Table 1.

Overview of COB-MS [22]

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