Treatment of Functional Cognition Part 2: Strategy Training
Presented by Meghan Doherty
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This course explores metacognitive strategy training (MST) as an evidence-based intervention for adults with mild to moderate functional cognitive deficits. Occupational therapy practitioners will learn to facilitate the use of strategies, guided performance analysis, and structured cuing to improve client participation in meaningful daily activities. Emphasis is placed on generalization and transfer of strategies across settings and occupations, as well as tailoring intervention to individual levels of awareness and learning capacity. Through case examples and practical applications, therapists will build skills to design effective, client-centered interventions that promote lasting change. This course is relevant for OT practitioners in outpatient, home health, and inpatient rehabilitation settings.
Learning Outcomes
- Examine the principles of metacognitive strategy training to address functional cognitive deficits during daily task performance
- Apply components of evidence-based metacognitive strategy approaches to interpret client performance through a case study
- Construct client-centered, occupation-based goals targeting functional cognitive limitations in meaningful activities
- Implement structured cueing strategies to support client self-monitoring and promote greater independence in occupational performance
Meet your instructor
Meghan Doherty
Dr. Meghan Doherty has been learning, working, and researching with individuals across the lifespan with neurological and functional cognitive conditions since 2008. She holds a Bachelor of Science from Truman State University, a Master's (2008), and a Doctorate (2016) in occupational therapy from Washington University in St.…
Chapters & learning objectives
1. Strategy Training to Improve Functional Cognition
This chapter introduces the foundations of metacognitive strategy training, including well-established approaches such as CO-OP and the Multicontext Approach. Participants will learn how to determine if a client is a good fit for strategy training, how MST supports awareness development, and how it facilitates generalization and transfer. A case study illustrates how client characteristics and assessment results guide intervention selection.
2. Guided Cueing and Strategy Use
This chapter focuses on the core components of MST: guided cueing, strategy development, and performance analysis. Clinicians will learn how to use open-ended prompts and structured questioning to support client insight, problem-solving, and self-monitoring during task performance. The chapter outlines the session structure, the application of global strategy (e.g., GOAL-PLAN-DO-CHECK), and techniques for helping clients generalize strategies beyond the clinical setting.
3. Goal Writing and Documentation
In this chapter, learners will apply strategy training principles to functional goal writing and documentation. Emphasis is placed on clearly describing the intervention approach, the strategies used, types of cueing provided, and evidence of generalization or transfer. The chapter provides examples and guidance for writing measurable, client-centered goals that reflect occupational performance improvements and support interdisciplinary communication.