Multicontext Telehealth Study Treatment Protocol for Individuals with Multiple Sclerosis: 

A Cognitive Rehabilitation Intervention

Research Abstract

Background: People with mild cognitive impairments (MCI) often experience difficulties performing daily functions. The Multicontext (MC) Approach is a cognitive rehabilitation intervention aimed at enhancing functional performance by utilizing cognitive strategies, which emphasize the development of self-awareness, self-monitoring, and self-regulation skills in individuals diagnosed with Multiple Sclerosis (MS). This treatment approach has been implemented successfully with individuals with MCI through in-person treatment; however, there is a need to explore the feasibility and effectiveness of administering the MC Approach via telehealth services.


Objective: The aim of this study is to develop a telehealth MC treatment protocol for adults with MS to improve their self-awareness, strategy use, and their daily functions.


Method: The participant is a 65-year-old female with relapsing-remitting multiple sclerosis with MS. This participant received six telehealth treatment sessions based on the MC Approach. Pre- and post-treatment evaluation include assessments of daily functions, self-awareness, and quality of life.


Conclusion: The results of this study provide preliminary evidence for feasibility and efficacy of the telehealth version of the MC approach for individuals with MS. However, further studies are required with a larger sample size to determine the efficacy of this approach for individuals that more closely approximate the target population.

MC Approach Poster.pptx

Multicontext Telehealth Study Treatment Protocol for Individuals with Multiple Sclerosis: 

A Cognitive Rehabilitation Intervention

Results Tables

Researcher Biographies

Krystine Bernas

Krystine Bernas received her B.S. in Human Developmental Sciences from the University of California, San Diego in 2020. She is a member of the cohort class of 2024 of NYU Steinhardt’s Master of Science in Occupational Therapy program.

Email: keb9851@nyu.edu 

LinkedIn: https://www.linkedin.com/in/krystine-bernas

Anna Maystrenko 

Anna Maystrenko received her B.S. in Early Childhood Education & Psychology from the CUNY Brooklyn College in 2019. She is a member of the cohort class of 2024 of NYU Steinhardt’s Master of Science in Occupational Therapy program. 

Email: am10570@nyu.edu 

LinkedIn: https://www.linkedin.com/in/anna-maystrenko

Diana Reina

Diana Reina received her B.A. in Evolutionary Anthropology from the University of Michigan - Ann Arbor in 2015, and her M.Sc. in Applied Exercise Science from Concordia University - Chicago in 2020. She is a member of the cohort class of 2024 of NYU Steinhardt’s Master of Science in Occupational Therapy program.

Email: dr2604@nyu.edu 

LinkedIn: https://www.linkedin.com/in/dianareina/

Shelby Siegel

Shelby Siegel received her B.S in Health Education from the University of Florida in 2021. She is a member of the cohort class of 2024 of NYU Steinhardt's Master of Science in Occupational Therapy program. 

Email: sds8554@nyu.edu 

LinkedIn: https://www.linkedin.com/in/shelby-siegel/