Home-Based Computer-Assisted Cognitive Training
By Stuifbergen, Alexa; Becker, Heather; Morgan, Stephanie; Morrison, Janet; Perez, Frank; International Journal of MS Care, Volume 13, Number 4, pages 189-198Publication Date: Winter 2011
Study explored the feasibility and user acceptance of home based computer assisted cognitive training for individuals with multiple sclerosis (MS). Participants were 34 individuals with MS and a mean age of 49 years, 29 of whom were women. Written and verbal qualitative data obtained as part of a larger randomized clinical trial of a cognitive rehabilitation intervention were analyzed. The computer training component of the intervention included four prescribed tracks and exercises on the Internet based Neuropsychonline program (http://www.neuropsychonline.com). The tracks addressed the most common problems experienced by individuals with MS, including attention, executive, memory, and problem solving skills. Tasks in the tracks were set up in game like format. The majority of participants used the program the recommended number of times per week and for the minimum number of minutes over the eight week intervention. Although participants had notable negative perceptions and complaints about the program during training, most of them acknowledged that use of the program helped them recognize cognitive limitations, create and practice strategies to increase cognitive function, and improve the quality of their daily life. Data from focus groups three months post training included similar criticisms regarding lack of feedback and difficulties with the program as well as acknowledgment of the positive effects and a desire for continued access to the program. Based on study results, the need for careful patient preparation for use of the home based computer assisted cognitive training program is stressed.
Published by: Consortium of MS Centers (Website:http://www.mscare.org)
Link to text: http://www.mscare.org/cmsc/images/journal/pdf/IJMSC_Winter_11_final_home_based.pdf
