Executive dysfunction and depressive Symptoms associated with reduced participation of people with severe congestive heart failure / Erin R. Foster in American Journal of Occupational Therapy, Vol. 65/3 (mai-juin 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/3 (mai-juin 2011) . - p. 306-313 Titre : Executive dysfunction and depressive Symptoms associated with reduced participation of people with severe congestive heart failure Type de document : texte imprimé Auteurs : Erin R. Foster ; Kathleen B. CUNNANE ; Dorothy F. EDWARDS ; et al. Année de publication : 2011 Article en page(s) : p. 306-313 Langues : Anglais (eng) Mots-clés : Développement intellectuel  Etat dépressif  Insuffisance cardiaque Résumé : OBJECTIVE. We investigated participation levels and relationships among cognition, depression, and participation for people with severe congestive heart failure (CHF). METHOD. People with severe CHF (New York Heart Association Class III or IV) awaiting heart transplantation (N 5 27) completed standardized tests of cognition and self-report measures of executive dysfunction, depressive symptoms, and participation. RESULTS. Possible depression (64%) and cognitive impairment (15%–59%) were prevalent. Participants reported significant reductions in participation across all activity domains since CHF diagnosis (ps < .001). Worse executive dysfunction and depressive symptoms were associated with reduced participation and together accounted for 35%–46% of the variance in participation (p s < .01). CONCLUSION. Participation restrictions associated with CHF are not limited to physically demanding activities and are significantly associated with executive dysfunction and depression. Cardiac rehabilitation should address cognitive and psychological functioning in the context of all life situations instead of focusing solely on physical function and disability. Permalink : ./index.php?lvl=notice_display&id=14101 [article] Executive dysfunction and depressive Symptoms associated with reduced participation of people with severe congestive heart failure [texte imprimé] / Erin R. Foster ; Kathleen B. CUNNANE ; Dorothy F. EDWARDS ; et al. . - 2011 . - p. 306-313. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/3 (mai-juin 2011) . - p. 306-313 Mots-clés : Développement intellectuel  Etat dépressif  Insuffisance cardiaque Résumé : OBJECTIVE. We investigated participation levels and relationships among cognition, depression, and participation for people with severe congestive heart failure (CHF). METHOD. People with severe CHF (New York Heart Association Class III or IV) awaiting heart transplantation (N 5 27) completed standardized tests of cognition and self-report measures of executive dysfunction, depressive symptoms, and participation. RESULTS. Possible depression (64%) and cognitive impairment (15%–59%) were prevalent. Participants reported significant reductions in participation across all activity domains since CHF diagnosis (ps < .001). Worse executive dysfunction and depressive symptoms were associated with reduced participation and together accounted for 35%–46% of the variance in participation (p s < .01). CONCLUSION. Participation restrictions associated with CHF are not limited to physically demanding activities and are significantly associated with executive dysfunction and depression. Cardiac rehabilitation should address cognitive and psychological functioning in the context of all life situations instead of focusing solely on physical function and disability. Permalink : ./index.php?lvl=notice_display&id=14101

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Modifying health outcome measures for people with aphasia / Frances M. TUCKER in American Journal of Occupational Therapy, Vol. 66/1 (janvier-février 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/1 (janvier-février 2012) . - p. 42-50 Titre : Modifying health outcome measures for people with aphasia Type de document : texte imprimé Auteurs : Frances M. TUCKER ; et al. ; Leslie KIRCHNER MATHEWS ; Dorothy F. EDWARDS Année de publication : 2012 Article en page(s) : p. 42-50 Langues : Anglais (eng) Mots-clés : Aphasie  Communication Résumé : OBJECTIVE. The goal for this study was to determine methods to modify outcome measures for people with aphasia and to provide beginning support for the efficacy of these suggested modifications. METHOD. Twenty-nine community-dwelling people with aphasia participated. Modified outcome measures included the Stroke Impact Scale, the 36-item short form Medical Outcomes Study, Reintegration to Normal Living Scale, and Activity Card Sort. Participants were supported in their responses by systematically applying a hierarchy of support. An Independence Scale score was determined for each measure for each participant. RESULTS. Data from an examiner-rated Independence Scale, internal consistency of participants’ responses, correlations among subscale scores across measures, and correlations between aphasia severity and reported outcome provide evidence that people with aphasia are able to understand and respond with these supports. CONCLUSION. We provide key recommendations for making self-report measures accessible for people with aphasia. Permalink : ./index.php?lvl=notice_display&id=14149 [article] Modifying health outcome measures for people with aphasia [texte imprimé] / Frances M. TUCKER ; et al. ; Leslie KIRCHNER MATHEWS ; Dorothy F. EDWARDS . - 2012 . - p. 42-50. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/1 (janvier-février 2012) . - p. 42-50 Mots-clés : Aphasie  Communication Résumé : OBJECTIVE. The goal for this study was to determine methods to modify outcome measures for people with aphasia and to provide beginning support for the efficacy of these suggested modifications. METHOD. Twenty-nine community-dwelling people with aphasia participated. Modified outcome measures included the Stroke Impact Scale, the 36-item short form Medical Outcomes Study, Reintegration to Normal Living Scale, and Activity Card Sort. Participants were supported in their responses by systematically applying a hierarchy of support. An Independence Scale score was determined for each measure for each participant. RESULTS. Data from an examiner-rated Independence Scale, internal consistency of participants’ responses, correlations among subscale scores across measures, and correlations between aphasia severity and reported outcome provide evidence that people with aphasia are able to understand and respond with these supports. CONCLUSION. We provide key recommendations for making self-report measures accessible for people with aphasia. Permalink : ./index.php?lvl=notice_display&id=14149

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Performance-Based Testing in Mild Stroke / Tracy M. MORRISON in American Journal of Occupational Therapy, Vol. 69/1 (janvier-février 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Titre : Performance-Based Testing in Mild Stroke : Identification of Unmet Opportunity for Occupational Therapy Type de document : texte imprimé Auteurs : Tracy M. MORRISON ; Dorothy F. EDWARDS ; Gordon Muir Giles Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Test aptitude Résumé : Age at first stroke is decreasing, and most strokes are mild to moderate in severity. Executive function (EF) deficits are increasingly recognized in the stroke population, but occupational therapists have not altered their evaluation methods to fully accommodate changing patient needs. We present a hierarchical performance-based testing (PBT) pathway using data to illustrate how PBT could identify patients with mild stroke-related EF deficits in need of occupational therapy intervention. Data suggest that a substantial number of patients with EF deficits after mild stroke could benefit from occupational therapy services. Permalink : ./index.php?lvl=notice_display&id=35339 [article] Performance-Based Testing in Mild Stroke : Identification of Unmet Opportunity for Occupational Therapy [texte imprimé] / Tracy M. MORRISON ; Dorothy F. EDWARDS ; Gordon Muir Giles . - 2015. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Test aptitude Résumé : Age at first stroke is decreasing, and most strokes are mild to moderate in severity. Executive function (EF) deficits are increasingly recognized in the stroke population, but occupational therapists have not altered their evaluation methods to fully accommodate changing patient needs. We present a hierarchical performance-based testing (PBT) pathway using data to illustrate how PBT could identify patients with mild stroke-related EF deficits in need of occupational therapy intervention. Data suggest that a substantial number of patients with EF deficits after mild stroke could benefit from occupational therapy services. Permalink : ./index.php?lvl=notice_display&id=35339

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