An explorative study of the relationship between functional and cognitive decline in older persons with mild cognitive impairment and Alzheimer’s disease / Sophie Vermeersch in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 166-174 Titre : An explorative study of the relationship between functional and cognitive decline in older persons with mild cognitive impairment and Alzheimer’s disease Type de document : texte imprimé Auteurs : Sophie Vermeersch, Auteur ; Ellen Gorus, Auteur ; Elise Cornelis, Auteur Année de publication : 2015 Article en page(s) : p. 166-174 Langues : Anglais (eng) Mots-clés : Complex activities of daily living  Functional decline  Mild cognitive disorders  Evaluation ADL Résumé : Introduction This study explored the relationship between functional decline on three advanced activities of daily living and cognitive decline in elderly persons. The use of everyday technology, driving a vehicle, and performing complex economic activities are advanced activities of daily living domains presumed to be sensitive to early cognitive decline and therefore of interest for the profession of occupational therapy. Method We included 45 persons with mild cognitive impairment, 48 persons with Alzheimer’s disease, and 50 cognitively healthy controls. Functional impairment due to cognitive decline was evaluated by the advanced activities of daily living tool. Cognitive disability indices were computed for the investigated advanced activities of daily living domains and correlated with the Mini Mental State Examination and the Cambridge Examination for Mental Disorders of the Elderly, Cognitive Part. Results The cognitive disability index for performing complex economic activities and the cognitive disability index for the three advanced activities of daily living domains together differed significantly between the three groups. For the whole sample, the advanced activity of daily living cognitive disability indices correlated strongly with the cognitive measures. Within each separate group, few correlations were found. Conclusion This study contributes to the field of knowledge for occupational therapy by emphasizing the value of assessment of advanced activities of daily living in early cognitive decline. For the occupational therapy profession, further research is required in the interaction between functional decline and cognition in early cognitive decline. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35935 [article] An explorative study of the relationship between functional and cognitive decline in older persons with mild cognitive impairment and Alzheimer’s disease [texte imprimé] / Sophie Vermeersch, Auteur ; Ellen Gorus, Auteur ; Elise Cornelis, Auteur . - 2015 . - p. 166-174. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 166-174 Mots-clés : Complex activities of daily living  Functional decline  Mild cognitive disorders  Evaluation ADL Résumé : Introduction This study explored the relationship between functional decline on three advanced activities of daily living and cognitive decline in elderly persons. The use of everyday technology, driving a vehicle, and performing complex economic activities are advanced activities of daily living domains presumed to be sensitive to early cognitive decline and therefore of interest for the profession of occupational therapy. Method We included 45 persons with mild cognitive impairment, 48 persons with Alzheimer’s disease, and 50 cognitively healthy controls. Functional impairment due to cognitive decline was evaluated by the advanced activities of daily living tool. Cognitive disability indices were computed for the investigated advanced activities of daily living domains and correlated with the Mini Mental State Examination and the Cambridge Examination for Mental Disorders of the Elderly, Cognitive Part. Results The cognitive disability index for performing complex economic activities and the cognitive disability index for the three advanced activities of daily living domains together differed significantly between the three groups. For the whole sample, the advanced activity of daily living cognitive disability indices correlated strongly with the cognitive measures. Within each separate group, few correlations were found. Conclusion This study contributes to the field of knowledge for occupational therapy by emphasizing the value of assessment of advanced activities of daily living in early cognitive decline. For the occupational therapy profession, further research is required in the interaction between functional decline and cognition in early cognitive decline. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35935

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Enabling meaningful activities and quality of life in long-term care facilities: The stepwise development of a participatory client-centred approach in Flanders / Patricia De Vriendt in The British Journal of Occupational Therapy, Vol. 82 Issue 1 (Janvier 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 15-26 Titre : Enabling meaningful activities and quality of life in long-term care facilities: The stepwise development of a participatory client-centred approach in Flanders Type de document : texte imprimé Auteurs : Patricia De Vriendt ; Elise Cornelis ; Ruben Vanbosseghem ; Valérie Desmet ; Dominique Van de Velde Année de publication : 2019 Article en page(s) : p. 15-26 Note générale : doi.org/10.1177/0308022618775880 Langues : Anglais (eng) Mots-clés : Intervention  nursing homes  medication  social  satisfaction  systematic approach Résumé : Introduction Meaningful activities of daily living promote the quality of life of residents of long-term care facilities. This project aimed to develop an approach to enable meaningful activities of daily living and to guide long-term care facilities in a creative and innovative attitude towards residents' meaningful activities of daily living. Method The approach was developed in six steps: (1) in-depth-interviews with 14 residents; (2) a survey with 171 residents; (3) a systematic map and synthesis review on interventions enriching meaningful activities of daily living; (4) qualitative analysis of 24 ‘good examples’ and, to support future implementation, (5) focus groups with staff (n = 69). Results determined the components of the new approach which was (6) pilot-tested in one long-term care facility. Quantitative and qualitative data were gathered concerning benefits for the residents and feasibility for the staff. Results A client- and activity-oriented approach was developed, characterised by an active participatory attitude of residents and staff and a systematic iterative process. Significant positive effects were found for the number of activities, the satisfaction with the leisure offered, the social network, medication use, but not for quality of life. The approach appeared to be feasible. Conclusion This approach stimulates residents' meaningful activities of daily living and social life. Further investigation is needed to evaluate its outcome and implementation potentials. Permalink : ./index.php?lvl=notice_display&id=80292 [article] Enabling meaningful activities and quality of life in long-term care facilities: The stepwise development of a participatory client-centred approach in Flanders [texte imprimé] / Patricia De Vriendt ; Elise Cornelis ; Ruben Vanbosseghem ; Valérie Desmet ; Dominique Van de Velde . - 2019 . - p. 15-26. doi.org/10.1177/0308022618775880 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 15-26 Mots-clés : Intervention  nursing homes  medication  social  satisfaction  systematic approach Résumé : Introduction Meaningful activities of daily living promote the quality of life of residents of long-term care facilities. This project aimed to develop an approach to enable meaningful activities of daily living and to guide long-term care facilities in a creative and innovative attitude towards residents' meaningful activities of daily living. Method The approach was developed in six steps: (1) in-depth-interviews with 14 residents; (2) a survey with 171 residents; (3) a systematic map and synthesis review on interventions enriching meaningful activities of daily living; (4) qualitative analysis of 24 ‘good examples’ and, to support future implementation, (5) focus groups with staff (n = 69). Results determined the components of the new approach which was (6) pilot-tested in one long-term care facility. Quantitative and qualitative data were gathered concerning benefits for the residents and feasibility for the staff. Results A client- and activity-oriented approach was developed, characterised by an active participatory attitude of residents and staff and a systematic iterative process. Significant positive effects were found for the number of activities, the satisfaction with the leisure offered, the social network, medication use, but not for quality of life. The approach appeared to be feasible. Conclusion This approach stimulates residents' meaningful activities of daily living and social life. Further investigation is needed to evaluate its outcome and implementation potentials. Permalink : ./index.php?lvl=notice_display&id=80292

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A retrospective study of a multicomponent rehabilitation programme for community-dwelling persons with dementia and their caregivers / Elise Cornelis in The British Journal of Occupational Therapy, Vol.81 Issue 1 (January 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 1 (January 2018) . - p. 5-14 Titre : A retrospective study of a multicomponent rehabilitation programme for community-dwelling persons with dementia and their caregivers Type de document : texte imprimé Auteurs : Elise Cornelis ; Ellen Gorus ; Ingo Beyer ; [et al...] Année de publication : 2018 Article en page(s) : p. 5-14 Langues : Anglais (eng) Mots-clés : ergothérapie  personne âgée  démence  réadaptation  personnel soignant Résumé : Introduction This study determined whether the multicomponent rehabilitation programme of a memory clinic had positive outcomes on ameliorating everyday functioning, quality of life, mood and behavioural disturbances of persons with dementia and reducing distress and burden of caregivers. Method A retrospective pre-test–post-test study without control group was conducted on the first cohort of persons with dementia (n = 30) and their caregivers (n = 30), who participated in a programme lasting for a maximum of 1 year with 25 1-hour counselling sessions. The assessment contained an evaluation of everyday functioning in basic, instrumental and advanced activities of daily living, cognition, mood, emotional and behavioural disturbances, quality of life and caregiver burden. Results Eight participants dropped out prematurely. For persons with dementia (n = 22), participating in the programme did not improve everyday functioning and cognition but ameliorated quality of life significantly (Z = –2.7, p = 0.006, 95% CI (.003–.005)) and stabilized mood, emotional and behavioural disturbances for 60% or more of them. For caregivers (n = 22), the mild to moderate burden of care remained stable or got better for 63.6% of the caregivers. Conclusion This programme appears to be promising and valuable, and might reduce institutionalization rates. Future explorations are recommended to research how participants evolve and to investigate which participants responded in a positive way. Permalink : ./index.php?lvl=notice_display&id=57827 [article] A retrospective study of a multicomponent rehabilitation programme for community-dwelling persons with dementia and their caregivers [texte imprimé] / Elise Cornelis ; Ellen Gorus ; Ingo Beyer ; [et al...] . - 2018 . - p. 5-14. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 1 (January 2018) . - p. 5-14 Mots-clés : ergothérapie  personne âgée  démence  réadaptation  personnel soignant Résumé : Introduction This study determined whether the multicomponent rehabilitation programme of a memory clinic had positive outcomes on ameliorating everyday functioning, quality of life, mood and behavioural disturbances of persons with dementia and reducing distress and burden of caregivers. Method A retrospective pre-test–post-test study without control group was conducted on the first cohort of persons with dementia (n = 30) and their caregivers (n = 30), who participated in a programme lasting for a maximum of 1 year with 25 1-hour counselling sessions. The assessment contained an evaluation of everyday functioning in basic, instrumental and advanced activities of daily living, cognition, mood, emotional and behavioural disturbances, quality of life and caregiver burden. Results Eight participants dropped out prematurely. For persons with dementia (n = 22), participating in the programme did not improve everyday functioning and cognition but ameliorated quality of life significantly (Z = –2.7, p = 0.006, 95% CI (.003–.005)) and stabilized mood, emotional and behavioural disturbances for 60% or more of them. For caregivers (n = 22), the mild to moderate burden of care remained stable or got better for 63.6% of the caregivers. Conclusion This programme appears to be promising and valuable, and might reduce institutionalization rates. Future explorations are recommended to research how participants evolve and to investigate which participants responded in a positive way. Permalink : ./index.php?lvl=notice_display&id=57827

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