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MAXCOG—Maximizing Cognition: a randomized controlled trial of the efficacy of goal-oriented cognitive rehabilitation for people with mild cognitive impairment and early Alzheimer Disease

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Abstract
Objectives:To review the efficacy of a home-based four-session individualized face-to-face cognitive rehabilitation (MAXCOG) intervention for clients with mild cognitive impairment (MCI) or early dementia and their close supporters.Design:Randomized controlled trial comparing the intervention group (MAXCOG) with treatment as usual (control).Participants:A total of 55 client–supporter dyads were enrolled in the study and 40 completed; 25 client–supporter dyads completed MAXCOG and 15 completed treatment as usual. Both MAXCOG and control groups included more MCI cases than dementia (22 versus 3 and 12 versus 3, respectively).Intervention:Four weekly individual sessions of MAXCOG consisting of personalized interventions to address individually relevant goals, supported by the provision of the MAXCOG information resource.Measures:The primary outcomes were goal performance and satisfaction, assessed using the Canadian Occupational Performance Measure (COPM). Questionnaires assessing mood, illness adjustment, quality of life, and carer burden were also administered.Results:The intervention group displayed significantly higher performance and satisfaction with primary goals on the COPM post-intervention than the control group, using a per-protocol analysis.Conclusions:The MAXCOG intervention is effective in improving goal performance and satisfaction in clients with MCI and early dementia.
Item Type: | Article |
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Authors/Creators: | Regan, B and Wells, Y and Farrow, M and O'Halloran, P and Workman, B |
Keywords: | Mild cognitive impairment, dementia, cognitive rehabilitation, clinometric, translational |
Journal or Publication Title: | American Journal of Geriatric Psychiatry |
Publisher: | Elsevier Inc. |
ISSN: | 1064-7481 |
DOI / ID Number: | 10.1016/j.jagp.2016.11.008 |
Copyright Information: | Copyright 2016 American Association for Geriatric Psychiatry |
Item Statistics: | View statistics for this item |
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