In 2011 we published a paper describing the ways in which NeuroPage use has evolved since the service was established.
One finding was that many more users were sent messages to help them manage difficulties with mood and motivation. Take, for example, the case of James.
James joined the OZC programme when he was 50 years old, after he sustained a TBI in a traffic accident. He had difficulties with executive functioning, including problems with planning, problem-solving and prioritising, time management problems, distractibility and motivation. He lived alone, and had trouble managing his flat, prioritising daily activities and sustaining employment. At OZC, a number of cognitive interventions were trialled to help support his executive function and timekeeping. This included using to-do lists, weekly planning timetables, activity analysis, prioritising grids and mobile phone alerts. However, none of these proved to be effective, as he was frequently distracted by goals that were more immediately emotionally salient, and by his self-critical thoughts. In psychology sessions, James created a compassionate image of a character representing qualities he wished to have (e.g., being organised, motivated and punctual). NeuroPage reminders were sent to his phone at random intervals throughout the day to prompt John to think of his compassionate image, with reminders including things like, “What would [your compassionate image] say?”. These reminders about his compassionate character had a positive impact on James’ mood and confidence, and enabled him to successfully complete a number of everyday tasks and to be punctual on several occasions by the end of the programme. He elected to continue these alerts beyond the end of the programme, and following his three-month review, asked for more to be added, including those related to both mood and cognition.
This case is described along with others in:
Martin-Saez, M., Deakins, J., Winson, R., Watson, P. Wilson B.A (2011). A 10-year follow up of a paging service for people with memory and planning problems within a healthcare system: How do recent users differ from the original users? Neuropsycholgical Rehabilitation, 21 (6), 769 –783