Enhancing everyday memory and participation in multiple sclerosis: A pilot study of a metacognitive strategy-based intervention.

Background: Cognitive dysfunction in individuals with multiple sclerosis (MS) is associated with limitations in daily activities and restricted participation. Existing interventions for cognitive dysfunction often show inconsistent transfer to everyday activities and typically require frequent clinic visits, which can be challenging for patients with MS due to mobility issues. To address this barrier, we developed a telehealth-based cognitive intervention that is based on metacognitive strategy training.

Objective: Examine the feasibility and impact of a telehealth-based cognitive intervention on activity and participation in persons with MS.

Methods: Ten participants with MS were included in a remote six-week, 12 sessions cognitive treatment program. The treatment emphasized self-generation and metacognitive strategies to enhance cognitive function. Participants' cognitive abilities were evaluated at baseline (Time 1), midtreatment (Time 2), and posttreatment (Time 3).

Results: Participants demonstrated improved memory, self-awareness, strategy use, and functional status. Participants reported enhanced confidence and better focus and found the remote program engaging and applicable to daily life, reporting increased preparedness for learning.

Conclusion: Results provide preliminary proof-of-concept data suggesting that telehealth-based cognitive intervention is well accepted by patients and may improve cognitive functions in persons with MS. These data support the need for a larger trial for this intervention.