Performance-based assessment of telephone use in three patients with a major cognitive disorder.

Background In Major Neurocognitive Disorders (MND), cognitive deficits have considerable consequences on patients' daily living, compromising their social, professional, or leisure activities. In this context, technologies may provide innovative solutions to support home support and boost loss-makin...

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Publicado en:Gerontechnology Vol. 19; no. 1; pp. 54 - 66
Autores principales: Quillion-Dupré, Lisa, Monfort, Emmanuel, Lissot, Clotilde, Rialle, Vincent, Couturier, Pascal
Formato: case study research tables/charts Journal Article
Publicado: International Society for Gerontechnology 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: International Society for Gerontechnology
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        atl: Performance-based assessment of telephone use in three patients with a major cognitive disorder.
      aug:
        au:
          Quillion-Dupré, Lisa
          Monfort, Emmanuel
          Lissot, Clotilde
          Rialle, Vincent
          Couturier, Pascal
        affil: Inter-university laboratory for Psychology, Personality, Cognition, and Social Change (LIP/ PC2S), Univ. Grenoble Alpes, France
      sug:
        subj:
          Telephone
          Cognition Disorders
          Cues
          Human
          Community Living In Old Age
          Aged
          Aged, 80 and Over
          Task Performance and Analysis
          Activities of Daily Living
          Clinical Assessment Tools
          Questionnaires
          Aged: 65+ years
          Aged, 80 & over
      ab: Background In Major Neurocognitive Disorders (MND), cognitive deficits have considerable consequences on patients' daily living, compromising their social, professional, or leisure activities. In this context, technologies may provide innovative solutions to support home support and boost loss-making capacity. Therefore, it is necessary to design appropriate devices but also rehabilitation interventions, considered early on in order to minimize the impact of cognitive impairments on daily living. This requires undertaking a detailed assessment of autonomy. Research aim In this context, we wanted to confirm the contributions of a performance-based assessment to define the challenges faced by people with a diagnosis of MND using the telephone, the most common communication tool, and to specify their ability to benefit from hierarchical cueing. Methods We compared three patients with a diagnosis of MND to 17 elderly people aged 74 to 91, living in the community, and without any cognitive impairment. We evaluated the telephone useability in an ecological structured context with three tasks of increasing difficulty adapted from the Observed Tasks of Daily Living-R (Diehl, Marsiske, & Horgas, 2005). Performances were analyzed with an observation grid from the Profinteg tool (Anselme et al., 2013), completed by an error taxonomy based on Schwartz description (Schwartz et al., 1998; Schwartz et al., 1995). Results Results highlighted that the three patients, who presented cognitive defi- cits and who apparently did not face obvious difficulties in telephone use assessed with a pencil-and-paper questionnaire, presented different error patterns and needed more specific aids, and in greater number. Conclusion The findings indicate a dissociation between neuropsychological tests' performances and telephone use in daily life. This result underlines the need for direct structured observation of older persons' daily activities requiring technical and technological tools, in the way to predict the practical consequences of cognitive impairments, and for designing appropriate gerontechnologies.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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