ECTRIMS eLearning

A Cognitive Occupation-Based Programme for People with Multiple Sclerosis (COB-MS): A study to test feasibility and clinical outcomes
ECTRIMS Learn. Hynes S. 10/25/17; 199609; EP1589
Sinead M. Hynes
Sinead M. Hynes
Contributions
Abstract

Abstract: EP1589

Type: ePoster

Abstract Category: Pathology and pathogenesis of MS - 24 Neuropsychology

Introduction: Difficulties with cognition have been reported to be present in 50-60% of people with MS. Despite the high prevalence little has been done to address these difficulties and more importantly the impact that they have on a person's everyday life. The Cognitive Occupation Based Programme for People with MS (COB-MS) was developed to address this. The COB-MS focuses on rehabilitation that is measured by and taught through focusing on occupational participation.
Objectives: This feasibility study assessed the following outcomes -eligibility criteria, recruitment and retention, participant acceptability and; administration protocol.
Method: This feasibility study used an experimental, pre-test/post-test design with eight-week follow-up. Participants were recruited from MS networks using convenience sampling. Twelve participants (1 male) were recruited to two COB-MS groups, which consisted of eight sessions (2 individual, 6 group). Participants were asked to complete various homework activities throughout the week in order to practice strategies learned and solidify learning.
Results: Results, from this modestly-sized sample, are promising with significant improvements seen in everyday life goal attainment [Goal Attainment Scaling; GAS (z = -2.67, p < .008)], and memory, including verbal memory, visuospatial memory and self-reported everyday memory [CVLT-II (c² (2, n = 9) = 13.89, p < .001), BVMT-R (c² (2, n = 9) = 11.09, p < .004), and EMQ-R (c² (2, n = 9) = 7.00, p < .030)]. It was also well-received and adhered to by participants. Recruitment methods were explored and the protocol followed by three facilitators.
Conclusion: Significant improvements were observed in all daily life measures and most cognitive measures. Limitations include selection bias and subtle practice effects in cognitive measures. Preliminary data from a small sample looks promising and is encouraging to test the COB-MS on a larger sample of people with MS.
Disclosure:
Sean Reilly: Nothing to disclose
Sinéad M Hynes: Nothing to disclose

Abstract: EP1589

Type: ePoster

Abstract Category: Pathology and pathogenesis of MS - 24 Neuropsychology

Introduction: Difficulties with cognition have been reported to be present in 50-60% of people with MS. Despite the high prevalence little has been done to address these difficulties and more importantly the impact that they have on a person's everyday life. The Cognitive Occupation Based Programme for People with MS (COB-MS) was developed to address this. The COB-MS focuses on rehabilitation that is measured by and taught through focusing on occupational participation.
Objectives: This feasibility study assessed the following outcomes -eligibility criteria, recruitment and retention, participant acceptability and; administration protocol.
Method: This feasibility study used an experimental, pre-test/post-test design with eight-week follow-up. Participants were recruited from MS networks using convenience sampling. Twelve participants (1 male) were recruited to two COB-MS groups, which consisted of eight sessions (2 individual, 6 group). Participants were asked to complete various homework activities throughout the week in order to practice strategies learned and solidify learning.
Results: Results, from this modestly-sized sample, are promising with significant improvements seen in everyday life goal attainment [Goal Attainment Scaling; GAS (z = -2.67, p < .008)], and memory, including verbal memory, visuospatial memory and self-reported everyday memory [CVLT-II (c² (2, n = 9) = 13.89, p < .001), BVMT-R (c² (2, n = 9) = 11.09, p < .004), and EMQ-R (c² (2, n = 9) = 7.00, p < .030)]. It was also well-received and adhered to by participants. Recruitment methods were explored and the protocol followed by three facilitators.
Conclusion: Significant improvements were observed in all daily life measures and most cognitive measures. Limitations include selection bias and subtle practice effects in cognitive measures. Preliminary data from a small sample looks promising and is encouraging to test the COB-MS on a larger sample of people with MS.
Disclosure:
Sean Reilly: Nothing to disclose
Sinéad M Hynes: Nothing to disclose

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