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Table 1 Overview of COB-MS [22]

From: Evaluating the feasibility and preliminary efficacy of a Cognitive Occupation-Based programme for people with Multiple Sclerosis (COB-MS): protocol for a feasibility cluster-randomised controlled trial

Session, week and format

Summary of COB-MS content

Session 1,

week 1,

individual

Focus on You

• Initial meeting with the occupational therapist with briefing on what will be involved in the COB-MS

• Goal-setting with the person with MS on occupations that they wish to target

Session 2,

week 2,

group

You and Your Cognition

• Session will deal with education on the brain and the different areas of cognition

• Discussion on how MS can impact cognition and commonly affected areas: memory, information processing, attention, problem-solving and new learning

• Some discussion on the impact of cognitive difficulties on day-to-day occupations

Session 3,

week 3,

group

You, the Centrepiece

• How the cognitive difficulties affect you

• What changes can be made by you as a person

• What can we learn that can help?

• Examples include internal strategies, challenging negative thinking, getting organised, using a mental blackboard, improving sleep, managing stress and mood

Session 4,

week 4,

group

You, the Person

• What changes can be made by you as a person

• What can we learn that can help?

• Further exploration of strategies

Session 5,

week 5,

group

Your Environment

• How does the environment impact cognition?

• What can we change that might help?

• Examples include external memory strategies, using bullet points, managing distraction, seeking help, managing and prioritising your workload/household duties, exercise, impact of other factors on cognition

Session 6,

week 6,

group

Focus on Doing

• How are our occupations and daily life affected?

• What we can do to help: integrate what has been covered to date and strategies that might be helpful

• Give clear examples of how to adapt or remediate occupations

Session 7,

week 7,

group

Seeking New Challenges

• Seeking new challenges

• Setting goals for yourself

• Keeping motivated, maintaining progress and adapting

• Group conclusion and debrief

Session 8,

week 9,

individual

Testing the Application

• Review goals and strategies used

• Set new goals if appropriate, plan for future

• Signpost to groups and services

• Debrief and summary