for continued research into the Latino concept of family and parent roles.