The relationship between neuropsychological functioning and instrumental activities of daily living following acquired brain injury

IntroductionOne of the main limitations that can be observed after acquired brain injury (ABI) is the alteration of the awareness of the deficits that can occur in the cognitive skills necessary for performing activities of daily living (ADL). According to the Dynamic Comprehensive Model of Awareness (DCMA), consciousness is composed of offline component, which contains the information stored about characteristics of the tasks and stable beliefs about one’s own capabilities and online awareness, which is activated in the context of the performance of a specific task. The main objective of this project was to generate and validate a detailed cognitive assessment protocol within the context of ADL to evaluate the components of DCMA.Methods and analysisThe proposed protocol consists of two ecological tools: The Cog-Awareness ADL Scale to measure offline component and the Awareness ADL-task: Basic and Instrumental ADL performance-based test to measure online awareness. The aim is to identify the presence of cognitive deficits and anosognosia in patients with ABI within the context of everyday life activities. These two measures will be administered to a group of patients with ABI. In addition, these participants will complete another series of classic tests on anosognosia and cognitive functions in order to find the convergent validity of the two tests proposed in this protocol. The external validity of the Cog-Awareness ADL Scale and the relationships between awareness components within the same ADL domain will be also analysed.Ethics and disseminationThis study was approved by the Ethics Committee of Biomedical Research of Andalusia, on 13 January /2017 (Proceeding 1/2017). All participants are required to provide written informed consent. The findings from this will be disseminated via scientific publication.Trial registration numberNCT03712839.

Download Full-text

The Relationship Between Physical Performance Measures and Independence in Instrumental Activities of Daily Living

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1996.tb01404.x ◽

1996 ◽

Vol 44 (11) ◽

pp. 1332-1341 ◽

Cited By ~ 146

Author(s):

James O. Judge ◽

Kenneth Schechtman ◽

Elaine Cress ◽

FICSIT Group

Keyword(s):

Activities Of Daily Living ◽

Physical Performance ◽

Performance Measures ◽

Daily Living ◽

Instrumental Activities ◽

The Relationship

Download Full-text

The relationship between neuropsychological measures and the Timed Instrumental Activities of Daily Living task in multiple sclerosis

Multiple Sclerosis Journal ◽

10.1177/1352458506072984 ◽

2007 ◽

Vol 13 (5) ◽

pp. 636-644 ◽

Cited By ~ 49

Author(s):

Y. Goverover ◽

HM Genova ◽

FG Hillary ◽

J. DeLuca

Keyword(s):

Multiple Sclerosis ◽

Activities Of Daily Living ◽

Processing Speed ◽

Test Performance ◽

Daily Living ◽

Functional Independence ◽

Everyday Functioning ◽

Neuropsychological Measures ◽

Instrumental Activities ◽

The Relationship

Multiple sclerosis (MS) can result in cognitive deficits and a loss of functional independence. To date, little research has linked the observed cognitive and behavioral deficits in MS, especially those in the processing speed domain, to performance on tasks of everyday functioning. The present study examined the relationship between neuropsychological test performance and performance on the Timed Instrumental Activities of Daily Living task (TIADL) in individuals with MS, and in healthy controls (HCs). The TIADL is a functional measure, which assesses both accuracy and speed in one's performance of everyday activities. The MS group performed significantly worse on the TIADL relative to the HC group. Additionally, TIADL scores of individuals with MS were significantly correlated with neuropsychological measures of processing speed. TIADL scores were not, however, correlated with neuropsychological measures of verbal episodic memory or working memory. These results indicate that the impairments in processing speed may contribute to impairments in activities of everyday living in persons with MS. Multiple Sclerosis 2007; 13: 636-644. http://msj.sagepub.com

Download Full-text