A Cognitive Occupation-Based Programme for People with Multiple Sclerosis: A Study to Test Feasibility and Clinical Outcomes

Table 1

Session	Brief content
Session 1 (individual)	Focus on you; (i) Initial meeting with the OT: briefing on what will be involved in COB-MS; (ii) Goal setting with the person on occupations that they wish to target
Session 2 (group)	You and your cognition; (i) Education about the brain and cognition; (ii) Discussion on how MS can impact cognitive function; (iii) Discussion on the impact of cognitive difficulties on day-to-day occupations
Session 3 (group)	You, the centerpiece; (i) How the cognitive difficulties affect you?; (ii) What changes can be made by you?; (iii) Discussion and application of strategies
Session 4 (group)	You, the person; (i) Further concepts on what changes can be made by you; (ii) Internal strategies to practice and apply; (iii) Discussion around sleep and sleep diaries
Session 5 (group)	Your environment; (i) How does the environment impact cognition?; (ii) What can we change that might help?; (iii) Application of external memory strategies; (iv) Managing distraction and the impact of other factors
Session 6 (group)	Focus on doing; (i) How are our occupations and daily life affected?; (ii) What can we do to help integrate strategies into daily life?; (iii) Examples of how to adapt or remediate occupations
Session 7 (group)	Seeking new challenges; (i) Seek new challenges with strategies that support success; (ii) Set goals for yourself; (iii) Stay motivated, maintain progress and on-going adaptation; (iv) Group conclusion and debrief
Session 8 (individual)	Testing the application; (i) Review goals and strategies used; (ii) Plan for future; (iii) Discussion around useful groups and services; (iv) Debrief and summary