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Scand J Occup Ther. 2013 Sep;20(5):374-83. doi: 10.3109/11038128.2012.743586. Epub 2012 Nov 27.

Cooking task assessment in frail older adults: who performed better at home and in the clinic?

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1
Research Center, Institut universitaire de gériatrie de Montreal, Montreal, Canada. veronique.provencher.1@umontreal.ca

Abstract

AIM:

The purpose of this study was to determine: (i) the proportion of frail older adults who demonstrate (a) statistically significant and (b) clinically meaningful differences between home and clinic cooking task performance; and (ii) factors associated with a better performance in each environment.

METHODS:

Thirty-seven participants were evaluated with the Assessment of Motor and Process Skills (AMPS) in home and clinic environments using a counterbalanced design. Demographic, physical, cognitive, psychological, and environmental characteristics were also collected.

RESULTS:

Thirty-three participants were retained for analysis. A statistically significant difference (> ±2 standard errors of measurement) between environments was found in 33% of the participants on the motor scale and the same proportion on the process scale. A clinically meaningful difference (based on cut-off scores predicting need for assistance) was noted in 30% of the participants. Better performance at home on the process scale was associated with a decrease in some executive functions, while better performance in the clinic on the motor scale was mostly related to a decline in grip strength.

CONCLUSIONS:

Our findings may help occupational therapists identify frail patients for whom home assessments would be advisable prior to discharge so that assistance provided meets their needs at home.

PMID:
23181355
DOI:
10.3109/11038128.2012.743586
[Indexed for MEDLINE]
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