[article] 
inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.111-119

Titre :	Changing everyday activities and technology use in mild cognitive impairment
Type de document :	texte imprimé
Auteurs :	Annicka Hedman ; Louise Nygard ; Camilla Malinowsky
Année de publication :	2016
Article en page(s) :	p.111-119
Langues :	Anglais (eng)
Mots-clés :	Longitudinal studies  activities of daily living  leisure activities  occupational therapy  disease progression  dementia
Résumé :	Introduction Knowledge of the conditions under which older adults facing cognitive decline engage in everyday activities is of major importance for occupational therapists in designing supportive interventions. This study aimed to investigate perceived activity involvement over time and its longitudinal relationship to perceived ability to use everyday technology in older adults with mild cognitive impairment. Method Thirty-seven older adults with mild cognitive impairment at inclusion were assessed over 4 years. Overall and item-specific activity involvement were analyzed using mixed-linear-effect modeling and differential item functioning. Furthermore, overall activity involvement and ability in everyday technology use were correlated. Results Overall activity involvement decreased significantly over time. When adjusting for declining ability in the sample, actual differential item functioning indicated descending involvement in seven of 15 activities, while eight activities were stable. All leisure activities descended. The positive correlations between activity involvement and ability in everyday technology use became stronger over time. Conclusion Variations across activities and time-points suggest that occupational therapists should repeatedly monitor the increasingly associated aspects of activity involvement and ability to use everyday technology in persons with cognitive decline.
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[article] Changing everyday activities and technology use in mild cognitive impairment [texte imprimé] / Annicka Hedman ; Louise Nygard ; Camilla Malinowsky . - 2016 . - p.111-119.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.111-119

Mots-clés :	Longitudinal studies  activities of daily living  leisure activities  occupational therapy  disease progression  dementia
Résumé :	Introduction Knowledge of the conditions under which older adults facing cognitive decline engage in everyday activities is of major importance for occupational therapists in designing supportive interventions. This study aimed to investigate perceived activity involvement over time and its longitudinal relationship to perceived ability to use everyday technology in older adults with mild cognitive impairment. Method Thirty-seven older adults with mild cognitive impairment at inclusion were assessed over 4 years. Overall and item-specific activity involvement were analyzed using mixed-linear-effect modeling and differential item functioning. Furthermore, overall activity involvement and ability in everyday technology use were correlated. Results Overall activity involvement decreased significantly over time. When adjusting for declining ability in the sample, actual differential item functioning indicated descending involvement in seven of 15 activities, while eight activities were stable. All leisure activities descended. The positive correlations between activity involvement and ability in everyday technology use became stronger over time. Conclusion Variations across activities and time-points suggest that occupational therapists should repeatedly monitor the increasingly associated aspects of activity involvement and ability to use everyday technology in persons with cognitive decline.
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