Enhanced task-oriented training in a person with dementia with lewy bodies / Carrie A. CIRO in American Journal of Occupational Therapy, Vol. 67/5 (septembre-octobre 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.556-563 Titre : Enhanced task-oriented training in a person with dementia with lewy bodies Type de document : texte imprimé Auteurs : Carrie A. CIRO ; David GARRISON ; Linda A. HERSHEY Année de publication : 2013 Article en page(s) : p.556-563 Langues : Anglais (eng) Mots-clés : Démence  Motricité  Performance  Activité Résumé : Despite the inevitable loss of function seen in people with progressive dementias, interventions for reversing or minimizing functional loss are understudied. Research supports task-oriented training, but practical gaps in how to best evaluate clients for this training and how to implement it in clinical settings may be thwarting translation to occupational therapy practice. We structured an intervention model called STOMP (Skill-building through Task-Oriented Motor Practice) using a unique blend of task-oriented training and motor-learning principles. In this article, we describe through a case study the process and outcome of using STOMP to improve functional skills in a woman with moderate dementia with Lewy bodies. Our findings suggest that STOMP has the potential to serve as a structure for the evaluation and treatment of occupational performance deficits in people with dementia and that this model warrants further investigation. Permalink : ./index.php?lvl=notice_display&id=14094 [article] Enhanced task-oriented training in a person with dementia with lewy bodies [texte imprimé] / Carrie A. CIRO ; David GARRISON ; Linda A. HERSHEY . - 2013 . - p.556-563. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/5 (septembre-octobre 2013) . - p.556-563 Mots-clés : Démence  Motricité  Performance  Activité Résumé : Despite the inevitable loss of function seen in people with progressive dementias, interventions for reversing or minimizing functional loss are understudied. Research supports task-oriented training, but practical gaps in how to best evaluate clients for this training and how to implement it in clinical settings may be thwarting translation to occupational therapy practice. We structured an intervention model called STOMP (Skill-building through Task-Oriented Motor Practice) using a unique blend of task-oriented training and motor-learning principles. In this article, we describe through a case study the process and outcome of using STOMP to improve functional skills in a woman with moderate dementia with Lewy bodies. Our findings suggest that STOMP has the potential to serve as a structure for the evaluation and treatment of occupational performance deficits in people with dementia and that this model warrants further investigation. Permalink : ./index.php?lvl=notice_display&id=14094

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Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment / Carrie A. CIRO in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-10 Titre : Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment : A Pilot Project Type de document : texte imprimé Auteurs : Carrie A. CIRO ; Michael P. ANDERSON ; Linda A. HERSHEY ; et al. Année de publication : 2015 Article en page(s) : p.1-10 Langues : Anglais (eng) Mots-clés : Trouble cognitif léger  Activités vie quotidienne  Projet  Expérimentation  SatisfactionActivities of daily living  Cognition disorders  Observation  Personal satisfaction  Role  Self report Résumé : OBJECTIVE. We investigated differences in observed performance of instrumental activities of daily living (IADLs) and self-reported satisfaction with social role performance between people with amnestic mild cognitive impairment (a-MCI) and age- and gender-matched control participants. METHOD. We measured observed performance of 14 IADLs using the Independence, Safety, and Adequacy domains of the Performance Assessment of Self-Care Skills (PASS) and the Patient-Reported Outcomes Measurement Information Systems (PROMIS) to examine satisfaction with social role performance. RESULTS. Total PASS scores were significantly lower in participants with a-MCI (median = 40.6) than in control participants (median = 44.2; p = .006). Adequacy scores were also significantly lower. No significant differences were found between groups on the PROMIS measures. CONCLUSION. IADL differences between groups were related more to errors in adequacy than to safety and independence. Occupational therapy practitioners can play a key role in the diagnosis and treatment of subtle IADL deficits in people with MCI. Permalink : ./index.php?lvl=notice_display&id=35901 [article] Instrumental Activities of Daily Living Performance and Role Satisfaction in People With and Without Mild Cognitive Impairment : A Pilot Project [texte imprimé] / Carrie A. CIRO ; Michael P. ANDERSON ; Linda A. HERSHEY ; et al. . - 2015 . - p.1-10. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-10 Mots-clés : Trouble cognitif léger  Activités vie quotidienne  Projet  Expérimentation  SatisfactionActivities of daily living  Cognition disorders  Observation  Personal satisfaction  Role  Self report Résumé : OBJECTIVE. We investigated differences in observed performance of instrumental activities of daily living (IADLs) and self-reported satisfaction with social role performance between people with amnestic mild cognitive impairment (a-MCI) and age- and gender-matched control participants. METHOD. We measured observed performance of 14 IADLs using the Independence, Safety, and Adequacy domains of the Performance Assessment of Self-Care Skills (PASS) and the Patient-Reported Outcomes Measurement Information Systems (PROMIS) to examine satisfaction with social role performance. RESULTS. Total PASS scores were significantly lower in participants with a-MCI (median = 40.6) than in control participants (median = 44.2; p = .006). Adequacy scores were also significantly lower. No significant differences were found between groups on the PROMIS measures. CONCLUSION. IADL differences between groups were related more to errors in adequacy than to safety and independence. Occupational therapy practitioners can play a key role in the diagnosis and treatment of subtle IADL deficits in people with MCI. Permalink : ./index.php?lvl=notice_display&id=35901

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