Memory Support System training in mild cognitive impairment: Predictors of learning and adherence

Liselotte De Wit, Melanie Chandler, Priscilla Amofa, Brittany DeFeis, Andrea Mejia, Deirdre O’Shea, Dona E.C. Locke, Julie A. Fields, Glenn E. Smith

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


This study aimed to identify predictors of learning and adherence to a previously validated compensatory calendar and note-taking system (Memory Support System; MSS) in persons with amnestic mild cognitive impairment (aMCI). Age, education, global cognition, depression, and memory-related self-efficacy were studied as predictors of individuals’ ability to learn the use of the MSS during the two-week training and of their adherence to the MSS 6, 12, and 18 months after training. How well an individual was able to learn the use of the MSS was itself examined as a predictor of adherence. Two-hundred-and-fifteen older adults with aMCI and their study partners (e.g., spouse, adult child) received MSS training one-hour daily for 10 days. Ordinal logistic regression analyses indicated that (1) global cognition predicted MSS learning at end of training, and (2) MSS learning at end of trainng predicted MSS adherence at 6, 12, and 18 months post-training. The current study suggests that offering compensatory strategies as early as possible for those with MCI might be of most benefit, and might have implications for long-term adherence.

Original languageEnglish (US)
Pages (from-to)92-104
Number of pages13
JournalNeuropsychological Rehabilitation
Issue number1
StatePublished - 2021


  • Adherence
  • Behavioural intervention
  • Learning
  • Memory compensation training
  • Mild cognitive impairment

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Rehabilitation
  • Arts and Humanities (miscellaneous)
  • Applied Psychology


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