title: MAXCOG-Maximizing Cognition: A Randomized Controlled Trial of the Efficacy of Goal-Oriented Cognitive Rehabilitation for People with Mild Cognitive Impairment and Early Alzheimer Disease.
abstract: OBJECTIVE
  To review the efficacy of a home-based four-session individualized face-to-face cognitive rehabilitation (MAXCOG) intervention for clients with mild cognitive impairment (MCI) or early dementia and their close supporters.
  
  
  METHODS
  Randomized controlled trial comparing the intervention group (MAXCOG) with treatment as usual (control).
  
  
  METHODS
  A total of 55 client-supporter dyads were enrolled in the study and 40 completed; 25 client-supporter dyads completed MAXCOG and 15 completed treatment as usual. Both MAXCOG and control groups included more MCI cases than dementia (22 versus 3 and 12 versus 3, respectively).
  
  
  METHODS
  Four weekly individual sessions of MAXCOG consisting of personalized interventions to address individually relevant goals, supported by the provision of the MAXCOG information resource.
  
  
  METHODS
  The primary outcomes were goal performance and satisfaction, assessed using the Canadian Occupational Performance Measure (COPM). Questionnaires assessing mood, illness adjustment, quality of life, and carer burden were also administered.
  
  
  RESULTS
  The intervention group displayed significantly higher performance and satisfaction with primary goals on the COPM post-intervention than the control group, using a per-protocol analysis.
  
  
  CONCLUSIONS
  The MAXCOG intervention is effective in improving goal performance and satisfaction in clients with MCI and early dementia.
authors.affiliation: Australian Institute for Primary Care & Ageing, La Trobe University, Melbourne, Australia. Electronic address: 18348146@students.latrobe.edu.au.
authors.forename: Bridget
authors.initials: B
authors.lastname: Regan
authors.affiliation: Australian Institute for Primary Care & Ageing, La Trobe University, Melbourne, Australia.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Wells
authors.affiliation: Wicking Dementia Research & Education Centre, University of Tasmania, Hobart, Australia.
authors.forename: Maree
authors.initials: M
authors.lastname: Farrow
authors.affiliation: School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: O'Halloran
authors.affiliation: Monash Ageing Research Centre, Monash University, and Monash Health, Melbourne, Australia.
authors.forename: Barbara
authors.initials: B
authors.lastname: Workman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000534:rehabilitation*; D060825:Cognitive Dysfunction / Q000534:rehabilitation*; D000072466:Cognitive Remediation / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care
keywords: Mild cognitive impairment; clinometric; cognitive rehabilitation; dementia; translational