French Memory Support System: A Proof‐of‐Concept Study
Bibliographic record
Abstract
Abstract Background Mild cognitive impairment (MCI) confers a higher risk of developing dementia and may interfere with instrumental activities of daily living (IADLs). The Memory Support System (MSS) is a curriculum and calendar/note‐taking system that has proven effective to sustain independence in IADLs in individuals with MCI and protect mood among support partners. Until recently, the MSS has only been utilized among English‐ and Spanish‐speaking samples. Method This study investigated the use of a translated and culturally adapted MSS in four French‐speaking participants with MCI (75% female, age Mean = 69.3 [SD = 5.6], education M = 15 [SD = 2.6]) and their support partners. A within‐subject multiple baseline design (baseline, treatment end and 8‐week follow‐up) in a 10‐session, 2 to 3‐week MSS training schedule was utilized. Outcome measures included treatment adherence as well as self‐ and informant‐report questionnaires of IADLs, cognitively‐relevant everyday abilities, self‐efficacy, anxiety, depression, caregiver burden, and quality of life. Result By treatment end and follow‐up, participants with MCI showed improvement in adherence to the MSS calendar (Cohen’s d = ‐3.32 & ‐2.31); IADLs (d = 0.83 & 0.68); everyday abilities requiring memory (d = 0.35 & 0.43) and planning (d = 0.47 & 0.40); self‐efficacy (d = ‐1.43 & ‐1.62); symptoms of depression (d = 0.26 & 0.71) and anxiety (d = 0.09 & 0.2); and quality of life (d = ‐0.71 & ‐0.9). Support partners showed improvement in their own quality of life (d = ‐0.34 & ‐0.85) and depressive symptoms (d = 0.19 & 1.33), while their caregiver burden and anxiety symptoms generally remained unchanged. Conclusion Findings suggest that with appropriate training, French‐speaking participants with MCI can and will use the MSS. This may lead to improvement in their IADLs, some cognitively‐relevant everyday abilities, anxiety symptoms, and self‐efficacy. MSS training may also improve depressive symptoms and quality of life in both participants with MCI and their support partners. Overall, although results are generally consistent with previous studies using the MSS, further research using a larger sample of French speakers with MCI is needed to confirm current findings.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".