scholarly journals The Plan-a-Day Approach to Measuring Planning Ability in Patients with Schizophrenia

2011 ◽  
Vol 17 (2) ◽  
pp. 327-335 ◽  
Author(s):  
Daniel V. Holt ◽  
Katlehn Rodewald ◽  
Mirjam Rentrop ◽  
Joachim Funke ◽  
Matthias Weisbrod ◽  
...  
Keyword(s):  
Neuropsychological Tests ◽  
Real Life ◽  
Incremental Validity ◽  
Global Assessment Of Functioning ◽  
Activity Schedules ◽  
Everyday Functioning ◽  
Neuropsychological Measures ◽  
Planning Ability ◽  
Ability Tests ◽  
Computer Based

AbstractDeficits in executive functioning are closely related to the level of everyday functioning in patients with schizophrenia. However, many existing neuropsychological measures are limited in their ability to predict functional outcome. To contribute towards closing this gap, we developed a computer-based test of planning ability (“Plan-a-Day”) that requires participants to create daily activity schedules in a simulated work setting. Eighty patients diagnosed with schizophrenia were tested with Plan-a-Day and a battery of cognitive ability tests. Plan-a-Day showed satisfactory psychometric properties in terms of consistency, reliability, and construct validity. Compared to other neuropsychological tests used in this study, it also demonstrated incremental validity with regard to the Global Assessment of Functioning. The Plan-a-Day approach, therefore, seems to represent a valid alternative for measuring planning ability in patients with executive function deficits, occupying a middle ground between traditional neuropsychological tests and real-life assessments. (JINS, 2011,17, 327–335)

scholarly journals Transformation of microbiology data into a standardised data representation using OpenEHR

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Antje Wulff ◽  
◽  
Claas Baier ◽  
Sarah Ballout ◽  
Erik Tute ◽  
...  
Keyword(s):  
Real Life ◽  
Primary Source ◽  
Multidrug Resistant ◽  
Data Representation ◽  
Data Models ◽  
Outbreak Detection ◽  
Standard Data ◽  
Quality Checks ◽  
Computer Based ◽  
Control Application

AbstractThe spread of multidrug resistant organisms (MDRO) is a global healthcare challenge. Nosocomial outbreaks caused by MDRO are an important contributor to this threat. Computer-based applications facilitating outbreak detection can be essential to address this issue. To allow application reusability across institutions, the various heterogeneous microbiology data representations needs to be transformed into standardised, unambiguous data models. In this work, we present a multi-centric standardisation approach by using openEHR as modelling standard. Data models have been consented in a multicentre and international approach. Participating sites integrated microbiology reports from primary source systems into an openEHR-based data platform. For evaluation, we implemented a prototypical application, compared the transformed data with original reports and conducted automated data quality checks. We were able to develop standardised and interoperable microbiology data models. The publicly available data models can be used across institutions to transform real-life microbiology reports into standardised representations. The implementation of a proof-of-principle and quality control application demonstrated that the new formats as well as the integration processes are feasible. Holistic transformation of microbiological data into standardised openEHR based formats is feasible in a real-life multicentre setting and lays the foundation for developing cross-institutional, automated outbreak detection systems.

scholarly journals Measurement and structural invariance of cognitive ability tests after computer-based training

2019 ◽  
Vol 93 ◽  
pp. 370-378 ◽  
Author(s):  
Michael Hermes ◽  
Frank Albers ◽  
Jan R. Böhnke ◽  
Gerrit Huelmann ◽  
Julia Maier ◽  
...  
Keyword(s):  
Cognitive Ability ◽  
Computer Based Training ◽  
Cognitive Ability Tests ◽  
Ability Tests ◽  
Computer Based ◽  
Structural Invariance

scholarly journals Older Black Adults’ Satisfaction and Anxiety Levels After Completing Alternative Versus Traditional Cognitive Batteries

2018 ◽  
Vol 75 (7) ◽  
pp. 1462-1474 ◽  
Author(s):  
Alyssa A Gamaldo ◽  
Shyuan Ching Tan ◽  
Angie L Sardina ◽  
Carolyn Henzi ◽  
Rosalyn Guest ◽  
...  
Keyword(s):  
Neuropsychological Tests ◽  
Cognitive Status ◽  
Comfort Level ◽  
Education Quality ◽  
Neuropsychological Battery ◽  
Black Adults ◽  
Computer Based ◽  
Paper And Pencil ◽  
And Performance ◽  
Age Range

Abstract Objective The objective of this study was to examine satisfaction, test anxiety, and performance using computer-based cognitive batteries versus a paper-and-pencil neuropsychological battery among older Blacks. Method Self-identified Black adults (n = 87, age range: 55–86; mean education = 14) completed two computer-based tests (CogState and Joggle) and a paper-and-pencil neuropsychological battery. After each battery, participants reported their testing anxiety and satisfaction using the batteries. Descriptive, correlational, and regression analyses compared satisfaction, anxiety, and performance across the batteries. Results Majority of the participants reported more satisfaction with the computer-based (Joggle: 66%; CogState: 77%) than the neuropsychological (52%) battery. Participants also reported less testing anxiety after completing the computer-based batteries than the neuropsychological battery, F(2, 172) = 22.96, p < .001. Older adults’ familiarity and comfort level with the computer were not associated with their performance on the computer-based tests (p > .05). Although testing anxiety was not associated with performance across the batteries, age and education quality were uniquely associated with performance on the CogState and neuropsychological batteries. Conclusions Computer-based cognitive batteries appear to be less intimidating than the commonly used paper-and-pencil neuropsychological tests for Black adults. Thus, these cognitive batteries may be useful tools for monitoring older Blacks’ cognitive status.

scholarly journals Added value of functional neuroimaging to assess decision-making capacity of older adults with neurocognitive disorders: protocol for a prospective, monocentric, single-arm study (IMAGISION)

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053549
Author(s):  
Thomas Tannou ◽  
Aurelie Godard-Marceau ◽  
Sven Joubert ◽  
Serge Daneault ◽  
Marie-Jeanne Kergoat ◽  
...  
Keyword(s):  
Decision Making ◽  
Cognitive Abilities ◽  
Neuropsychological Tests ◽  
Functional Neuroimaging ◽  
Real Life ◽  
Added Value ◽  
Care Plan ◽  
Informed Consent Form ◽  
Decision Making Capacity ◽  
Registration Number

IntroductionAssessment of decision-making capacity (DMC) is essential in daily life as well as for defining a person-centred care plan. Nevertheless, in ageing, especially if signs of dementia appear, it becomes difficult to assess decision-making ability and raises ethical questions. Currently, the assessment of DMC is based on the clinician’s evaluation, completed by neuropsychological tests. Functional MRI (fMRI) could bring added value to the diagnosis of DMC in difficult situations.Methods and analysisIMAGISION is a prospective, monocentric, single-arm study evaluating fMRI compared with clinical assessment of DMC. The study will begin during Fall 2021 and should be completed by Spring 2023. Participants will be recruited from a memory clinic where they will come for an assessment of their cognitive abilities due to decision-making needs to support ageing in place. They will be older people over 70 years of age, living at home, presenting with a diagnosis of mild dementia, and no exclusion criteria of MRI. They will be clinically assessed by a geriatrician on their DMC, based on the neuropsychological tests usually performed. Participants will then perform a behavioural task in fMRI (Balloon Analogue Risk Task) to analyse the activation areas. Additional semistructured interviews will be conducted to explore real life implications. The main analysis will study concordance/discordance between the clinical classification and the activation of fMRI regions of interest. Reclassification as ‘capable’, based on fMRI, of patients for whom clinical diagnosis is ‘questionable’ will be considered as a diagnostic gain.Ethics and disseminationIMAGISION has been authorised by a research ethics board (Comité de Protection des Personnes, Bordeaux, II) in France, in accordance with French legislation on interventional biomedical research, under the reference IDRCB number 2019-A00863-54, since 30 September 2020. Participants will sign an informed consent form. The results of the study will be presented in international peer-reviewed scientific journals, international scientific conferences and public lectures.Trial registration numberNCT03931148

Cognitive Interventions: Brain Training and Rehabilitation

2018 ◽  
Author(s):  
Thomas Swirsky-Sacchetti ◽  
Robert L. Rider
Keyword(s):  
Beneficial Effect ◽  
Cognitive Skills ◽  
Real Life ◽  
Cognitive Remediation ◽  
Future Research ◽  
Brain Training ◽  
Cognitive Domains ◽  
Cognitive Interventions ◽  
The Face ◽  
Computer Based

The research pertaining to two types of cognitive interventions is reviewed. Brain training, which utilizes a variety of computer based approaches, is designed to improve normal performance by developing cognitive skills. Cognitive remediation is designed to improve performance in the face of acquired deficits. Such programs are designed to help patients with existing mild cognitive impairment or dementia. Although not uniform, there is mounting evidence that these interventions have a beneficial effect. However, research also suggests the beneficial effect of such programs is often limited to the specific type of task trained, with generalization to real-life performance more questionable. Patients improve specific cognitive domains that do not necessarily correlate with improvements in activities of daily life. The findings and limitations of current research are discussed along with directions for future research.

Goal Management Training of Executive Functions in Patients with Spina Bifida: A Randomized Controlled Trial

2013 ◽  
Vol 19 (6) ◽  
pp. 672-685 ◽  
Author(s):  
Jan Stubberud ◽  
Donna Langenbahn ◽  
Brian Levine ◽  
Johan Stanghelle ◽  
Anne-Kristine Schanke
Keyword(s):  
Randomized Controlled Trial ◽  
Executive Functioning ◽  
Controlled Trial ◽  
Real Life ◽  
Management Training ◽  
Post Intervention ◽  
Neuropsychological Measures ◽  
Goal Management ◽  
Randomized Controlled ◽  
Goal Management Training

AbstractExecutive dysfunction causes significant real-life disability for patients with spina bifida (SB). However, no previous research has been directed toward the amelioration of executive functioning deficits amongst persons with SB. Goal Management Training (GMT) is a compensatory cognitive rehabilitation approach, addressing underlying deficits in sustained attention to improve executive function. GMT has received empirical support in studies of other patient groups. The purpose of the present study was to determine the efficacy of GMT in treating subjects with SB, using inpatient intervention periods. We hypothesized post-intervention changes in scores on neuropsychological measures to reflect improved attentional control, including sustained attention and inhibitory control. Thirty-eight adult subjects with SB were included in this randomized controlled trial. Inclusion was based upon the presence of executive functioning complaints. Experimental subjects (n = 24) received 21 hr of GMT, with efficacy of GMT being compared to results of subjects in a wait-list condition (n = 14). All subjects were assessed at baseline, post-intervention, and at 6-month follow-up. Findings indicated superior effects of GMT on domain-specific neuropsychological measures and on a functional “real-life” measure, all lasting at least 6 months post-treatment. These results show that deficits in executive functioning can be ameliorated in patients with congenital brain dysfunction. (JINS, 2013, 19, 1–14)

Case Analysis: An Instructional Tool

1994 ◽  
Vol 23 (1) ◽  
pp. 39-51 ◽  
Author(s):  
R. Wilburn Clouse ◽  
Larry N. Garrett
Keyword(s):  
Problem Solving ◽  
Adult Learner ◽  
Real Life ◽  
Case Analysis ◽  
Instructional Model ◽  
Instructional Tool ◽  
Learner Motivation ◽  
Learner Centered ◽  
Interest Level ◽  
Computer Based

This article describes the application of Case Analysis to a learner-centered computer-based instructional model. The cases illustrated how this model fosters problem solving, creative and rational thinking, logical analysis, and learner-motivation and self directions. Case analysis is used to apply real life situations to a learning environment that can “hook” the case problem to the knowledge and interest level of the adult learner.

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