Complex Task Performance Assessment (CTPA) and Functional Cognition in People With Parkinson's Disease.

OBJECTIVE. The objective of this study was to determine how Parkinson's disease (PD) affects functional cognition as assessed by the Complex Task Performance Assessment (CTPA) and to examine the associations of CTPA performance with other indicators of executive function in people with PD. METHOD. V...

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Publicado en:American Journal of Occupational Therapy Vol. 73; no. 5; pp. 1 - 10
Autores principales: Davis, Alison, Wolf, Timothy J., Foster, Erin R.
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association Sep/Oct2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep/Oct2019
      vid: 73
      iid: 5
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        138447946
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        10.5014/ajot.2019.031492
        138447946
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        atl: Complex Task Performance Assessment (CTPA) and Functional Cognition in People With Parkinson's Disease.
      aug:
        au:
          Davis, Alison
          Wolf, Timothy J.
          Foster, Erin R.
        affil: Alison Davis, OTD, is Occupational Therapist, Barnes-Jewish Hospital, St. Louis, MO.
      sug:
        subj:
          Parkinson Disease Physiopathology
          Executive Function
          Cognition
          Task Performance and Analysis
          Human
          Funding Source
          Neuropsychological Tests
          Patient-Reported Outcomes
          Convenience Sample
          Scales
          Cross Sectional Studies
          Nonexperimental Studies
          Surveys
          Questionnaires
          Data Analysis Software
          Descriptive Statistics
          Male
          Female
          Male
          Female
      ab: OBJECTIVE. The objective of this study was to determine how Parkinson's disease (PD) affects functional cognition as assessed by the Complex Task Performance Assessment (CTPA) and to examine the associations of CTPA performance with other indicators of executive function in people with PD. METHOD. Volunteers with PD without dementia (n = 20) and community control participants (n = 19) completed neuropsychological testing, patient-reported outcome measures, and the CTPA. RESULTS. There were no group differences for CTPA performance accuracy; however, the PD group took longer to complete the CTPA than did the control group. In the PD group, inefficient CTPA performance correlated with poorer cognitive flexibility and worse reported everyday shifting and task monitoring. CONCLUSION. Decreased executive function, namely cognitive flexibility and attentional control, may impair functional cognition in people with PD. Future studies with larger, more diverse samples are warranted to determine the discriminant validity and sensitivity of the CTPA. Use of performance-based assessments such as the CTPA may increase the understanding of functional cognition in people with PD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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