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Salazar-Frías D, Funes MJ, Merchán-Baeza JA, Ricchetti G, Torralba-Muñoz JM, Rodríguez-Bailón M. Translation, cross-cultural adaptation and validation of the 10-item Weekly Calendar Planning Activity in Spanish-speaking ABI patients: a multicenter study. Front Psychol 2023; 14:1018055. [PMID: 37384192 PMCID: PMC10293833 DOI: 10.3389/fpsyg.2023.1018055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 05/15/2023] [Indexed: 06/30/2023] Open
Abstract
We present the process of translation, adaptation, and validation in the Spanish context of the 10-item version of the Weekly Calendar Planning Activity (WCPA-10), a performance-based measure of cognitive instrumental activities of daily living (C-IADL). The study consisted of two phases: I) translation/cultural adaptation of the WCPA, conducted by professional bilingual translators, a panel of experts, and a pilot study, and II) validation in a sample of 42 acquired brain injury patients (ABI) and 42 healthy participants (HC). WCPA primary outcomes showed expected convergent/discriminant validity patterns with socio-demographical and clinical variables and cognitive processes identifying those WCPA outcomes that best predicted executive and memory deficits measured with a battery of traditional neuropsychological tests. In addition, performance on the WCPA was a significant predictor of everyday functioning over variables such as socio-demographics or global cognition when measured with traditional tests. External validity was established by the WCPA's ability to identify everyday cognitive deficits in ABI patients compared to HC, even in those with subtle cognitive impairment based on neuropsychological tests. The Spanish WCPA-10 seems an appropriate and sensitive assessment tool to identify cognitive-functional impairment in ABI-patients, even those with subtle cognitive impairment. The results also highlight the relevance of this kind of test, as they indicate a better prediction of patients' real-world functioning than traditional neuropsychological tests.
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Affiliation(s)
- Daniel Salazar-Frías
- Mind, Brain and Behavior Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
| | - María Jesús Funes
- Mind, Brain and Behavior Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
| | - Jose Antonio Merchán-Baeza
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, University of Vic-Central University of Catalonia (UVIC-UCC), Barcelona, Spain
| | - Giorgia Ricchetti
- Mind, Brain and Behavior Research Centre (CIMCYC), Experimental Psychology Department, School of Psychology, University of Granada, Granada, Spain
| | - Jose Maria Torralba-Muñoz
- Asociación Granadina de Familias por la Rehabilitación del Daño Cerebral Adquirido, AGREDACE, Granada, Spain
| | - María Rodríguez-Bailón
- Department of Physiotherapy (Occupational Therapy), Health Science School, University of Málaga, Málaga, Spain
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Fogel Y. Cognitive Strategies: Moderating the Relationship between Executive Functions and Daily Functioning. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16845. [PMID: 36554722 PMCID: PMC9778739 DOI: 10.3390/ijerph192416845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/13/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
Whereas prior studies have addressed relationships between cognitive strategies and learning and achievement, very few dealt with their connection to daily functioning. This study examines the moderation effect of the frequency of compensatory cognitive strategy use within that relationship among university students. A sample of 336 students (18-36 years; 180 women, 156 men) answered the Dysexecutive Questionnaire (DEX; executive function components), Time Organization and Participation Scale (TOPS; daily functioning), and Compensatory Cognitive Strategies Scale (CCSS; strategy use). The results showed significant correlations between the DEX and TOPS for three CCSS levels (-1.0, -1.0 to 1.0, and 1.0 SD from average); the higher the frequency of cognitive strategy use, the stronger the association between the DEX and TOPS. The findings suggest that more frequently use of cognitive strategies can strengthen efficient daily functioning.
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Affiliation(s)
- Yael Fogel
- Department of Occupational Therapy, Ariel University, Ariel 40700, Israel
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3
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Chiaravalloti ND, Weber E, Dobryakova E, Botticello A, Goverover Y, Moore NB, DeLuca J. Kessler Foundation Strategy-Based Training to Enhance Memory (KF-STEM™): Study protocol for a single site double-blind randomized, clinical trial in Multiple Sclerosis. Contemp Clin Trials Commun 2022; 30:101026. [PMID: 36387993 PMCID: PMC9641172 DOI: 10.1016/j.conctc.2022.101026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/29/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022] Open
Abstract
New learning and memory impairments are common in Multiple Sclerosis (MS) and negatively impact everyday life, including occupational and social functioning. Despite the demand for learning and memory treatments, few cognitive rehabilitation protocols are supported by Class I research evidence, limiting the degree to which effective treatments may be utilized with persons with MS. The present double-blind, placebo controlled randomized clinical trial (RCT) examines the efficacy of an 8-session cognitive rehabilitation protocol encompassing training in the application of three strategies with the strongest empirical evidence (self-generation, spaced learning and retrieval practice) to treat impaired learning and memory in persons with MS, Kessler Foundation Strategy-based Training to Enhance Memory (KF-STEM™). A sample of 120 participants with clinically definite MS who have impairments in new learning and memory will be enrolled. Outcomes will be assessed via three mechanisms, an Assessment of Global Functioning, which examines everyday functioning and quality of life, a Neuropsychological Evaluation to examine objective cognitive performance, and functional Magnetic Resonance Imaging to examine the impact of treatment on patterns of cerebral activation. We will additionally evaluate the longer-term efficacy of KF-STEM™ on everyday functioning and neuropsychological assessment through a 6-month follow-up evaluation and evaluate the impact of booster sessions in maintaining the treatment effect over time. The methodologically rigorous design of the current study will provide Class I evidence for the KF-STEM™ treatment protocol for persons with MS.
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Garcia-Moreno FM, Bermudez-Edo M, Rodríguez-García E, Pérez-Mármol JM, Garrido JL, Rodríguez-Fórtiz MJ. A machine learning approach for semi-automatic assessment of IADL dependence in older adults with wearable sensors. Int J Med Inform 2021; 157:104625. [PMID: 34763192 DOI: 10.1016/j.ijmedinf.2021.104625] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 10/20/2021] [Accepted: 10/22/2021] [Indexed: 12/30/2022]
Abstract
BACKGROUND AND OBJECTIVE The assessment of dependence in older adults currently requires a manual collection of data taken from questionnaires. This process is time consuming for the clinicians and intrudes the daily life of the elderly. This paper aims to semi-automate the acquisition and analysis of health data to assess and predict the dependence in older adults while executing one instrumental activity of daily living (IADL). METHODS In a mobile-health (m-health) scenario, we analyze whether the acquisition of data through wearables during the performance of IADLs, and with the help of machine learning techniques could replace the traditional questionnaires to evaluate dependence. To that end, we collected data from wearables, while older adults do the shopping activity. A trial supervisor (TS) labelled the different shopping stages (SS) in the collected data. We performed data pre-processing techniques over those SS and analyzed them with three machine learning algorithms: k-Nearest Neighbors (k-NN), Random Forest (RF) and Support Vector Machines (SVM). RESULTS Our results confirm that it is possible to replace the traditional questionnaires with wearable data. In particular, the best learning algorithm we tried reported an accuracy of 97% in the assessment of dependence. We tuned the hyperparameters of this algorithm and used embedded feature selection technique to get the best performance with a subset of only 10 features out of the initial 85. This model considers only features extracted from four sensors of a single wearable: accelerometer, heart rate, electrodermal activity and temperature. Although these features are not observational, our current proposal is semi-automatic, because it needs a TS labelling the SS (with a smartphone application). In the future, this labelling process could be automatic as well. CONCLUSIONS Our method can semi-automatically assess the dependence, without disturbing daily activities of elderly people. This method can save clinicians' time in the evaluation of dependence in older adults and reduce healthcare costs.
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Affiliation(s)
- Francisco M Garcia-Moreno
- Department of Software Engineering, Computer Sciences School, University of Granada, C/ Periodista Daniel Saucedo Aranda, s/n, 18014 Granada, Spain.
| | - Maria Bermudez-Edo
- Department of Software Engineering, Computer Sciences School, University of Granada, C/ Periodista Daniel Saucedo Aranda, s/n, 18014 Granada, Spain.
| | - Estefanía Rodríguez-García
- Department of Physiology, Faculty of Health Sciences, University of Granada, Av. de la Ilustración, 60, 18016 Granada, Spain.
| | - José Manuel Pérez-Mármol
- Department of Physiology, Faculty of Health Sciences, University of Granada, Av. de la Ilustración, 60, 18016 Granada, Spain.
| | - José Luis Garrido
- Department of Software Engineering, Computer Sciences School, University of Granada, C/ Periodista Daniel Saucedo Aranda, s/n, 18014 Granada, Spain.
| | - María José Rodríguez-Fórtiz
- Department of Software Engineering, Computer Sciences School, University of Granada, C/ Periodista Daniel Saucedo Aranda, s/n, 18014 Granada, Spain.
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Scarff S, Fleming J, Nalder EJ, Neale E, Gullo HL. Self-reported strategy generation and implementation in the multiple errands test: A qualitative description. Neuropsychol Rehabil 2021; 32:1475-1494. [PMID: 33761847 DOI: 10.1080/09602011.2021.1899943] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The Multiple Errands Test (MET) is a naturalistic assessment of executive function. Strategy use during the MET can provide useful information for the development of a cognitive profile and intervention plan in patients with brain injury. However, while observed external strategy use in the MET is well-documented, information about internal strategy use and reference data with healthy controls is limited. Contextual influences on strategy selection in this real-world assessment are also not well understood. This qualitative descriptive study explored the internal and external strategies used during MET performance by cognitively intact adults. Strategies were categorized as planning, checking, and problem solving. When planning, participants simplified and familiarized themselves with MET requirements before developing an action plan. They checked their performance by asking for help and using cues in the physical environment. When problems arose, these were solved through self-talk, comparing alternatives, applying context and modifying their plan. Results highlighted that individuals employ both visible and hidden strategies during the MET. This suggests that reflective discussions with patients following cognitive task engagement may be important, to uncover and understand strategy use, both to inform analysis of performance and guide strategy training.
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Affiliation(s)
- Shannon Scarff
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.,Royal Brisbane and Women's Hospital, Brisbane, Australia
| | - Jennifer Fleming
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Emily J Nalder
- Department of Occupational Science and Occupational Therapy & Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
| | - Emma Neale
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Hannah L Gullo
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
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Validation of the Virtual Reality Everyday Assessment Lab (VR-EAL): An Immersive Virtual Reality Neuropsychological Battery with Enhanced Ecological Validity. J Int Neuropsychol Soc 2021; 27:181-196. [PMID: 32772948 DOI: 10.1017/s1355617720000764] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The assessment of cognitive functions such as prospective memory, episodic memory, attention, and executive functions benefits from an ecologically valid approach to better understand how performance outcomes generalize to everyday life. Immersive virtual reality (VR) is considered capable of simulating real-life situations to enhance ecological validity. The present study attempted to validate the Virtual Reality Everyday Assessment Lab (VR-EAL), an immersive VR neuropsychological battery, against an extensive paper-and-pencil neuropsychological battery. METHODS Forty-one participants (21 females) were recruited: 18 gamers and 23 non-gamers who attended both an immersive VR and a paper-and-pencil testing session. Bayesian Pearson's correlation analyses were conducted to assess construct and convergent validity of the VR-EAL. Bayesian t-tests were performed to compare VR and paper-and-pencil testing in terms of administration time, similarity to real-life tasks (i.e., ecological validity), and pleasantness. RESULTS VR-EAL scores were significantly correlated with their equivalent scores on the paper-and-pencil tests. The participants' reports indicated that the VR-EAL tasks were significantly more ecologically valid and pleasant than the paper-and-pencil neuropsychological battery. The VR-EAL battery also had a shorter administration time. CONCLUSION The VR-EAL appears as an effective neuropsychological tool for the assessment of everyday cognitive functions, which has enhanced ecological validity, a highly pleasant testing experience, and does not induce cybersickness.
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Swanton R, Gustafsson L, Froude E, Hodson T, McInerney M, Cahill LS, Lannin NA. Cognitive strategy training for adults with neurological conditions: a systematic review and meta-analysis exploring effect on occupational performance. Br J Occup Ther 2020. [DOI: 10.1177/0308022620933095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction The objective of this systematic review was to synthesise the evidence for cognitive strategy training to determine its effectiveness to improve performance of activities of daily living in an adult neurological population. Method Medline, CINAHL, EMBASE, PSYCInfo, PsycBITE and Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews were searched until August 2019. Studies examining the effect of cognitive strategy training on functional performance were included. Population criteria included adults with non-progressive neurological conditions. External and internal validity of included studies was systematically evaluated using an appropriate methodological quality assessment for each study design. A content analysis was conducted of the methodologies used. Findings Forty-one studies met the inclusion criteria and were appraised for content, 16 randomised or quasi-randomised trials were meta-analysed. Trial quality was generally ‘good’, Physiotherapy Evidence Database scale scores ranged from 3 to 8 (out of 10). For activity performance outcomes post-intervention, there was a significant benefit of cognitive strategy training over usual care (standardised mean difference 0.79, 95% confidence interval 0.49–1.09; P < 0.00001). Conclusion More high-quality research is needed to strengthen the evidence base for cognitive strategy interventions to improve activity performance outcomes for adults with non-progressive neurological conditions. Systematic review registration PROSPERO CRD42016033728
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Affiliation(s)
- Ruth Swanton
- School of Health and Rehabilitation Sciences, University of Queensland, Australia
- School of Allied Health, Australian Catholic University, Sydney, Australia
| | - Louise Gustafsson
- School of Health and Rehabilitation Sciences, University of Queensland, Australia
- School of Allied Health Sciences – Occupational Therapy, Griffith University, Queensland, Australia
| | - Elspeth Froude
- School of Allied Health, Australian Catholic University, Sydney, Australia
| | - Tenelle Hodson
- School of Health and Rehabilitation Sciences, University of Queensland, Australia
- School of Allied Health Sciences – Occupational Therapy, Griffith University, Queensland, Australia
| | - Michelle McInerney
- School of Allied Health, Australian Catholic University, Sydney, Australia
| | - Liana S Cahill
- School of Allied Health, Australian Catholic University, Sydney, Australia
- Department of Community and Clinical Allied Health, La Trobe University, Australia
- Neurorehabilitation and Recovery, Stroke, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Australia
| | - Natasha A Lannin
- Department of Community and Clinical Allied Health, La Trobe University, Australia
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia
- Alfred Health, Melbourne, Australia
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8
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Chiaravalloti ND, Moore NB, Weber E, DeLuca J. The application of Strategy-based Training to Enhance Memory (STEM) in multiple sclerosis: A pilot RCT. Neuropsychol Rehabil 2019; 31:231-254. [PMID: 31752604 DOI: 10.1080/09602011.2019.1685550] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
New learning and memory (NLM) impairments are common in multiple sclerosis (MS), negatively impacting daily life. Few studies seek to remediate these deficits to improve everyday functioning. Self-generation, spaced learning and retrieval practice have been shown to improve NLM in healthy persons and have been incorporated into an 8-session treatment protocol, Strategy-based Training to Enhance Memory (STEM). STEM teaches participants about each of the techniques, how to apply them in daily life and provides practice. Participants are taught to restructure a memory-demanding situation to optimize self-generation, spaced learning and retrieval practice. This pilot double-blind, placebo-controlled, randomized clinical trial (RCT) tested the efficacy of STEM in 20 learning-impaired participants with clinically definite MS (9 treatment, 11 control). Significant treatment effects were noted on self-report measures of daily functioning (primary outcome). Objective neuropsychological testing approached significance, showing a medium-large effect on verbal NLM. Results suggest that STEM may improve everyday functioning in individuals with MS. A full-scale RCT is warranted to validate findings in a larger sample so that findings may be generalized to the broader MS community.
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Affiliation(s)
- Nancy D Chiaravalloti
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA.,Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - Nancy B Moore
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA
| | - Erica Weber
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA.,Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - John DeLuca
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA.,Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, USA.,Department of Neurology, Rutgers New Jersey Medical School, Newark, NJ, USA
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9
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Antoniak K, Clores J, Jensen D, Nalder E, Rotenberg S, Dawson DR. Developing and Validating a Big-Store Multiple Errands Test. Front Psychol 2019; 10:2575. [PMID: 31803113 PMCID: PMC6873776 DOI: 10.3389/fpsyg.2019.02575] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 10/31/2019] [Indexed: 01/03/2023] Open
Abstract
The Multiple Errands Test (MET) is an ecologically valid assessment that characterizes how executive dysfunction manifests in everyday activities. Due to the naturalistic nature of this assessment, clinicians and researchers have had to develop site-specific versions resulting in numerous published versions and making it difficult to establish standard psychometric properties. The aim of this study was to develop a standardized, community version of the MET designed to be used in large department stores meeting set criteria that would not require site specific modifications. This paper reports on the development, content validity, feasibility, and inter-rater reliability of a Big-Store MET, and the performance of healthy participants on this test. Items were selected to match previously published versions in relation to quantity and complexity. Content validity was established by having experts (n = 4) on the MET review the proposed Big-Store version and evaluate the task consistency with previously published versions. To assess feasibility of administration, and inter-rater reliability, a convenience sample of 14 community dwelling adults, self-reporting as healthy, were assessed by two trained raters. We found the Big-Store MET to be feasible to deliver (completed within 30 min, scores show variability, acceptable to participants in community environment) and inter-rater reliability to be very high (ICCs = 0.92-0.99) with the exception of frequency of strategy use. This study introduces the Big-Store MET to the literature, establishes its preliminary validity and reliability thus laying the foundation for a standardized, community-based version of the MET.
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Affiliation(s)
- Kristen Antoniak
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada
| | - Julie Clores
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada
| | | | - Emily Nalder
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada
- Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
| | - Shlomit Rotenberg
- Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada
| | - Deirdre R. Dawson
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada
- Alberta Health Services, Calgary, AB, Canada
- Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada
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10
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Burns SP, Dawson DR, Perea JD, Vas AK, Pickens ND, Marquez de la Plata C, Neville M. Associations between self-generated strategy use and MET-Home performance in adults with stroke. Neuropsychol Rehabil 2019; 30:1543-1557. [PMID: 31018105 DOI: 10.1080/09602011.2019.1601112] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Self-generated strategy use has substantial potential for improving community living outcomes in adults with impaired executive function after stroke. However, little is known about how self-generated strategies support task performance in people with post-stroke executive function impairments living in the community. We explored strategy use among home-dwelling persons with stroke and neurologically-healthy control participants during the Multiple Errands Test-Home Version (MET-Home), a context-specific assessment with evidence of ecological validity designed to examine how post-stroke executive dysfunction manifests during task performance in the home environment. For persons with stroke, significant associations were identified between planning and tasks accurately completed on the MET-Home. Significant associations were also identified among the control participants for self-monitoring, multitasking, and "using the environment" strategies. These associations are related to enhanced MET-Home performance on sub-scores for levels of accuracy, passes, and total time. Rehabilitation interventions that focus on reinforcing self-generated strategy use may support community living outcomes in persons with post-stroke executive function impairments, but this area needs additional investigation.
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Affiliation(s)
- Suzanne P Burns
- School of Occupational Therapy, Texas Woman's University, Denton, TX, USA
| | - Deirdre R Dawson
- Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada.,Department of Occupational Science and Occupational Therapy and Rehabilitation Science Institute, University of Toronto, Toronto, ON, Canada
| | | | - Asha K Vas
- School of Occupational Therapy, Texas Woman's University, Dallas, TX, USA
| | | | | | - Marsha Neville
- School of Occupational Therapy, Texas Woman's University, Dallas, TX, USA
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11
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Burns SP, Pickens ND, Dawson DR, Perea JD, Vas AK, Marquez de la Plata C, Neville M. In-home contextual reality: a qualitative analysis using the Multiple Errands Test Home Version (MET-Home). Neuropsychol Rehabil 2018; 30:787-801. [DOI: 10.1080/09602011.2018.1431134] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Suzanne Perea Burns
- WISSDOM Center, Medical University of South Carolina, Charleston, SC, USA
- School of Occupational Therapy, Texas Woman’s University, Dallas, TX, USA
| | | | - Deirdre R. Dawson
- Rotman Research Institute, Toronto, Canada
- Department of Occupational Science and Occupational Therapy, Rehabilitation Science Institute, University of Toronto, Toronto, Canada
| | | | - Asha K. Vas
- School of Occupational Therapy, Texas Woman’s University, Dallas, TX, USA
| | | | - Marsha Neville
- School of Occupational Therapy, Texas Woman’s University, Dallas, TX, USA
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12
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Ahmed S, Swaine B, Milot M, Gaudet C, Poldma T, Bartlett G, Mazer B, Le Dorze G, Barbic S, Rodriguez AM, Lefebvre H, Archambault P, Kairy D, Fung J, Labbé D, Lamontagne A, Kehayia E. Creating an inclusive mall environment with the PRECEDE-PROCEED model: a living lab case study. Disabil Rehabil 2017; 39:2198-2206. [PMID: 28110547 DOI: 10.1080/09638288.2016.1219401] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE Although public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The Rehabilitation Living Lab in the Mall is a unique, interdisciplinary, and multi-sectoral research project with an aim to transform a shopping complex in Montreal, Canada, into an inclusive environment optimizing the participation and social inclusion of all people. METHODS The PRECEDE-PROCEDE Model (PPM), a community-oriented and participatory planning model, was applied as a framework. The PPM is comprised of nine steps divided between planning, implementation, and evaluation. RESULTS The PPM is well suited as a framework for the development of an inclusive mall. Its ecological approach considers the environment, as well as the social and individual factors relating to mall users' needs and expectations. Transforming a mall to be more inclusive is a complex process involving many stakeholders. The PPM allows the synthesis of several sources of information, as well as the identification and prioritization of key issues to address. The PPM also helps to frame and drive the implementation and evaluate the components of the project. CONCLUSION This knowledge can help others interested in using the PPM to create similar enabling and inclusive environments world-wide. Implication for rehabilitation While public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The PRECEDE PROCEDE Model (PPM) is well suited as a framework for the development, implementation, and evaluation of an inclusive mall. Environmental barriers can negatively impact the rehabilitation process by impeding the restoration and augmentation of function. Removing barriers to social participation and independent living by improving inclusivity in the mall and other environments positively impacts the lives of people with disabilities.
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Affiliation(s)
- Sara Ahmed
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,c Centre de réadaptation Constance-Lethbridge du Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Ouest-de-l'Île-de-Montréal , Montréal , Canada
| | - Bonnie Swaine
- b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,d École de réadaptation , Université de Montréal , Montreal , Canada.,e Centre de réadaptation Lucie-Bruneau du CIUSSS du Centre-Sud-de-l'Île-de-Montréal , Montréal , Canada
| | - Marc Milot
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada
| | - Caroline Gaudet
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,g Bruyère Research Institute , Ottawa , Canada
| | - Tiiu Poldma
- b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,h École de design, Faculté de l'aménagement, Université de Montréal , Montréal , Canada.,m Institut de réadaptation Gingras-Lindsay-de-Montréal du CIUSSS du Centre-Sud-de-l'ḽle-de-Montréal , Montreal , Canada
| | - Gillian Bartlett
- i Department of Family Medicine , McGill University , Montréal , Canada
| | - Barbara Mazer
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,f Jewish Rehabilitation Hospital du Centre intégré de santé et de services sociaux (CISSS) de Laval , Laval , Canada
| | - Guylaine Le Dorze
- b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,e Centre de réadaptation Lucie-Bruneau du CIUSSS du Centre-Sud-de-l'Île-de-Montréal , Montréal , Canada.,j École d'orthophonie et d'audiologie , Université de Montréal , Montréal , Canada
| | - Skye Barbic
- k Department of Occupational Science and Occupational Therapy , University of British Columbia , Canada
| | - Ana Maria Rodriguez
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada
| | - Hélène Lefebvre
- b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,e Centre de réadaptation Lucie-Bruneau du CIUSSS du Centre-Sud-de-l'Île-de-Montréal , Montréal , Canada.,l Faculté des sciences infirmières , Université de Montréal , Montréal , Canada
| | - Philippe Archambault
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,f Jewish Rehabilitation Hospital du Centre intégré de santé et de services sociaux (CISSS) de Laval , Laval , Canada
| | - Dahlia Kairy
- b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,d École de réadaptation , Université de Montréal , Montreal , Canada.,m Institut de réadaptation Gingras-Lindsay-de-Montréal du CIUSSS du Centre-Sud-de-l'ḽle-de-Montréal , Montreal , Canada
| | - Joyce Fung
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,f Jewish Rehabilitation Hospital du Centre intégré de santé et de services sociaux (CISSS) de Laval , Laval , Canada
| | - Delphine Labbé
- b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,e Centre de réadaptation Lucie-Bruneau du CIUSSS du Centre-Sud-de-l'Île-de-Montréal , Montréal , Canada.,n Département de psychologie , Université du Québec à Montréal , Montréal , Canada
| | - Anouk Lamontagne
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,f Jewish Rehabilitation Hospital du Centre intégré de santé et de services sociaux (CISSS) de Laval , Laval , Canada
| | - Eva Kehayia
- a School of Physical and Occupational Therapy , McGill University , Montréal , Canada.,b Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) , Montréal , Canada.,f Jewish Rehabilitation Hospital du Centre intégré de santé et de services sociaux (CISSS) de Laval , Laval , Canada
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13
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Bier N, Belchior PDC, Paquette G, Beauchemin É, Lacasse-Champagne A, Messier C, Pellerin ML, Petit M, Mioshi E, Bottari C. The Instrumental Activity of Daily Living Profile in Aging: A Feasibility Study. J Alzheimers Dis 2016; 52:1361-71. [PMID: 27079703 DOI: 10.3233/jad-150957] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Dysfunctions in complex activities of daily living (ADLs) are a normal part of the aging process. However, differentiating functional decline associated with healthy aging from the subtle decline experienced by individuals with mild cognitive impairment and early dementia constitutes a challenge. Finding an appropriate tool that can capture these subtle but important functional changes represents a priority. OBJECTIVES The aims of this study were to evaluate the feasibility of using the Instrumental Activities of Daily Living Profile (IADL Profile) with elderly participants and to describe their level of difficulty encountered in each task. METHODS The tool was administered to a group of 40 elderly participants living in the community. RESULTS The IADL Profile was found to be feasible to use in older individuals; the tool also showed sensitivity to the difficulties experienced by this population in everyday functioning. CONCLUSION The IADL Profile is a promising ecological tool to evaluate independence in aging and may help to identify individuals with MCI. This tool may also contribute to the development of tailored interventions to enhance everyday functioning in the older population.
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Affiliation(s)
- Nathalie Bier
- School of Rehabilitation, Université de Montréal, Montreal, QC, Canada.,Research Center of the Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada
| | - Patricia da Cunha Belchior
- Research Center of the Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada.,School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | - Guillaume Paquette
- Research Center of the Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada
| | - Émilie Beauchemin
- School of Rehabilitation, Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada
| | | | - Chantal Messier
- School of Rehabilitation, Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Marie-Line Pellerin
- School of Rehabilitation, Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Marisol Petit
- School of Rehabilitation, Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Eneida Mioshi
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Carolina Bottari
- School of Rehabilitation, Université de Montréal, Montreal, QC, Canada.,Centre de Recherche Interdisciplinaire en Réadaptation - site Lucie-Bruneau, Montreal, QC, Canada
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14
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Thomas KR, Marsiske M. Age trajectories of everyday cognition in African American and White older adults under prompted and unprompted conditions. Neuropsychol Rehabil 2015; 27:522-539. [PMID: 26480946 DOI: 10.1080/09602011.2015.1092453] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
We investigated how race and verbal prompting interacted with age to predict age trajectories on a performance-based measure of everyday cognition. African American (n = 727) and White (n = 2052) older adults from the ACTIVE clinical trial were given the Observed Tasks of Daily Living (OTDL; a performance-based measure of medication management/finances/telephone use) at baseline and 1-, 2-, 3-, 5-, and 10-year follow-ups. When participants said "I don't know" or did not respond, they received a standardised verbal prompt, which served only as a cue to initiate the first step. At each occasion, unprompted (sum of items correct without prompting) and prompted (sum of correct prompted and unprompted items) scores were derived for each participant. Mixed effects models for change were used to determine the age trajectories of OTDL performance by race. When not prompted, African Americans demonstrated more rapid decline in OTDL performance than Whites, especially after age 80. When prompted, both groups had improved performance and evinced shallower decline, although African Americans continued to demonstrate a slightly more rapid decline. Simple prompting attenuated age-related changes of African Americans and Whites on a measure of everyday cognition. Prompting may be especially helpful for older African Americans.
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Affiliation(s)
- Kelsey R Thomas
- a Department of Clinical and Health Psychology , University of Florida , Gainesville , USA
| | - Michael Marsiske
- a Department of Clinical and Health Psychology , University of Florida , Gainesville , USA
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15
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Abstract
The outgoing editor-in-chief outlines the advances made during her 6-yr tenure and provides recommendations for AJOT’s future
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Affiliation(s)
- Sharon A Gutman
- Sharon A. Gutman, PhD, OTR, FAOTA, is former Editor-in-Chief, American Journal of Occupational Therapy, and Associate Professor, Programs in Occupational Therapy Research, Columbia University, New York, NY 10032;
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