Intraindividual variability in post-stroke cognition and its relationship with activities of daily living and social functioning: an ecological momentary assessment approach.

Introduction: Ecological momentary assessment (EMA) is a methodological approach to studying intraindividual variation over time. This study aimed to use EMA to determine the variability of cognition in individuals with chronic stroke, identify the latent classes of cognitive variability, and examine any differences in daily activities, social functioning, and neuropsychological performance between these latent classes.

Methods: Participants ( = 202) with mild-to-moderate stroke and over 3-month post-stroke completed a study protocol, including smartphone-based EMA and two lab visits.

Family-Centered Care During Constraint-Induced Therapy After Chronic Stroke: A Feasibility Study.

Purpose: This feasibility study evaluated a theory-based intervention (CARE-CITE) designed to engage carepartners (CPs) in supporting stroke survivor upper extremity rehabilitation.

Design: The study was a one-group design with pre- and posttest and 1 month follow-up (N = 7 dyads).

Methods: Feasibility was determined by participant retention, CP and stroke survivor intervention adherence, and CP acceptability of the intervention (exit interview).

"I'm more aware now": perspectives from people with mild cognitive impairment (MCI), supporters and counsellors about the MAXCOG cognitive rehabilitation intervention.

Cognitive Rehabilitation interventions have the potential to improve quality of life for people with MCI. We recently developed, trialled, and evaluated the use of the MAXCOG (Maximising Cognition) intervention-a very brief (four-session) face-to-face program focussing on individualised goals to improve function in daily life. Although the program assisted people reach their practical goals, we could not demonstrate broader changes to quality of life, mood, or carer burden.

Effectiveness of the maximising cognition (MAXCOG) information resource for clients with mild cognitive impairment and their families.

Objective: To evaluate a new information resource developed for clients with mild cognitive impairment (MCI) or early dementia and their family supporters.

Methods: A controlled group trial was undertaken comparing 40 clients and family supporters who received 'service as usual' followed by 40 clients and family supporters who received 'service as usual' plus the new information resource. Telephone interviews comprising open questions, ratings and a quality-of-life questionnaire were undertaken two to four weeks after the client's final feedback session.

'Most significant change' and the maximising cognition (MAXCOG) intervention: The views of clients, supporters and counsellors.

Objectives: To explore the views of clients, supporters and counsellors about their experiences of the maximising cognition (MAXCOG) intervention.

Methods: The most significant change (MSC) method of analysis was used. Twenty-three narrative accounts of the MAXCOG intervention and the 'MSC' that occurred were obtained.

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.

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.

Adjustment, depression, and anxiety in mild cognitive impairment and early dementia: a systematic review of psychological intervention studies.

Background: Many people with mild cognitive impairment (MCI) or early dementia suffer from concomitant depression and anxiety disorders, which in some cases, may be related difficulties adjusting to their diagnosis and associated cognitive problems. Successful adjustment and alleviation of depression and anxiety symptoms in these people is of critical importance for quality of life and may also help prevent, or delay, further cognitive decline. A variety of psychosocial intervention approaches has been trialed with this group.