scholarly journals Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review

10.2196/16534 ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. e16534 ◽  
Author(s):  
Alice Pellichero ◽  
Lisa K Kenyon ◽  
Krista Lynn Best ◽  
Éric Sorita ◽  
Marie-Eve Lamontagne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Functioning ◽  
Cognitive Functions ◽  
Research Network ◽  
International Classification Of Functioning ◽  
Synthesis Design ◽  
Mobility Devices ◽  
Review Protocol ◽  
Device Use ◽  
Mobility Device

Background Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use. Objective The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use. Methods A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied. Results This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019. Conclusions Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools. Trial Registration PROSPERO CRD42019118957; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=118957 International Registered Report Identifier (IRRID) DERR1-10.2196/16534

scholarly journals Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review (Preprint)

2019 ◽  
Author(s):  
Alice Pellichero ◽  
Lisa K Kenyon ◽  
Krista Lynn Best ◽  
Éric Sorita ◽  
Marie-Eve Lamontagne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Functioning ◽  
Cognitive Functions ◽  
Research Network ◽  
International Classification Of Functioning ◽  
Synthesis Design ◽  
Mobility Devices ◽  
Review Protocol ◽  
Device Use ◽  
Mobility Device

BACKGROUND Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use. OBJECTIVE The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use. METHODS A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied. RESULTS This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019. CONCLUSIONS Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools. CLINICALTRIAL PROSPERO CRD42019118957; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=118957 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/16534

scholarly journals Relationships between Cognitive Functioning and Powered Mobility Device Use: A Scoping Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12467
Author(s):  
Alice Pellichero ◽  
Lisa K. Kenyon ◽  
Krista L. Best ◽  
Marie-Eve Lamontagne ◽  
Marie Denise Lavoie ◽  
...  
Keyword(s):  
Cognitive Functioning ◽  
Scoping Review ◽  
Cognitive Outcomes ◽  
Planning Problem ◽  
Mobility Limitations ◽  
Mobility Devices ◽  
Visuospatial Perception ◽  
Device Use ◽  
Mobility Device

Background. Powered mobility devices (PMD) promote independence, social participation, and quality of life for individuals with mobility limitations. However, some individuals would benefit from PMD, but may be precluded access. This is particularly true for those with cognitive impairments who may be perceived as unsafe and unable to use a PMD. This study explored the relationships between cognitive functioning and PMD use. The objectives were to identify cognitive functions necessary to use a PMD and describe available PMD training approaches. Methods. A scoping review was undertaken. Results. Seventeen studies were included. Four examined the predictive or correlational relationships between cognitive functioning and PMD use outcomes with intellectual functions, visual and visuospatial perception, attention, abstraction, judgement, organization and planning, problem solving, and memory identified as having a relation with PMD use outcome in at least one study. Thirteen others studied the influence of PMD provision or training on users’ PMD capacity and cognitive outcomes and reported significative improvements of PMD capacities after PMD training. Six studies found improved cognitive scores after PMD training. Conclusions. Cognitive functioning is required to use a PMD. Individuals with heterogeneous cognitive impairment can improve their PMD capacities. Results contribute to advancing knowledge for PMD provision.

scholarly journals The Use of Mobility Devices and Personal Assistance: A Joint Modeling Approach

2019 ◽  
Vol 5 ◽  
pp. 233372141988529
Author(s):  
Hongdao Meng ◽  
Lindsay J. Peterson ◽  
Lijuan Feng ◽  
Debra Dobbs ◽  
Kathryn Hyer
Keyword(s):  
Older Adults ◽  
Joint Modeling ◽  
Personal Assistance ◽  
Independent Variables ◽  
Recursive Bivariate Probit ◽  
Mobility Devices ◽  
Similarities And Differences ◽  
Device Use ◽  
Mobility Device ◽  
Mobility Difficulty

Objective: To examine whether mobility device use substitutes for personal assistance among U.S. older adults. Method: Using the National Health and Aging Trends Study, we identified 3,211 community-living older adults (aged 65 and older) who reported mobility difficulties at baseline. We used recursive bivariate probit models to simultaneously estimate the effect of covariates on the likelihood of using (a) mobility devices and (b) personal assistance to accommodate mobility difficulty. Independent variables included age, gender, race, physical/mental health status, cognition, and comorbidities. Results: Predictors of the use of personal assistance and mobility devices exhibit important similarities and differences. Device use reduced the odds of receiving personal assistance by 50% (odds ratio [OR] = 0.50, 95% confidence interval [CI] = [0.29, 0.86]). Discussion: Findings suggest device use substitutes for personal assistance. Practitioners and policymakers should promote the appropriate use of mobility devices while recognizing the importance of assistance with some groups and the potential of increasing mobility device use.

scholarly journals Cognitive Function and Assistive Technology for Cognition: A Systematic Review

2011 ◽  
Vol 18 (1) ◽  
pp. 1-19 ◽  
Author(s):  
Alex Gillespie ◽  
Catherine Best ◽  
Brian O'Neill
Keyword(s):  
Systematic Review ◽  
Cognitive Function ◽  
Assistive Technology ◽  
Cognitive Functions ◽  
Time Management ◽  
Clinical Population ◽  
International Classification Of Functioning ◽  
Cognitive Domains ◽  
Emotion Experience

AbstractThe relationship between assistive technology for cognition (ATC) and cognitive function was examined using a systematic review. A literature search identified 89 publications reporting 91 studies of an ATC intervention in a clinical population. The WHO International Classification of Functioning, Disability and Health (ICF) was used to categorize the cognitive domains being assisted and the tasks being performed. Results show that ATC have been used to effectively support cognitive functions relating to attention, calculation, emotion, experience of self, higher level cognitive functions (planning and time management) and memory. The review makes three contributions: (1) It reviews existing ATC in terms of cognitive function, thus providing a framework for ATC prescription on the basis of a profile of cognitive deficits, (2) it introduces a new classification of ATC based on cognitive function, and (3) it identifies areas for future ATC research and development. (JINS, 2012,18, 1–19)

How Does Mindfulness Affect Cognition? A Reflection on Confounding Issues Surrounding Mindfulness-based Intervention Research Targeting Cognitive Outcomes

2018 ◽  
Author(s):  
David R Vago ◽  
Resh Gupta ◽  
Sara Lazar
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Cognitive Functioning ◽  
Cognitive Processes ◽  
Methodological Quality ◽  
Cognitive Outcomes ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Existing Data

One potential pathway by which mindfulness-based meditation improves health outcomes is through changes in cognitive functioning. A systematic review of randomized controlled trials of mindfulness-based interventions (MBIs) was conducted with a focus on assessing the state of the evidence for effects on cognitive processes and associated assays. Here, we comment on confounding issues surrounding the reporting of these and related findings, including 1) criteria that appropriately define an MBI; 2) limitations of assays used to measure cognition; and 3) methodological quality of MBI trials and reporting of findings. Because these issues contribute to potentially distorted interpretations of existing data, we offer constructive means for interpretation and recommendations for moving the field of mindfulness research forward regarding the effects on cognition.

Sleep and cognition in schizophrenia spectrum disorders: A systematic review protocol.

2020 ◽  
Author(s):  
Sean Carruthers ◽  
Gemma Brunetti ◽  
Susan Rossell
Keyword(s):  
Systematic Review ◽  
Mental Illnesses ◽  
Schizophrenia Spectrum Disorders ◽  
Systematic Review Protocol ◽  
Schizophrenia Spectrum Disorder ◽  
Schizophrenia Spectrum ◽  
Review Protocol ◽  
Spectrum Disorders ◽  
Sleep And Cognition ◽  
The Relationship

Schizophrenia spectrum disorders are chronic and debilitating mental illnesses characterised by both cognitive impairments and sleep deficits. In this systematic review protocol, we outline an approach to examine the available literature investigating the relationship between sleep and cognition in individuals with schizophrenia spectrum disorder.

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