PURPOSE: Fatigue and sleep problems affect daily life in adults with cerebral palsy (CP). Self-guided interventions supporting self-management are promising but not evaluated in this population. We assessed feasibility and preliminary efficacy of two self-guided neurocognitive rehabilitation modules targeting fatigue and sleep in adults with CP. METHODS: Feasibility was evaluated across adoption, adherence, acceptability and satisfaction using predefined thresholds. Fatigue and sleep were measured pre- and post-modules using self-report (scale 1-10), real-time fatigue, and bed sensor data. Outcomes were examined descriptively. RESULTS: Twenty-two adults with CP (mean age 44 (24-63); GMFCS I-III: 14 participants; GMFCS IV-V: 2 participants; unknown: 6 participants; 7/22 male) engaged with the modules, with 17/22 participants independently completing both. Satisfaction averaged 6.5, below the threshold of seven. The fatigue module met acceptability criteria, whereas the sleep module did not (53% vs benchmark ≥ 70%). Post-module self-reported fatigue decreased, supported by real-time fatigue data showing less fatigue, particularly in early mornings. Sleep quantity and quality remained stable, with high baseline sleep quality. CONCLUSION: Self-guided neurocognitive rehabilitation is feasible for adults with CP and shows promise for managing fatigue. Larger studies are warranted to evaluate implementation and effectiveness across varying mobility and cognitive functioning.
Rijssen et al. (Mon,) studied this question.