A Sharp Approach: Keeping Cognition in Focus with the FOX Cognition Specialist Program

By: Elizabeth Stroud, M.Ed., CCC-SLP; Jennifer Liszewski, MS, CCC-SLP, LSVT-LOUD; Maris DeLuca, MS, CCC-SLP; Shannon Stocks, MS, CCC-SLP, CDP, LSVT- LOUD  

Cognition plays a central role in how we think, learn, and connect with the world around us. As we age, it’s natural for certain thinking skills to change—but sometimes those changes go beyond what’s expected. And because those changes often occur gradually, it is critical to distinguish normal age-related decline from true cognitive impairment, especially when independence and quality of life are at stake. Nearly 1 in 4 older adults experience mild cognitive impairment (MCI), further underscoring the importance of early detection and intervention. 

At FOX, we prioritize proactive cognitive care through early identification, comprehensive education, and evidence-based interventions designed to support long-term well-being. 

The FOX Cognitive Specialist Program was developed to detect subtle changes, address contributing factors, and empower individuals to remain engaged in meaningful activities. 

In this article, we’ll define cognitive impairment, explain how it is recognized and diagnosed, outline who qualifies for this specialized program, and highlight why therapy is key to preserving lifelong independence. 

What is Cognitive Impairment? 

Cognitive impairment occurs when one or more cognitive domains, such as attention, memory, processing speed, visuospatial skills, or executive functioning, are disrupted. These changes may appear suddenly or develop gradually, impacting essential abilities like decision-making, safety awareness, learning, and managing complex tasks. 

It can arise from a variety of causes, including neurological conditions, medical illnesses, medications, or psychiatric disorders, and the severity is determined by how much these changes interfere with functional independence in daily life. 

In older adults, cognitive impairment encompasses various disorders, including mild cognitive impairment (MCI) and different forms of Dementia, each with distinct symptoms and impacts on daily life.  

How is it Diagnosed? 

Cognitive decline isn’t always obvious, which is why the diagnosis starts with careful observation. No one test can diagnose mild cognitive impairment or dementia, and a diagnosis is made based on subjective report, observation, and standardized testing completed by a licensed medical professional, such as, a primary care provider, geriatrician, neurologist or neuropsychologist. Other healthcare professionals may also collaborate with these providers to share positive screening results or any observed signs and symptoms. 

Recognizing the Signs 

Early detection is key to supporting long-term independence. Signs of cognitive impairment may include:  

• Missing appointments or social events 

• Repeating questions or stories without realizing 

• Misplacing items and being unable to retrace steps 

• Increased reliance on written reminders 

• Losing their train of thought 

• Inability to follow the plot of a book or movie 

• Difficulty following a conversation 

• Trouble finding the right word or with language 

• Finding it hard to make decisions, finish a task, or follow instructions 

• Difficulty navigating familiar environments 

• Poor judgment 

Who Should Get Screened? 

If you notice any signs and symptoms of declining cognition, screening is a proactive step toward better health and peace of mind. Older adults, in particular, are encouraged to approach cognitive health just as they would routine medical checkups. 

While the idea of screening can feel overwhelming, it’s important to remember that mild cognitive impairment does not mean dementia. Screening simply helps identify potential concerns early, so individuals and their care teams can respond quickly and effectively. Early detection supports independence, reduces uncertainty, and improves outcomes through timely intervention. 

Why Cognition Matters 

Cognition influences every aspect of daily life, from completing routine tasks to maintaining independence and overall quality of life. Research shows that individuals with MCI can feel an impact on their mood and overall well-being. 

Education about mild cognitive impairment and other cognitive changes can lead to positive health outcomes, including a lower risk of falls. Knowledge truly is power: early recognition and intervention help individuals stay engaged in their care planning, maintain a sense of control, and improve outcomes through timely support.  

How Can the FOX Cognition Specialist Program Help?  

With the right support, education, and treatment, individuals can regain confidence, improve their quality of life, and return to the activities that matter most. At FOX, we’re here to guide you through that journey compassionately and conveniently. Whether you’re a patient, caregiver, or provider, recognizing the signs and taking action is the first step toward lasting change.    

If you or someone you care for is experiencing cognitive decline, we invite you to connect with our specialists and explore how our telehealth program can provide support from the privacy and comfort of home.   

Our dedicated cognitive specialists help individuals increase safety, communication, and quality of life through one-on-one care with a speech-language pathologist licensed in the Brief Cognitive Assessment Tool (BCAT) and a comprehensive program tailored to the individual, including: 

• Education on cognitive staging and functional interventions  

• Compensatory strategies, communication techniques, and behavior management  

• Activity engagement to promote cognitive stimulation 

• Use of validated assessment tools to track progress (i.e., BCAT) 

• Home exercise programming 

• Extensive caregiver education  

The Brief Cognitive Assessment Tool (BCAT®) evaluates domains like memory, attention, and executive function and is sensitive to the full spectrum of cognitive functioning from normal aging to mild cognitive impairment and dementia, and helps predict how cognitive changes may impact daily living activities. 

By integrating tools like the BCAT® into clinical practice, FOX providers can detect subtle changes that may otherwise go unnoticed, allowing for timely intervention and personalized care planning. This proactive approach empowers individuals and their care partners to maintain safety, independence, and quality of life. 

Moving Toward Better Cognitive Care 

It is estimated that over 55 million people are currently living with dementia, and millions of new cases occur each year. Whether you’re a patient looking to stay sharp, a caregiver supporting a loved one, or a provider seeking effective tools for treatment, the FOX Cognition Specialist Program offers a comprehensive, personalized approach to cognition. With the right education, early detection, and expert care, we can work together to increase the quality of life for individuals with cognitive decline.  

References  

• Salari N, Lotfi F, Abdolmaleki A, et al. The global prevalence of mild cognitive impairment in geriatric population with emphasis on influential factors: a systematic review and meta-analysis. BMC Geriatr. 2025;25:313. doi:10.1186/s12877-025-05967-w. 
• Hussenoeder FS, Conrad I, Roehr S, et al. Mild cognitive impairment and quality of life in the oldest old: a closer look. Qual Life Res. 2020;29(6):1675-1683. doi:10.1007/s11136-020-02425-5. 
• da Silva TBL, Dos Santos G, Moreira APB, et al. Cognitive interventions in mature and older adults, benefits for psychological well-being and quality of life: a systematic review study. Dement Neuropsychol. 2021;15(4):428-439. doi:10.1590/1980-57642021dn15-040002.