Development, concurrent validity and internal consistency of a simulator tool for assessing continued car driving after a brain injury/disease / Kersti Samuelsson in The British Journal of Occupational Therapy, Vol. 82 Issue 9 (Septembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 9 (Septembre 2019) . - p. 544-552 Titre : Development, concurrent validity and internal consistency of a simulator tool for assessing continued car driving after a brain injury/disease Type de document : texte imprimé Auteurs : Kersti Samuelsson ; Maria Tropp ; Anna Lundqvist ; Ewa Wressle Année de publication : 2019 Article en page(s) : p. 544-552 Note générale : doi.org/10.1177/0308022619836935 Langues : Anglais (eng) Mots-clés : Age  attention  cognition  evaluation  traffic safety  occupational therapy Résumé : Introduction Beyond relevant cognitive tests, a simulated driving activity could be useful to observe performance and behaviour in a standardized ‘driving-like’ situation and provide information on attention, reaction time and information processing speed when evaluating the ability to continue driving after a brain injury or disease. The aim was to develop and evaluate concurrent validity and internal consistency of a computerized simulated driving task tool. Methods Results from a new tool (CyberSiM, including three subtests and four result variables) were compared with results from the Trail Making Test, Useful Field of View test and Nordic Stroke Driver Screening Assessment. There were 126 healthy adults included in the study. Results The correlation analysis showed significant correlations (p<0.001) for CyberSiM reaction time and all cognitive tests except for Useful Field of View 1. The CyberSiM showed good internal consistency, with Cronbach’s alpha=0.85. Conclusion The analysis of concurrent validity showed conformity to most cognitive tests. CyberSiM might be a useful complement to cognitive testing with the opportunity to observe some behaviours ‘in a driving-like activity’. Further studies on clinical groups are needed to confirm its usefulness. Permalink : ./index.php?lvl=notice_display&id=85506 [article] Development, concurrent validity and internal consistency of a simulator tool for assessing continued car driving after a brain injury/disease [texte imprimé] / Kersti Samuelsson ; Maria Tropp ; Anna Lundqvist ; Ewa Wressle . - 2019 . - p. 544-552. doi.org/10.1177/0308022619836935 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 9 (Septembre 2019) . - p. 544-552 Mots-clés : Age  attention  cognition  evaluation  traffic safety  occupational therapy Résumé : Introduction Beyond relevant cognitive tests, a simulated driving activity could be useful to observe performance and behaviour in a standardized ‘driving-like’ situation and provide information on attention, reaction time and information processing speed when evaluating the ability to continue driving after a brain injury or disease. The aim was to develop and evaluate concurrent validity and internal consistency of a computerized simulated driving task tool. Methods Results from a new tool (CyberSiM, including three subtests and four result variables) were compared with results from the Trail Making Test, Useful Field of View test and Nordic Stroke Driver Screening Assessment. There were 126 healthy adults included in the study. Results The correlation analysis showed significant correlations (p<0.001) for CyberSiM reaction time and all cognitive tests except for Useful Field of View 1. The CyberSiM showed good internal consistency, with Cronbach’s alpha=0.85. Conclusion The analysis of concurrent validity showed conformity to most cognitive tests. CyberSiM might be a useful complement to cognitive testing with the opportunity to observe some behaviours ‘in a driving-like activity’. Further studies on clinical groups are needed to confirm its usefulness. Permalink : ./index.php?lvl=notice_display&id=85506

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Driving after an injury or disease affecting the brain: an analysis of clinical data / Kersti Samuelsson in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 376-383 Titre : Driving after an injury or disease affecting the brain: an analysis of clinical data Type de document : texte imprimé Auteurs : Kersti Samuelsson ; Ingalill Modig-Arding ; Ewa Wressle Année de publication : 2018 Article en page(s) : p. 376-383 Langues : Anglais (eng) Mots-clés : Acquired brain injury  cognition  dementia Résumé : Introduction Traffic safety may be affected if a licence holder has experienced illness or injury that may have an impact on cognition. Occupational therapists are involved in assessing cognitive functions that might affect a patient’s ability to drive a car using different evaluation tools in different countries and settings. The aim of this study was to look at the predictive value of some of the assessment tools available to occupational therapists for making judgements about resuming driving after cognitive impairment due to brain trauma or disease. Method A retrospective study based on clinical data from 204 patients referred to a specialist department for recommendations on ability to drive after brain injury or disease. All patients underwent three assessments: stroke drivers screening assessment, useful field of view and simulated driving skill. In addition, an on-road assessment was added in 76% of the sample. Results Useful field of view had the highest sensitivity (78%) and, combined with the results from the simulator, the sensitivity was 87%. The specificity for the two methods was 55%. Conclusion The results from useful field of view and a simulator test combined best predicted the final recommendation from the multi-professional team discussion on which clients should be recommended not to resume driving. Permalink : ./index.php?lvl=notice_display&id=80158 [article] Driving after an injury or disease affecting the brain: an analysis of clinical data [texte imprimé] / Kersti Samuelsson ; Ingalill Modig-Arding ; Ewa Wressle . - 2018 . - p. 376-383. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 376-383 Mots-clés : Acquired brain injury  cognition  dementia Résumé : Introduction Traffic safety may be affected if a licence holder has experienced illness or injury that may have an impact on cognition. Occupational therapists are involved in assessing cognitive functions that might affect a patient’s ability to drive a car using different evaluation tools in different countries and settings. The aim of this study was to look at the predictive value of some of the assessment tools available to occupational therapists for making judgements about resuming driving after cognitive impairment due to brain trauma or disease. Method A retrospective study based on clinical data from 204 patients referred to a specialist department for recommendations on ability to drive after brain injury or disease. All patients underwent three assessments: stroke drivers screening assessment, useful field of view and simulated driving skill. In addition, an on-road assessment was added in 76% of the sample. Results Useful field of view had the highest sensitivity (78%) and, combined with the results from the simulator, the sensitivity was 87%. The specificity for the two methods was 55%. Conclusion The results from useful field of view and a simulator test combined best predicted the final recommendation from the multi-professional team discussion on which clients should be recommended not to resume driving. Permalink : ./index.php?lvl=notice_display&id=80158

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Maintaining health-related quality of life from 85 to 93 years of age despite decreased functional ability / Maria M. Johansson in The British Journal of Occupational Therapy, Vol. 82 Issue 6 (Juin 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 6 (Juin 2019) . - p. 348-356 Titre : Maintaining health-related quality of life from 85 to 93 years of age despite decreased functional ability Type de document : texte imprimé Auteurs : Maria M. Johansson ; Jan Marcusson ; Ewa Wressle Année de publication : 2019 Article en page(s) : p. 348-356 Note générale : doi.org/10.1177/0308022619830261 Langues : Anglais (eng) Mots-clés : Health-related quality of life  daily living  elderly  occupational therapy Résumé : Introduction The ‘oldest-old’ is the most rapidly growing age group in Sweden and in the western world. This group is known to be at great risk of increased functional dependency and the need for help in their daily lives. The aim of this research was to examine how the oldest-old change over time regarding health-related quality of life, cognition, depression and ability to perform activities of daily living and investigate what factors explain health-related quality of life at age 85 and 93 years. Methods In this study, 60 individuals from the Swedish Elderly in Linköping Screening Assessment study were followed from age 85 to 93 years. Measurements used were EQ-5D, Geriatric Depression Scale, Mini Mental State Examination and ability to perform activities of daily living. Nonparametric statistics and regression analyses were used. Results Although the individuals had increased mobility problems, decreased ability to manage activities of daily living, and thus had increased need of assistance, they scored their health-related quality of life at age 93 years at almost the same level as at age 85 years. No depression and low dependence in activities of daily living speaks in favour of higher health-related quality of life. Conclusions Health-related quality of life can be maintained during ageing despite decreased functional ability and increased need of assistance in daily life. Permalink : ./index.php?lvl=notice_display&id=84442 [article] Maintaining health-related quality of life from 85 to 93 years of age despite decreased functional ability [texte imprimé] / Maria M. Johansson ; Jan Marcusson ; Ewa Wressle . - 2019 . - p. 348-356. doi.org/10.1177/0308022619830261 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 6 (Juin 2019) . - p. 348-356 Mots-clés : Health-related quality of life  daily living  elderly  occupational therapy Résumé : Introduction The ‘oldest-old’ is the most rapidly growing age group in Sweden and in the western world. This group is known to be at great risk of increased functional dependency and the need for help in their daily lives. The aim of this research was to examine how the oldest-old change over time regarding health-related quality of life, cognition, depression and ability to perform activities of daily living and investigate what factors explain health-related quality of life at age 85 and 93 years. Methods In this study, 60 individuals from the Swedish Elderly in Linköping Screening Assessment study were followed from age 85 to 93 years. Measurements used were EQ-5D, Geriatric Depression Scale, Mini Mental State Examination and ability to perform activities of daily living. Nonparametric statistics and regression analyses were used. Results Although the individuals had increased mobility problems, decreased ability to manage activities of daily living, and thus had increased need of assistance, they scored their health-related quality of life at age 93 years at almost the same level as at age 85 years. No depression and low dependence in activities of daily living speaks in favour of higher health-related quality of life. Conclusions Health-related quality of life can be maintained during ageing despite decreased functional ability and increased need of assistance in daily life. Permalink : ./index.php?lvl=notice_display&id=84442

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Results from a cognitive group rehabilitation programme from an occupational performance perspective / Brigitta Rustner in The British Journal of Occupational Therapy, Vol.79 Issue 12 (Décembre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 Issue 12 (Décembre 2016) . - p. 734-741 Titre : Results from a cognitive group rehabilitation programme from an occupational performance perspective Type de document : texte imprimé Auteurs : Brigitta Rustner ; Ewa Wressle ; Kersti Samuelsson Année de publication : 2016 Article en page(s) : p. 734-741 Langues : Anglais (eng) Mots-clés : activité humaine  traumatisme cérébral  handicap Résumé : Introduction The Canadian Occupational Performance Measure (COPM) was used for treatment planning and to evaluate the effect of a cognitive group rehabilitation programme. The aim was to identify occupational performance problems defined as important and to analyse the outcome, and to link those problems to the International Classification of Functioning, Disability and Health (ICF) core set for traumatic brain injury and stroke. Method A retrospective design was used, including an analysis of COPM data recorded before and two months after the programme. COPM data from 124 clients were linked to the ICF core sets. Results A clinically important difference of ≥2 COPM scores was reached in 32% of the clients for occupational performance and in 47% for satisfaction with occupational performance. A majority of the problems identified (62%) were classified within the activities and participation component in the ICF, and 38% in body functions. All occupational performance problems could be linked to the ICF; just one of the 36 categories (caring for household objects) was not found in any of the ICF core sets. Permalink : ./index.php?lvl=notice_display&id=47327 [article] Results from a cognitive group rehabilitation programme from an occupational performance perspective [texte imprimé] / Brigitta Rustner ; Ewa Wressle ; Kersti Samuelsson . - 2016 . - p. 734-741. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 Issue 12 (Décembre 2016) . - p. 734-741 Mots-clés : activité humaine  traumatisme cérébral  handicap Résumé : Introduction The Canadian Occupational Performance Measure (COPM) was used for treatment planning and to evaluate the effect of a cognitive group rehabilitation programme. The aim was to identify occupational performance problems defined as important and to analyse the outcome, and to link those problems to the International Classification of Functioning, Disability and Health (ICF) core set for traumatic brain injury and stroke. Method A retrospective design was used, including an analysis of COPM data recorded before and two months after the programme. COPM data from 124 clients were linked to the ICF core sets. Results A clinically important difference of ≥2 COPM scores was reached in 32% of the clients for occupational performance and in 47% for satisfaction with occupational performance. A majority of the problems identified (62%) were classified within the activities and participation component in the ICF, and 38% in body functions. All occupational performance problems could be linked to the ICF; just one of the 36 categories (caring for household objects) was not found in any of the ICF core sets. Permalink : ./index.php?lvl=notice_display&id=47327

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Turning evidence into practice: Barriers to research use among occupational therapists / Kersti Samuelsson 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. 175-181 Titre : Turning evidence into practice: Barriers to research use among occupational therapists Type de document : texte imprimé Auteurs : Kersti Samuelsson, Auteur ; Ewa Wressle, Auteur Année de publication : 2015 Article en page(s) : p. 175-181 Langues : Anglais (eng) Mots-clés : Clinical practice  Support survey Résumé : Introduction Research has demonstrated that occupational therapists generally have a positive attitude regarding the use of evidence in their daily practice and decision-making. In addition, occupational therapists are expected to implement evidence-based practice, which is often understood as equivalent to research. However, evidence-based practice might be difficult to reconcile with occupational therapy from a client-centred focus. This study examines what occupational therapists perceive as barriers to research use and discusses the challenge of clinical implementation. Method This study uses a descriptive cross-sectional design. The Barriers to Research Utilization Scale questionnaire was mailed to 807 randomly selected Swedish occupational therapists. The response rate was 59%. Findings The occupational therapists identified three main barriers to the use of research: insufficient facilities (82%); lack of time to read research (77%); difficulty understanding statistical analyses (75%). Degree of education was shown to affect results; occupational therapists with higher education levels indicated a higher use of research. Conclusion Implementing research in clinical practice is a challenge. Occupational therapists are interested but they lack the optimal prerequisites and time. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35936 [article] Turning evidence into practice: Barriers to research use among occupational therapists [texte imprimé] / Kersti Samuelsson, Auteur ; Ewa Wressle, Auteur . - 2015 . - p. 175-181. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 175-181 Mots-clés : Clinical practice  Support survey Résumé : Introduction Research has demonstrated that occupational therapists generally have a positive attitude regarding the use of evidence in their daily practice and decision-making. In addition, occupational therapists are expected to implement evidence-based practice, which is often understood as equivalent to research. However, evidence-based practice might be difficult to reconcile with occupational therapy from a client-centred focus. This study examines what occupational therapists perceive as barriers to research use and discusses the challenge of clinical implementation. Method This study uses a descriptive cross-sectional design. The Barriers to Research Utilization Scale questionnaire was mailed to 807 randomly selected Swedish occupational therapists. The response rate was 59%. Findings The occupational therapists identified three main barriers to the use of research: insufficient facilities (82%); lack of time to read research (77%); difficulty understanding statistical analyses (75%). Degree of education was shown to affect results; occupational therapists with higher education levels indicated a higher use of research. Conclusion Implementing research in clinical practice is a challenge. Occupational therapists are interested but they lack the optimal prerequisites and time. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35936

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