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Cognitive Rehabilitation Multi-family Group Intervention for Individuals with Mild Cognitive Impairment and Their Care-Partners

Published online by Cambridge University Press:  15 September 2014

Maureen Schmitter-Edgecombe  and
Dennis G. Dyck
Maureen Schmitter-Edgecombe*
Affiliation:
Department of Psychology, Washington State University, Pullman, Washington
Dennis G. Dyck
Affiliation:
Department of Psychology, Washington State University, Spokane, Washington
*
Correspondence and reprint requests to: Maureen Schmitter-Edgecombe, Department of Psychology, Washington State University, P.O. Box 644820, Pullman, WA 99164-4820. e-mail: schmitter-e@wsu.edu
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Abstract

There is increasing need for early, pro-active programs that can delay dementia diagnosis and enhance well-being of individuals with mild cognitive impairment (MCI) and their care-partners (i.e., care-dyads). This randomized controlled trial evaluated the efficacy of a combined cognitive rehabilitation and multi-family group treatment (CR-MFG) that was designed to facilitate adoption of newly learned cognitive strategies into the care-dyads everyday lives. Analyzed data included 23 care-dyads who participated in CR-MFG treatment and 23 care-dyads in standard care (SC). The 3-month intervention consisted of individual joining sessions, an educational workshop, and 20/twice weekly multifamily memory strategy training and problem-solving sessions. Everyday functioning, memory, and psychological functioning (i.e., quality-of-life, depression, coping) were assessed. The CR-MFG intervention was associated with significant post-test group differences and improved post-test performances by the MCI participants on performance-based measures of everyday functioning and neuropsychological tests of memory. There was also some suggestion that CR-MFG care-partners perceived positive change in the everyday functioning of the MCI participants. In contrast, no post-test group differences were found for either care-dyad member on the self-report psychological measures; care-partners in the treatment group did self-report improved coping behaviors at post-test. These 3-month results are preliminary but suggestive that CR-MFG may produce modest, practical everyday functional benefits for persons with MCI. (JINS, 2014, 20, 1–12)

Keywords

Non-pharmacological interventionsRandomized controlled trialMemoryCompensatory strategiesCognitive trainingCaregivers
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 20 , Issue 9 , October 2014 , pp. 897 - 908
Copyright
Copyright © The International Neuropsychological Society 2014 

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