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Study: Cognitive remediation may be a mouse click away


A new study suggests that adaptive, computer-based cognitive remediation can lead to improved cognitive functioning in MS. The authors argue that their findings show remotely-supervised cognitive training can be successfully provided to individuals with MS from home.

The researchers compared the cognitive benefits of an adaptive cognitive training program to ordinary computer games in cognitively-impaired adults with multiple sclerosis. Participants were randomly assigned to the adaptive training program or active placebo games. All participants used a study-provided laptop computer equipped to remotely monitoring program use. Participants were instructed to play their assigned game condition for one hour per day, five days per week, over 12 weeks (target 60 hours), with technical support and weekly coaching sessions.

What they found was the adaptive training program resulted in significantly greater improvement in cognitive functioning, with marked treatment response observed in some individuals. The researchers also argue that the program's superiority over the placebo group was clear, and the active group in the study probably would have had even greater gains had they been as compliant in the study as the placebo group, which engaged with the computer program on average 19 hours more than their study counterparts.

The findings were presented at the American Academy of Neurology's 68th annual meeting in Vancouver.

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