{"id":"https://openalex.org/W7127618634","doi":"https://doi.org/10.1044/2025_persp-25-00133","title":"Did You Care for the Orchids This Week? Outcomes of External Strategy Group Treatment for People With Parkinson's Disease","display_name":"Did You Care for the Orchids This Week? Outcomes of External Strategy Group Treatment for People With Parkinson's Disease","publication_year":2026,"publication_date":"2026-02-04","ids":{"openalex":"https://openalex.org/W7127618634","doi":"https://doi.org/10.1044/2025_persp-25-00133"},"language":"en","primary_location":{"id":"doi:10.1044/2025_persp-25-00133","doi":"https://doi.org/10.1044/2025_persp-25-00133","is_oa":false,"landing_page_url":"https://doi.org/10.1044/2025_persp-25-00133","pdf_url":null,"source":{"id":"https://openalex.org/S2764732000","display_name":"Perspectives of the ASHA Special Interest Groups","issn_l":"2381-473X","issn":["2381-473X","2381-4764"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Perspectives of the ASHA Special Interest Groups","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008363914","display_name":"Magdalen A. Balz","orcid":"https://orcid.org/0000-0002-3109-1932","observed_orcids":["https://orcid.org/0000-0002-3109-1932"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I33434090","display_name":"University of Massachusetts Boston","ror":"https://ror.org/04ydmy275","country_code":"US","type":"education","lineage":["https://openalex.org/I33434090"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Magdalen A. Balz","raw_affiliation_strings":["Department of Gerontology, University of Massachusetts, Boston","Department of Speech, Language & Hearing Sciences, Boston University, MA"],"raw_orcid":"https://orcid.org/0000-0002-3109-1932","affiliations":[{"raw_affiliation_string":"Department of Gerontology, University of Massachusetts, Boston","institution_ids":["https://openalex.org/I33434090"]},{"raw_affiliation_string":"Department of Speech, Language & Hearing Sciences, Boston University, MA","institution_ids":["https://openalex.org/I111088046"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5008363914"],"corresponding_institution_ids":["https://openalex.org/I111088046","https://openalex.org/I33434090"],"apc_list":null,"apc_paid":null,"fwci":4.7466,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.89967141,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"11","issue":"4","first_page":"1432","last_page":"1461"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.4462999999523163,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.4462999999523163,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10085","display_name":"Parkinson's Disease Mechanisms and Treatments","score":0.179299995303154,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13471","display_name":"Cognitive Functions and Memory","score":0.1662999987602234,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/parkinson-s-disease","display_name":"Parkinson's disease","score":1.0},{"id":"https://openalex.org/keywords/cognitive-decline","display_name":"cognitive decline","score":0.6790000200271606},{"id":"https://openalex.org/keywords/executive-function","display_name":"executive function","score":0.6800000071525574},{"id":"https://openalex.org/keywords/compensatory-strategies","display_name":"compensatory strategies","score":0.8460000157356262},{"id":"https://openalex.org/keywords/personal-goals","display_name":"personal goals","score":0.6949999928474426},{"id":"https://openalex.org/keywords/goal-attainment","display_name":"goal achievement","score":0.7450000047683716},{"id":"https://openalex.org/keywords/cognitive-rehabilitation","display_name":"cognitive rehabilitation","score":0.460999995470047},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.5770000219345093}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5371999740600586},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5317000150680542},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5013999938964844},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.4788999855518341},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4611999988555908},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4203999936580658},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4074000120162964},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.3880000114440918},{"id":"https://openalex.org/C2781195723","wikidata":"https://www.wikidata.org/wiki/Q199027","display_name":"Goal setting","level":2,"score":0.36399999260902405},{"id":"https://openalex.org/C100480397","wikidata":"https://www.wikidata.org/wiki/Q7836899","display_name":"Treatment and control groups","level":2,"score":0.35839998722076416},{"id":"https://openalex.org/C3018726426","wikidata":"https://www.wikidata.org/wiki/Q3246832","display_name":"Personal care","level":2,"score":0.3538999855518341},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.34139999747276306},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.2928999960422516},{"id":"https://openalex.org/C56154687","wikidata":"https://www.wikidata.org/wiki/Q10998095","display_name":"Personal development","level":2,"score":0.29249998927116394},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2915000021457672},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2888000011444092},{"id":"https://openalex.org/C6564018","wikidata":"https://www.wikidata.org/wiki/Q849826","display_name":"Cognitive restructuring","level":3,"score":0.2766999900341034},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.26840001344680786},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.2583000063896179},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.25589999556541443},{"id":"https://openalex.org/C2775968953","wikidata":"https://www.wikidata.org/wiki/Q783092","display_name":"Executive functions","level":3,"score":0.25369998812675476}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1044/2025_persp-25-00133","doi":"https://doi.org/10.1044/2025_persp-25-00133","is_oa":false,"landing_page_url":"https://doi.org/10.1044/2025_persp-25-00133","pdf_url":null,"source":{"id":"https://openalex.org/S2764732000","display_name":"Perspectives of the ASHA Special Interest Groups","issn_l":"2381-473X","issn":["2381-473X","2381-4764"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Perspectives of the ASHA Special Interest Groups","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":56,"referenced_works":["https://openalex.org/W1577765460","https://openalex.org/W1945169157","https://openalex.org/W1982336001","https://openalex.org/W1983786726","https://openalex.org/W1987175106","https://openalex.org/W1987184054","https://openalex.org/W2009021103","https://openalex.org/W2012171546","https://openalex.org/W2014115543","https://openalex.org/W2014895520","https://openalex.org/W2036584315","https://openalex.org/W2044871641","https://openalex.org/W2046834019","https://openalex.org/W2057500061","https://openalex.org/W2066530365","https://openalex.org/W2068606962","https://openalex.org/W2088041935","https://openalex.org/W2104953067","https://openalex.org/W2107412635","https://openalex.org/W2112498727","https://openalex.org/W2131027601","https://openalex.org/W2154635459","https://openalex.org/W2156411508","https://openalex.org/W2164698391","https://openalex.org/W2178829607","https://openalex.org/W2295991133","https://openalex.org/W2298564018","https://openalex.org/W2396925529","https://openalex.org/W2506154008","https://openalex.org/W2543721672","https://openalex.org/W2567304989","https://openalex.org/W2586905188","https://openalex.org/W2605481883","https://openalex.org/W2760832070","https://openalex.org/W2765198066","https://openalex.org/W2765286172","https://openalex.org/W2804891530","https://openalex.org/W2811255424","https://openalex.org/W2887174539","https://openalex.org/W2968997808","https://openalex.org/W2980810619","https://openalex.org/W2986108096","https://openalex.org/W2995437770","https://openalex.org/W3040783226","https://openalex.org/W3082757932","https://openalex.org/W3121057075","https://openalex.org/W3138115931","https://openalex.org/W3167482072","https://openalex.org/W3180888608","https://openalex.org/W3211826116","https://openalex.org/W4283207036","https://openalex.org/W4306879894","https://openalex.org/W4392103703","https://openalex.org/W4403508884","https://openalex.org/W4406800046","https://openalex.org/W4409262637"],"related_works":[],"abstract_inverted_index":{"Purpose:":[0],"People":[1],"with":[2,163,202],"Parkinson's":[3],"disease":[4],"(PwPD)":[5],"often":[6],"experience":[7],"cognitive":[8,92],"decline,":[9],"which":[10],"negatively":[11],"impacts":[12],"quality":[13],"of":[14,25,196,266],"life":[15],"and":[16,56,94,149,177,209,238,262],"communication.":[17],"This":[18,230,246],"intervention":[19,243],"study":[20,231],"measured":[21,160],"the":[22,65,83,140,264],"participation":[23],"outcomes":[24],"a":[26,45,90,203,267],"telehealth":[27,268],"group":[28,46,123,269],"therapy":[29],"program":[30,101],"for":[31,104,244],"PwPD":[32,51,223],"called":[33],"BrainFit.":[34],"Participants":[35],"applied":[36,127,169],"external":[37,240],"compensatory":[38,128,241],"strategies":[39,129],"to":[40,63,71,81,131,174,192,224,258],"meet":[41],"personal":[42,133,164,188,204,228,255],"goals":[43,117,256],"in":[44,139,170,184,226],"treatment":[47,55,73,76,236,270],"setting.":[48],"Method:":[49],"Seven":[50],"were":[52,168],"divided":[53],"into":[54],"nontreatment":[57,85,141],"groups":[58],"based":[59],"on":[60,233],"their":[61,132,161,227],"availability":[62],"complete":[64],"BrainFit":[66,75,100,111,125,158,181,198,221],"program.":[67],"Three":[68],"participants":[69,79,88,112,126,159,182,199],"elected":[70,80],"begin":[72],"immediately\u2014the":[74],"group\u2014and":[77],"four":[78],"join":[82],"waitlist":[84],"group.":[86],"All":[87,135],"completed":[89],"comprehensive":[91],"assessment":[93,214],"an":[95],"executive":[96],"function":[97],"questionnaire.":[98],"The":[99],"met":[102],"biweekly":[103],"approximately":[105],"8":[106],"weeks":[107],"(16":[108],"total":[109],"sessions).":[110],"generated":[113],"measurable,":[114],"personally":[115],"relevant":[116],"using":[118],"Goal":[119],"Attainment":[120],"Scaling.":[121],"In":[122],"treatment,":[124],"related":[130],"goals.":[134,165,229],"participants,":[136],"including":[137],"those":[138],"group,":[142],"repeated":[143],"assessments":[144],"at":[145,151,185,206],"1":[146,207],"month":[147,208],"posttreatment":[148,178,261],"again":[150],"3":[152,210],"months":[153,211,260],"posttreatment.":[154,193,212],"At":[155],"each":[156],"assessment,":[157],"status":[162],"Descriptive":[166],"analyses":[167],"this":[171],"case":[172,247],"series":[173,248],"examine":[175],"baseline":[176,191],"outcomes.":[179],"Results:":[180],"improved":[183],"least":[186],"one":[187],"goal":[189,205],"from":[190],"Two":[194],"out":[195],"three":[197],"maintained":[200],"gains":[201],"Cognitive":[213],"showed":[215],"unexpected":[216],"variability":[217],"within":[218],"participants.":[219],"Conclusions:":[220],"supported":[222,239],"improve":[225],"built":[232],"previous":[234],"person-centered":[235],"studies":[237],"strategy":[242],"PwPD.":[245],"design":[249],"provides":[250],"novel":[251],"contributions":[252],"by":[253],"tracking":[254],"up":[257],"6":[259],"assessing":[263],"feasibility":[265],"model.":[271]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-09-21T07:43:02.447757","created_date":"2026-02-06T00:00:00"}