| 1. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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A longitudinal study of cognitive impairments in relation to activities in daily life
- 2009
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Ingår i: AT-FORUM, Äldres vardag, 6-8 maj-2009, Älvsjömässan i Stockholm.
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Konferensbidrag (refereegranskat)abstract
- Objective: To examine whether there were any differences in recovery in performance of personal activities of daily living (P-ADL) in relation to cognitive impairments pre- and poststroke from discharge to 6 and 12 months in elderly persons. Methods: Forty-five elderly persons after stroke were assessed at discharge from the hospital at 6 and at 12 months. A questionnaire was used to evaluate the person´s prestroke cognitive status. P-ADL was assessed with the Barthel Index. The Mini Mental State Examination and neuropsychological tests were used to measure cognitive functions. Results: Persons with cognitive impairments before and after stroke did not improve in P-ADL from the acute phase until 6 and 12 months, while persons with intact cognition pre- and poststroke did. Conclusion: Since cognitive problems pre- and poststroke hinder recovery in P-ADL, it is important to be aware of the connection between cognitive impairment and activity limitations in planning the optimal rehabilitation. Key words: ADL, cognitive dysfunction, elderly, longitudinal, prestroke, stroke
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| 2. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Concurrent validity of the Executive Function Performance Test in people with mild stroke
- 2011
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Ingår i: The British Journal of Occupational Therapy. - 0308-0226 .- 1477-6006. ; 74:9, s. 443-449
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Studies have shown that executive dysfunction is common in adults after stroke. Occupational therapists working in acute care assess the performance of activities of daily living; most instruments focus on personal care. However, the assessment of instrumental activities of daily living has been shown to discriminate executive dysfunction more effectively. An instrument for assessing executive dysfunction in more complex activities that is easy to handle in acute care is consequently required for clinical use. The Executive Function Performance Test (EFPT) was recently introduced into Sweden. The purpose of this study was to evaluate the concurrent validity of the EFPT in acute care for patients with mild stroke. Method: Twenty-three patients from an acute stroke unit were assessed with both the EFPT and the Assessment of Motor and Process Skills (AMPS). Results: The correlation between the EFPT and the AMPS assessments was highly significant (p = 0.003) and the concurrent validity was rho = 0.61. Conclusion: Since there is a risk that adult patients with mild stroke are discharged without rehabilitation, and there is a lack of a relevant instrument for occupational therapists that discriminates executive dysfunction in acute stroke care, the EFPT may be a suitable instrument to use with these patients.
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| 3. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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En prospektiv studie om kognitiv nedsättning i relation till aktiviteter i det dagliga livet - Göteborgs Kognitiva Stroke Studie för Äldre
- 2008
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Ingår i: Läkarstämman i Göteborg 2008.
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Konferensbidrag (refereegranskat)abstract
- Det saknas studier om hur kognitiva nedsättningar pre-och poststroke påverkar vardagsaktiviteterna för äldre personer efter ett år. Syftet var att undersöka om det var någon skillnad i P-ADL från akutskedet till 12 månader hos äldre personer efter stroke med eller utan kognitiva nedsättningar pre- och poststroke. Äldre personer drabbade av stroke (n=45) inkluderades. Bedömningar utfördes vid utskrivning, 6 och 12 månader. Medianålderna var 77 år. Åstrands frågeformulär användes för att intervjua anhöriga om patientens kognitiva status prestroke. DSM-III användes också för diagnosen prestroke demens. Bartel Index användes för att bedöma P-ADL. Mini Mental State Examination (MMSE) och ett neuropsykologiskt test batteri användes för att bedöma kognitiv funktion. Resultat: Ej publicerat än
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| 4. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Influence of cognition on personal activities of daily living (P-ADL) in
- 2007
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Ingår i: Nordisk konferens för arbetsterapeuter i Stockholm 2007.
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Konferensbidrag (refereegranskat)abstract
- This study examines how prestroke dementia and cognitive dysfunction after stroke influence the personal activities of daily living (P-ADL) in elderly patients in the acute phase after stroke. Elderly patients (n = 60) referred to geriatric rehabilitation were included. Assessments were carried out at admission and evaluated at discharge from the geriatric ward. The median age of the group was 77 years. Åstrand’s questionnaire was used to interview a close relative about the patient’s prestroke cognitive status. P-ADL was assessed with the Barthel Index (BI). The Mini Mental State Examination (MMSE) and a neuropsychological test battery were used to measure cognitive functions. Analyses were made using non-parametrical methods. In the acute phase after stroke, neither the presence of prestroke dementia nor the cognitive status after stroke onset among these elderly patients influenced P-ADL at admission or at discharge. Prestroke dementia and cognitive dysfunction’s were found to be common after stroke onset, however this did not have any impact on dependence in P-ADL in these elderly patients at admission or at discharge.
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| 5. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Influence of cognition on personal activities of daily living (P-ADL) in the acute phase - The Gothenburg Cognitive Stroke Study in Elderly
- 2006
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Ingår i: Läkarstämman i Göteborg 2006.
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Konferensbidrag (refereegranskat)abstract
- This study examines how prestroke dementia and cognitive dysfunction after stroke influence the personal activities of daily living (P-ADL) in elderly patients in the acute phase after stroke. Elderly patients (n = 60) referred to geriatric rehabilitation were included. Assessments were carried out at admission and evaluated at discharge from the geriatric ward. The median age of the group was 77 years. Åstrand’s questionnaire was used to interview a close relative about the patient’s prestroke cognitive status. P-ADL was assessed with the Barthel Index (BI). The Mini Mental State Examination (MMSE) and a neuropsychological test battery were used to measure cognitive functions. Analyses were made using non-parametrical methods. In the acute phase after stroke, neither the presence of prestroke dementia nor the cognitive status after stroke onset among these elderly patients influenced P-ADL at admission or at discharge. Prestroke dementia and cognitive dysfunction’s were found to be common after stroke onset, however this did not have any impact on dependence in P-ADL in these elderly patients at admission or at discharge.
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| 6. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Influence of cognition on personal activities of daily living (P-ADL) in the acute phase: the Gothenburg Cognitive Stroke Study in Elderly.
- 2009
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Ingår i: Archives of gerontology and geriatrics. - : Elsevier BV. - 1872-6976 .- 0167-4943. ; 49:1, s. 118-22
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Tidskriftsartikel (refereegranskat)abstract
- This study examines how prestroke dementia and cognitive dysfunction after stroke influence the personal activities of daily living (P-ADL) in elderly patients in the acute phase after stroke. Elderly stroke patients (n=60) referred to geriatric rehabilitation were included. Assessments were carried out at admission and evaluated at discharge from the geriatric ward. The median age of the group was 77 years. Astrand's questionnaire was used to interview a close relative about the patient's prestroke cognitive status. P-ADL was assessed with the Barthel Index (BI). The Mini Mental State Examination (MMSE) and a neuropsychological test battery were used to measure cognitive functions. Analyses were made using non-parametrical methods. In the acute phase after stroke, neither the presence of prestroke dementia nor the cognitive status after stroke onset among these elderly patients influenced P-ADL at admission or at discharge. Prestroke dementia and cognitive dysfunction's were found to be common after stroke onset, however this did not have any impact on dependence in P-ADL in these elderly patients at admission or at discharge.
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| 7. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Inter-rater reliability and face validity of the Executive Function Performance Test (EFPT)
- 2015
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Ingår i: British Journal of Occupational Therapy. - : SAGE Publications. - 0308-0226 .- 1477-6006. ; 78:9, s. 563-569
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Tidskriftsartikel (refereegranskat)abstract
- Occupational therapists need an instrument to assess executive dysfunctions before patients are discharged from acute wards. The Executive Function Performance Test (EFPT) appears to be suitable, since it evaluates dysfunctions in complex activities. The aim of this study was to translate the EFPT from English into Swedish and to evaluate its properties when used with older persons with mild stroke in an acute setting. Method The study consisted of three parts: (1) a translation procedure using a forward and backward method; (2) evaluation of face validity; (3) inter-rater reliability by four raters (two pairs) who made 34 assessments in 17 older patients with mild stroke in an acute ward. Results The inter-rater reliability for the EFPT was good. The median was 88% of the percentage agreement. No occasional disagreement was found between the raters, but there was a systematic disagreement in one out of 20 items. The translation and face validity process resulted in further clarification of the semantic and cultural equivalence of the EFPT, and the manual was changed accordingly. Conclusion This study showed that inter-rater reliability was good and that the EFPT was found to be an interesting assessment, although further research is needed.
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| 8. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Mellanbedömarreliabilitet av instrumentet Executive Function Performance Test (EFPT)
- 2011
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Ingår i: Poster.
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Konferensbidrag (refereegranskat)abstract
- Bakgrund: Studier har visat att nedsatt exekutiv funktion är vanligt hos personer som fått stroke. Arbetsterapeuter som arbetar inom akutvården bedömer hur patienten klarar aktiviteter i det dagliga livet, men de flesta instrumenten som används är inom personlig vård. Instrument som bedömer mer komplexa aktiviteter har visat sig vara de mest effektiva avseende att upptäcka nedsatt exekutiv funktion. Eftersom instrumentet Assessment of Motor and Process Skills (AMPS) kan vara allt för omfattande att göra i den akuta fasen, skulle det kunna vara användbart att ha ett instrument som är mer lätthanterbart i det akuta skedet. Executive Function Performance Test (EFPT) är ett bedömningsinstrument som nyligen introducerats i Sverige. Studier saknas avseende validitet och reliabilitet utifrån Svenska förhållande. När ett nytt instrument skall användas är det viktigt att det har god validitet och reliabilitet. Syftet med denna studie var att utvärdera innehållsvaliditet och inter-bedömar validitet. Metoden innefattar en “forward” och en “backward” översättning av EFPT och en utvärdering av interbedömar reliabilitet genom att sjutton patienter från en stroke enhet har bedömts av två oberoende arbetsterapeuter. Studien är ett samarbete med kärnsjukhuset i Skövde. Resultatet håller på att analyseras och preliminära resultat kommer att presenteras på AT-forum.
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| 9. |
- Cederfeldt, Marie, 1957, et al.
(författare)
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Recovery in personal care related to cognitive impairment before and after stroke - a one-year follow-up
- 2010
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Ingår i: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 122:6, s. 430-437
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objective: To examine whether there were any differences in the recovery in performance of personal activities of daily living (P-ADL) in elderly persons in relation to cognitive impairments pre- and poststroke from discharge to 6 and 12 months in elderly persons. Methods: Forty-five elderly persons after stroke were assessed at discharge from hospital and at 6 and at 12 months after stroke onset. A questionnaire posed to the next of kin was used to evaluate the person´s pre- and poststroke cognitive status. P-ADL was assessed with the Barthel Index. The Mini Mental State Examination and neuropsychological tests were used to measure cognitive functions after stroke. The National Institute of Health Stroke Scale was used to measure neurological deficits. Results: Persons with cognitive impairments before and after stroke did not improve in P-ADL from the acute phase until 6 and 12 months, while persons with intact cognition pre- and post stroke did. Conclusion: Since cognitive problems pre- and poststroke hinder recovery in P-ADL, it is important to understand the connection between cognitive impairment and activity limitations when planning the optimal rehabilitation, which could include special compensation strategies, learnt by the patients, cognitive assistive devices and/or appropriate personal support trained in meaningful activities in daily life in their natural environment.
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