NHS GoodThinking and MyCognition

For London’s Mental Fitness

Keiron Sparrowhawk

5 September 2019

Cognition controls your behaviour and emotions, and has a major impact on your performance, abilities and control in your life…

…but in a poor state cognition has a major impact on your mental health

Stuck in a rut; poor self-control

Easily distracted; don’t get anything done

Foggy / Forgetful

Paralysis – can’t make decisions

Slow and indecisive

POOR COGNITIVE

FITNESS – a significant

component and cause of • Mental Illness

• Low productivity

• Low life achievement

• Lack of independence

So, what can we do about this?

TRACK DEVELOP PRESERVE

MyCQ AquaSnap Healthy Habits

The MyCognition app automatically assesses, develops and strengthens your cognition

Tracking cognition… 80% of societal difficulties and costs are linked to poor cognition → health care / social care / CJS / productivity, etc.

0 10 20 30 40 50 60 70 80 90 100

Age

Co

gnit

ive

Fitn

ess

80% to societal problems and cost relates to those in the bottom 15% of

cognition

Average Cognitive

Fitness

Cognitive profile of the Good Thinking community – July/August 2019

0

25

50

75

100

ExecutiveFunction

Attention

EpisodicMemory

ProcessingSpeed

WorkingMemory

0

0.005

0.01

0.015

0.02

0.025

0.03

0.035

0.04

0.045

0.05

20 30 40 50 60 70 80

Tracking London’s population - the profiles show clear cognitive deficits in some domains

Poor cognition Average

cognition Good cognition

26% 47% 27%

0

25

50

75

100

ExecutiveFunction

Attention

EpisodicMemory

ProcessingSpeed

WorkingMemory

0

25

50

75

100

ExecutiveFunction

Attention

EpisodicMemory

ProcessingSpeed

WorkingMemory

Person A

Person B

Person C

0

0.005

0.01

0.015

0.02

0.025

0.03

0.035

0.04

20 30 40 50 60 70 80

MyCQ Score

0

0.005

0.01

0.015

0.02

0.025

0.03

0.035

0.04

0.045

20 30 40 50 60 70 80

MyCQ Score

In a similar population we have developed the cognition of people with AquaSnap – from poor to better health states

Baseline MyCQ MyCQ after training

Poor cognition Average

cognition Good cognition

26% to 16% 47% to 37% 27% to 47%

Real-word evidence shows the link of cognitive fitness to quality of life measurements in adults

40

42

44

46

48

50

52

0

5

10

15

20

25

30

I am extremely anxious,worried or depressed.

I feel moderately anxious,worried or depressed.

I am slightly anxious, worriedor depressed.

I do not feel anxious, worriedor depressed.

Ave

rag

e M

yC

Q S

co

re

Nu

mb

er

of P

atien

ts p

er

answ

er

on s

urv

ey

Answer on Survey

Aqol11. Thinking about how you generally feel:

Responses Average MyCQ Score

Clinical research shows benefits of AquaSnap training on psychosocial functioning, including ability to work and relationships with others

-2.0

-1.0

0.0

1.0

2.0

3.0

4.0

5.0

0 hours played 0-6 hours played >6 hours played

TOTAL WORK / HOUSEHOLD SOCIAL PRIVATE FAMILY /

EDUCATION ACTIVITIES ACTIVITIES RELATIONSHIPS

Clinical research shows improvement in children cognition linked to improved mental wellbeing

-8

-6

-4

-2

0

2

4

6

MyCQ CPSS RCADS

Score change from baseline

The MyCognition programme has been

adopted by the “Be Brave Ranch”, a

specialised treatment facility in Canada,

in collaboration with University of

Alberta, as a part of a novel, intensive,

residential program to help children aged

8-12 who have been victims of Children

Sexual Abuse (CSA).

Results show improved cognition

together with decreased symptoms

of PTSD, Anxiety and Depression

• Child post traumatic stress disorder symptom scale • Revised child anxiety and depression scale

• Londoner’s can…

• Track their cognition - their mental health

• Develop and strengthen their cognition with our AquaSnap training game

• Enhance and maintain their cognition through Healthy Habit building

• This will help those who can take responsibility for their health;

good for them, the NHS and society

How does this to relate to NHS Good Thinking?