Updates in Cognition and Multiple Sclerosis

ACTIVITY EVALUATION/ATTESTATION

Updates in Cognition and Multiple Sclerosis:
Expert Guidance on Management Across the Continuum of the Disease
Attestation of time spent on activity:
- I participated in the entire activity and claim 1.5 hours of continuing education credit.
- I participated in only part of the activity and will claim partial continuing education credit.
How many hours of continuing education credit do you claim?*
1. Type of credit you are requesting:*
- AMA PRA Category 1 Credit™
- NCPD
- ACPE
- APA
- ICPE
- Certificate of Completion
- None
NABP Profile ID*
Your Birthday*
MM slash DD slash YYYY
- 2. What of the following best describes you?*
  - MD/DO
  - PA/PA-C
  - Advanced Practice Nurse/NP
  - RN/BSN
  - PharmD
  - Rehabilitation Specialist
  - Mental Health Professional
- 3. What is your area of specialization?*
  - Neurology, MS Specialist
  - Neurology, General
  - Primary Care
- 4. How many patients with MS do you treat per week?*
  - 1 – 10 patients
  - 11 – 20 patients
  - More than 20 patients
  - I do not treat patients with MS
5. Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objective:
- Discuss the nature and burden of cognitive impairment in patients with MS*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- Describe the relationship between cognition and measures of brain volume*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- Review current evidence and ongoing needs to understand the effects of disease-modifying therapies on cognitive functioning*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- Implement strategies to engage the interdisciplinary team effectively in the assessment and monitoring of changes in cognitive functioning over time in patients living with MS*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
6. Please rate your impression of our faculty
- The content was well organized and clearly presented.*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- The authors were effective in delivering the material.*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
7. Please select the extent to which you agree/disagree that the activity achieved the following:
- The content was evidence-based, objective, balanced, and free of bias.*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- The content was relevant to my area of professional practice.*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
8. Please select the extent to which you agree/disagree with the following statement.

As a result of participating in this activity, my knowledge of the following has increased:
- The nature and burden of cognitive impairment in patients with MS*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- The relationship between cognition and measures of brain volume*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
- Current evidence and ongoing needs to understand the effects of disease-modifying therapies on cognitive functioning*
  - Strongly Agree
  - Agree
  - Neutral
  - Disagree
  - Strongly Disagree
9. Please select the extent to which you agree/disagree with the following statement.

As a result of participating in this activity, my competence and/or my confidence in the following has increased:
Implementing strategies to engage the interdisciplinary team effectively in the assessment and monitoring of changes in cognitive functioning over time in patients living with MS*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
10. Please select the extent to which you agree/disagree with the following statements.

As a result of participating in this activity, my performance in the following will improve:
The assessment and ongoing monitoring of cognitive functioning in patients with MS*
- Strongly Agree
- Agree
- Neutral
- Disagree
- Strongly Disagree
11. Based upon your participation in this activity, what type of changes do you anticipate you will implement? (Check all that apply)*
- None; this activity validates my current practice
- Increased screening for cognitive impairments
- Change in approach to assessing and/or monitoring cognitive function
- Change in practices related to the use of disease-modifying therapies
- Change in approach to patient counseling/education regarding maintenance of cognitive reserve
- Change in approach to therapy for patients with cognitive impairment
- N/A; I don’t practice
- Other, please specify
If other:*
12. Please note one specific change you anticipate making:
- 13. How confident are you that you will be able to make your intended changes?*
  - Very confident
  - Somewhat confident
  - Unsure
  - Not very confident
  - N/A (do not see patients)
- 14. Please indicate any barriers you anticipate in implementing these changes. (Check all that apply)*
  - Time constraints
  - Cultural or language barriers
  - Formulary restrictions
  - Patient safety/risk
  - Patient adherence/compliance
  - Cost/reimbursement/insurance issues
  - Organizational/institutional
  - No barriers
  - N/A (do not see patients)
  - Other
- If other:*
15. Do you employ a team-based model in your professional practice?*
- Yes
- No
16. What changes will you make in your role on the health care team as a result of this activity? (Check all that apply)*
- Share specific information I learned in this activity with suggestions for implementation within our practice setting
- Provide feedback to other members of my team about resources and information I learned in this activity in the team member’s area of expertise
- Seek feedback/information from other team members on my own performance on the team in areas where our roles intersect
- Improve my efforts to create a safe, respectful, collaborative environment for all members of my health care team
- Not applicable
17. What new team-based patient care strategies do you anticipate implementing as a result of information from this activity? (Check all that apply)*
- Share information that will assist in our efforts to provide a supportive environment for our unique patient population
- Implement strategies to improve both written and verbal communication with other team members
- Better align communication with my patients to be consistent with messaging from other members of the health care team
- Improve referral process both with other clinicians within my health care team and with those outside of my team
- Not applicable
- Were you provided with disclosure of relevant financial relationships of all persons affecting the content of this activity?*
  - Yes
  - No
- Were the commercial supporters of this activity acknowledged in course materials?*
  - Yes
  - No
- Were product names avoided in this activity, or if used, were all products referenced by their generic name?*
  - Yes
  - No
Please complete the required information below.
Your Name*
First Last Degree
Affiliation:*
Your Address*
Street Address City State ZIP Code
- Email Address (your certificate will be emailed here if claiming credit)*

ACTIVITY EVALUATION/ATTESTATION

Updates in Cognition and Multiple Sclerosis:Expert Guidance on Management Across the Continuum of the Disease

Updates in Cognition and Multiple Sclerosis:
Expert Guidance on Management Across the Continuum of the Disease