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Cognitive rehabilitation for mild cognitive impairment: developing and piloting an intervention
Maria O'Sullivan1, Robert Coen, Denis O'Hora
1a Clinical Psychology Department , HSE South, St. Finbarr's Hospital , Cork , Ireland.
Summary
This study piloted a cognitive rehabilitation intervention for mild cognitive impairment (MCI) and family members. The intervention effectively improved goal attainment and reduced anxiety and depression, supporting its use for memory difficulties.
Area of Science:
- Neurology
- Gerontology
- Psychology
Background:
- Mild cognitive impairment (MCI) affects memory and daily functioning.
- Cognitive rehabilitation aims to improve cognitive function and quality of life.
- Dyadic interventions involving family members may enhance treatment outcomes.
Purpose of the Study:
- To develop and pilot a cognitive rehabilitation intervention for individuals with MCI and their family members.
- To assess the feasibility and effectiveness of personalized cognitive rehabilitation strategies.
- To evaluate the impact of the intervention on goal attainment, memory, anxiety, depression, and daily living activities.
Main Methods:
- Exploratory case series design with pre-, post-intervention, and 3-month follow-up measures.
- Intervention involved 6-8 weekly individual sessions of cognitive rehabilitation.
- Utilized strategies such as external aids, diary use, face-name association, relaxation, and habit formation.
Main Results:
- 84% of participant-defined goals were attained post-intervention, with 68% maintained at 3-month follow-up.
- Significant decreases in anxiety and depression scores were observed.
- No significant changes in memory test performance, but improvements in compensatory strategy use for prospective and episodic memory.
Conclusions:
- Dyadic cognitive rehabilitation is a promising intervention for individuals with MCI.
- Personalized compensatory strategies are effective in managing memory deficits.
- The intervention positively impacts goal attainment and emotional well-being in people with MCI and their families.
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