{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T10:56:06Z","timestamp":1790592966667,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine whether the Feuerstein Instrumental Enrichment (FIE) program, a structured metacognitive intervention grounded in Mediated Learning Experience theory, could produce significant and durable improvements in self\u2010awareness of memory abilities among older adults with mild cognitive impairment (MCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a three\u2010arm randomized controlled trial conducted across seven assisted\u2010living facilities in Israel, 114 Hebrew\u2010speaking adults aged 67\u201399\u00a0years diagnosed with MCI were assigned to the FIE intervention or one of two active control conditions (psychological discussion group; cultural lecture series). All conditions comprised 30 group sessions over 15\u00a0weeks. Self\u2010awareness was operationalized as the absolute discrepancy between objective memory performance (NeuroTrax) and subjective appraisal (CogSym questionnaire), assessed at pre\u2010intervention, post\u2010intervention, and 2\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 54 participants with impaired awareness at baseline, the FIE group showed significant improvement from pre\u2010 to post\u2010intervention and from pre\u2010intervention to follow\u2010up, with gains fully maintained at the 2\u2010month assessment. Control participants demonstrated only marginal improvement post\u2010intervention that was not sustained at follow\u2010up. Between\u2010group differences at post\u2010intervention were statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The FIE program produced significant and durable improvements in self\u2010awareness of memory abilities in older adults with MCI. Findings support the clinical utility of mediated learning approaches for addressing metacognitive deficits in this at\u2010risk population, with implications for rehabilitation engagement and dementia prevention efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.70256","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:18:02Z","timestamp":1789841882000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Self\u2010Awareness in Older Adults With Mild Cognitive Impairment: A Preliminary Randomized Controlled Trial of the Feuerstein Instrumental Enrichment Program"],"prefix":"10.1002","volume":"41","author":[{"given":"Tzvi","family":"Dwolatzky","sequence":"first","affiliation":[{"name":"Rambam Health Care Campus  Haifa Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6715-6996","authenticated-orcid":false,"given":"Haim","family":"Devisheim","sequence":"additional","affiliation":[{"name":"Feuerstein Institute  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Refael S.","family":"Feuerstein","sequence":"additional","affiliation":[{"name":"Feuerstein Institute  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomit","family":"Cohen","sequence":"additional","affiliation":[{"name":"Feuerstein Institute  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.58.5.758"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2011.03.005"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.62.7.1160"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000343488"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cortex.2012.09.006"},{"key":"e_1_2_7_7_1","volume-title":"The Study of Anosognosia","author":"Prigatano G. 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