scholarly journals Impaired Performance on a Cognitively-Based Instrumental Activities of Daily Living Task, the 10-Item Weekly Calendar Planning Activity, in Individuals With Stroke Undergoing Acute Inpatient Rehabilitation

2021 ◽  
Vol 12 ◽  
Author(s):  
Abhishek Jaywant ◽  
Catherine Arora ◽  
Alexis Lussier ◽  
Joan Toglia
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Cognitive Strategies ◽  
Inpatient Rehabilitation ◽  
Screening Tools ◽  
Weekly Schedule ◽  
Stroke Patients ◽  
Planning Activity ◽  
Instrumental Activities ◽  
Healthy Control

Performance-based, functionally relevant, and standardized measures of cognitive-instrumental activities of daily living (C-IADL) can complement neuropsychological tests of cognitive impairment and provide valuable clinical information to inform rehabilitation planning. Existing measures have been validated in the outpatient setting. Here, we sought to evaluate a 10-item, short-form of a C-IADL measure, Weekly Calendar Planning Activity (WCPA-10), in inpatients with stroke undergoing acute rehabilitation. The specific goal was to determine if the WCPA-10 could differentiate between stroke patients undergoing acute inpatient rehabilitation and healthy control individuals. We also explored whether the WCPA-10 would identify C-IADL limitations in stroke patients screened as having intact cognition. Seventy-seven stroke inpatients undergoing rehabilitation and 77 healthy control participants completed the WCPA-10, which involves entering a list of simulated, fictional appointments into a weekly schedule while keeping track of and adhering to multiple task rules and ignoring built-in obstacles and distractions. Compared to the control group, stroke patients had significantly worse accuracy, made more errors, used fewer cognitive strategies, followed fewer rules, took more time to complete the task, and were less efficient. 83% of stroke patients were less accurate than predicted by their age, and 64% used less strategies than their age prediction. Among 28 participants who screened as having “normal” cognitive function on the Montreal Cognitive Assessment, the majority had deficits on the WCPA-10. Our results provide initial support for use of a brief C-IADL assessment, WCPA-10, for individuals with stroke undergoing inpatient rehabilitation. They indicate that stroke patients have deficits in C-IADL accuracy, efficiency, and strategy use at this stage of stroke recovery. Results highlight the need to use performance based, functional cognitive assessments, even for those who perform well on cognitive screening tools.

scholarly journals Functional Assessment of Region-Specific Neglect: Are There Differential Behavioural Consequences of Peripersonal versus Extrapersonal Neglect?

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
T. C. W. Nijboer ◽  
A. F. ten Brink ◽  
M. Kouwenhoven ◽  
J. M. A. Visser-Meily
Keyword(s):  
Activities Of Daily Living ◽  
Functional Assessment ◽  
Daily Living ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Program ◽  
Body Parts ◽  
Rehabilitation Center ◽  
Stroke Patients ◽  
Instrumental Activities ◽  
Processing Information

Background.Region-specific types of neglect (peripersonal and extrapersonal) have been dissociated, yet, differential behavioural consequences are unknown.Objective.The aim of the current study was to investigate behavioural consequences at the level of basic activities of daily living of region-specific neglect, using the Catherine Bergego Scale (CBS).Methods.118 stroke patients were screened within the first two weeks after admission to the rehabilitation center for inpatient rehabilitation.Results.Patients with peripersonal neglect and patients with neglect for both regions had significantly higher total score on the CBS compared to nonneglect patients. Total scores for patients with extrapersonal neglect were comparable to non-neglect patients. ADL impairments were found across activities (e.g., looking towards one side, forgetting body parts, colliding) for both patients with peripersonal neglect and patients with neglect for both regions. Patients with extrapersonal neglect were only impaired on the item on way finding.Conclusions.When diagnosing neglect, it is relevant to distinguish the type of region-specific neglect and, where needed, to adjust the rehabilitation program accordingly. As the CBS isnotdeveloped to typically measure ADL in extrapersonal neglect, it would be of importance to add other (instrumental) activities that heavily rely on processing information in farther space.

Screening for Instrumental Activities of Daily Living in Sub-Saharan Africa: A Balance Between Task Shifting, Simplicity, Brevity, and Training

2018 ◽  
Vol 31 (5) ◽  
pp. 248-255 ◽  
Author(s):  
Lydia Stone ◽  
Jessica Heward ◽  
Stella-Maria Paddick ◽  
Catherine L. Dotchin ◽  
Richard W. Walker ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Task Shifting ◽  
Screening Tools ◽  
Sub Saharan Africa ◽  
Rural Villages ◽  
Instrumental Activities ◽  
Stratified Sample ◽  
Sub Saharan ◽  
Cognitive Screen

Background: Task shifting has been suggested as one way to help manage the increasing burden of dementia in sub-Saharan Africa (SSA). However, brief, easy-to-use and valid screening tools are needed to support this approach. Our team has developed an 11-item questionnaire to assess instrumental activities of daily living (IADLs) in SSA, the Identification and Intervention for Dementia in Elderly Africans (IDEA)-IADL questionnaire. We aimed to externally validate the questionnaire and develop a shorter, more efficient version. Methods: A community-based sample of 329 older adults in 4 rural villages was screened for dementia using the validated IDEA cognitive screen and the 11-item IDEA-IADL questionnaire. A stratified sample was assessed for Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) dementia by a United Kingdom-based doctor, who was blinded to the results of screening. Area under the receiver operating characteristic (AUROC) curve analysis was used to assess validity, and factor analysis and regression modeling were used to develop a shorter version of the questionnaire. Results: A 3-item IDEA-IADL questionnaire was developed and externally validated in the study sample. The questionnaire was deemed to be valid and enhanced screening performance in 2 villages (AUROC: 0.857 and 0.895) but detracted from the accuracy of the IDEA cognitive screen in the other 2 villages (AUROC: 0.591 and 0.639). These differences appeared to be due to differences in interpretation of responses to questions by the assessors. Conclusions: A brief IDEA-IADLs scale was developed and worked well in some villages. However, our study highlights a training need if brief screening tools to assess IADLs are to be effectively used by nonspecialists in low-resource settings.

Increased intramuscular adipose tissue of the quadriceps is related to the decrease of activities of daily living in stroke patients

Nutrition ◽  
2021 ◽  
pp. 111277
Author(s):  
Naoki Akazawa ◽  
Masaki Kishi ◽  
Toshikazu Hino ◽  
Ryota Tsuji ◽  
Kimiyuki Tamura ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Stroke Patients ◽  
Intramuscular Adipose Tissue

scholarly journals Using Technologies to Address Caregiving Challenges

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 831-831
Author(s):  
Chaiwoo Lee ◽  
John Rudnik ◽  
Joseph Coughlin
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Expert Panel ◽  
New Products ◽  
Informal Caregivers ◽  
Instrumental Activities

Abstract As the caregiver ratio declines, technology will play an increasingly important role in supporting formal and informal caregivers. This presentation will report on the particular effects that frontier technologies may have on various tasks associated with caregiving, including assisting with basic Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The expert panel predicted that different technologies and new products will have varied effects on caregiving tasks, and that some tasks may be more impacted than others. Some of the key opportunities and barriers to integrating technologies into various tasks of caregiving will be discussed.

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