A behavioral rehabilitation intervention for amnestic Mild Cognitive Impairment

• Authors: Melanie C. Greenaway, Emory University; Sherrie M. Hanna, Mayo Clinic; Susan W. Lepore, Mayo Clinic; Glenn E. Smith, Mayo Clinic
• Journal Title: American Journal of Alzheimer's Disease and Other Dementias
• Volume: Volume 23, Number 5
• Publisher: SAGE Publications (UK and US) | 2008-11, Pages 451-461
• Type of Work: Article | Post-print: After Peer Review
• Publisher DOI: http://doi.org/10.1177/1533317508320352
• Subjects: Psychology, Cognitive; Biology, Neuroscience
• Keywords: mild cognitive impairment; cognitive rehabilitation; memory loss; functional ability; behavioral interventions; memory notebook

Abstract

Individuals with amnestic Mild Cognitive Impairment (MCI) currently have few treatment options for combating their memory loss. The Memory Support System (MSS) is a calendar and organization system with accompanying 6-week curriculum designed for individuals with progressive memory impairment. Ability to learn the MSS and its utility were assessed in 20 participants. Participants were significantly more likely to successfully use the calendar system after training. Ninety-five percent were compliant with the MSS at training completion, and 89% continued to be compliant at follow-up. Outcome measures revealed a medium effect size for improvement in functional ability. Subjects further reported improved independence, self-confidence, and mood. This initial examination of the MSS suggests that with appropriate training, individuals with amnestic MCI can and will use a memory notebook system to help compensate for memory loss. These results are encouraging that the MSS may help with the symptoms of memory decline in MCI.