Evidence map›Paper›PMID 42033185›Full record

Trial reportNeurorehabilitation and neural repair2026

Looking Beyond Dose: Identifying Responders and Non-Responders to RehaCom Computerized Cognitive Rehabilitation in Progressive MS-The CogEx Study.

Cecilia Meza, Roberto S Hernandez, Silvana L Costa, Amber Salter, Nancy D Chiaravalloti, Maria Pia Amato, Giampaolo Brichetto, Jeremy Chataway, Gary Cutter, Ulrik Dalgas and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Cecilia MezaDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0009-0002-8553-0440
Roberto S HernandezDepartment of Neurology, Section on Statistical Planning and Analysis, Dallas, TX, USA.ORCID 0000-0003-3143-682X
Silvana L CostaKessler Foundation, Neuropsychology and Neuroscience Center, East Hanover, NJ, USA.
Amber SalterDepartment of Neurology, Section on Statistical Planning and Analysis, Dallas, TX, USA.ORCID 0000-0002-1088-110X
Nancy D ChiaravallotiKessler Foundation, Neuropsychology and Neuroscience Center, East Hanover, NJ, USA.ORCID 0000-0003-2943-7567
Maria Pia AmatoNEUROFARBA Department, Section of Neurosciences, University of Florence, Italy.
Giampaolo BrichettoScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.
Jeremy ChatawayQueen Square Multiple Sclerosis Centre, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, Faculty of Brain Sciences, University College London, UK.
Gary CutterDepartment of Biostatistics, University of Alabama at Birmingham, USA.
Ulrik DalgasDepartment of Public Health, Exercise Biology, Aarhus University, Denmark.ORCID 0000-0003-4132-2789
John DeLucaKessler Foundation, Neuropsychology and Neuroscience Center, East Hanover, NJ, USA.
Rachel FarrellQueen Square Multiple Sclerosis Centre, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, Faculty of Brain Sciences, University College London, UK.
Peter FeysREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0002-5680-5495
Massimo FilippiNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-5485-0479
Jennifer FreemanFaculty of Health, School of Health Professions, University of Plymouth, Devon, UK.
Matilde IngleseDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, and Center of Excellence for Biomedical Research, University of Genoa, Italy.
Robert W MotlDepartment of Kinesiology and Nutrition, University of Illinois Chicago, USA.
Maria A RoccaNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0003-2358-4320
Brian M SandroffKessler Foundation, Neuropsychology and Neuroscience Center, East Hanover, NJ, USA.ORCID 0000-0002-2013-7632
Anthony FeinsteinDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
CogEx Research Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundRehaCom, a computerized cognitive rehabilitation program for people with multiple sclerosis (PwMS), has been studied primarily in relation to treatment "dose" (duration, frequency, and adherence), with less focus on which training modules drive improvement or which participant factors predict responsiveness. This secondary analysis of the CogEx trial investigated whether progression within specific RehaCom modules was associated with processing speed improvement, measured by the SDMT, and whether baseline characteristics predicted response in participants with progressive MS.MethodsA total of 153 participants completed 12 weeks of RehaCom training across 5 attention-based modules. Cognition was assessed at baseline, 12 weeks, and 6 months using the SDMT. Correlation and regression analyses evaluated associations between module progression and cognitive outcomes.ResultsProgression correlated significantly with SDMT improvement in 4 modules, with the strongest effects for Attention/Concentration (

Indexed as

Cognitive DysfunctionMultiple Sclerosis, Chronic ProgressiveOutcome Assessment, Health CareTherapy, Computer-AssistedAdultCognitive EnhancementCognitive TrainingDisease ProgressionFemaleHumansMaleMiddle AgedProcessing SpeedTreatment Effect Heterogeneitycognitive impairmentcomputerized cognitive rehabilitationprocessing speedprogressive multiple sclerosissymbol digit modalities test (SDMT)

Identifiers

PMID42033185
PMCPMC13291402

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.