A Meal Preparation Treatment Protocol for Adults With Brain Injury

Neistadt, Maureen E.

doi:10.5014/ajot.48.5.431

Cited by 27 publications

(24 citation statements)

References 4 publications

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“…And yet, other correlations (for example, between patients' self-ratings of meal preparation and their actual performance) were readily apparent even with our small group size. Second, unlike other cooking paradigms (e.g., Neistadt, 1994; Giovannetti et al, 2008), the Breakfast Task primarily measures the executive aspects of cooking, rather than the actual procedures one runs through in the preparation of food (e.g., pouring real coffee, dicing real mushrooms). In this respect, it seemed reasonably well-suited to our ABI patients, who mostly appear to have difficulty with the planning and executive aspects of cooking rather than the procedural ones: Interventions to train our clients on basic tasks such as preparing coffee or a sandwich are not typical, whereas training of complex meal preparation is more commonly needed.…”

Section: Discussionmentioning

confidence: 99%

Cooking breakfast after a brain injury

Tanguay

Davidson

Nuñez

et al. 2014

Front. Behav. Neurosci.

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Acquired brain injury (ABI) often compromises the ability to carry out instrumental activities of daily living such as cooking. ABI patients' difficulties with executive functions and memory result in less independent and efficient meal preparation. Accurately assessing safety and proficiency in cooking is essential for successful community reintegration following ABI, but in vivo assessment of cooking by clinicians is time-consuming, costly, and difficult to standardize. Accordingly, we examined the usefulness of a computerized meal preparation task (the Breakfast Task; Craik and Bialystok, 2006) as an indicator of real life meal preparation skills. Twenty-two ABI patients and 22 age-matched controls completed the Breakfast Task. Patients also completed the Rehabilitation Activities of Daily Living Survey (RADLS; Salmon, 2003) and prepared actual meals that were rated by members of the clinical team. As expected, the ABI patients had significant difficulty on all aspects of the Breakfast Task (failing to have all their foods ready at the same time, over- and under-cooking foods, setting fewer places at the table, and so on) relative to controls. Surprisingly, however, patients' Breakfast Task performance was not correlated with their in vivo meal preparation. These results indicate caution when endeavoring to replace traditional evaluation methods with computerized tasks for the sake of expediency.

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Section: Discussionmentioning

confidence: 99%

Cooking breakfast after a brain injury

Tanguay

Davidson

Nuñez

et al. 2014

Front. Behav. Neurosci.

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“…In a study examining the Rabideau Kitchen Evaluation-Revised (RKE-R; Neistadt, 1992, 1994), a standardized assessment of functional meal preparation skills in brain injured adults, the performance of adults with traumatic brain injury was significantly correlated with performance on WAIS-III Block Design (Neistadt, 1992). These studies suggest that cognitive abilities, particularly those involving executive functioning and visual-spatial ability, may be associated with a patient’s meal preparation ability.…”

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confidence: 99%

Functional cooking skills and neuropsychological functioning in patients with stroke: An ecological validity study

Yantz

Johnson-Greene

Higginson

et al. 2010

Neuropsychological Rehabilitation

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Efforts to relate neuropsychological performance to real-world task functioning have predominantly yielded lackluster results, typically with neuropsychological performance accounting for modest amounts of variance in function. Nonetheless, the ecological validity of neuropsychological measures for predicting functional abilities remains a strong research interest and clinical necessity. This study relates neuropsychological performance to performance on a standardized cooking task (Rabideau Kitchen Evaluation-Revised; RKE-R) in persons with stroke. Results showed that while the composite score of mean neuropsychological performance had the largest association with meal preparation, several neuropsychological measures were significantly related to the RKE-R. Groups of left and right hemisphere stroke patients were not significantly different in terms of RKE-R performance. These results suggest that functional cooking task performance is related to intact cognitive abilities in delayed verbal memory, simple auditory attention, and visuospatial skills, as well as overall cognitive performance. Implications for neuropsychologists are discussed. KeywordsEcological validity; predictive validity; neuropsychological assessment; cerebrovascular accidents; activities of daily living; cooking Historically, neuropsychological tests were largely used to establish diagnosis, but in recent years there has been a growing interest in understanding how neuropsychological test performance relates to everyday functioning (Ruff, 2003). For example, neuropsychologists are sometimes called upon to make inferences about their patient's ability to complete instrumental activities of daily living (IADLs) such as driving, shopping, and preparing meals. This use of neuropsychological testing is based on the assumption of a relationship between cognition and functional activities, and the need for an efficient way to estimate whether problems can be anticipated on in-vivo functional tasks based on cognitive abilities.The generalizability of traditional neuropsychological tests to these real-world behaviors, sometimes referred to as ecological validity, has become a point of increased scientific interest (Chaytor & Schmitter-Edgecombe, 2003). The vast majority of this research has attempted to determine the predictive value of commonly used neuropsychological instruments on NIH Public Access (Higginson, Arnett, & Voss, 2000), need for supervision (Hanks et al., 2008), return to work (Kibby, Schmitter-Edgecombe, & Long, 1998), and completion of IADLs (Farias, Harrell, Neumann, & Houtz, 2003;Farmer & Eakman, 1995), including managing finances (Okonkwo, Wadley, Griffith, Ball, & Marson, 2006). In a review of the neuropsychological correlates of driving ability, Withaar, Brouwer, and van Zomeren (2000) concluded that cognitive impairments are associated with driving difficulties, but the predictive value of individual neuropsychological tests is very limited as the demands of novel paper-and-pencil tests and performing complex, but wel...

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“…Whilst it is argued that practising variants of tasks is important to promote generalisation (Boelen et al, 2011), this should be applied in a structured manner, i.e. by gradually increasing task difficulty, alongside the removal of prompts (Neistadt, 1994).…”

Section: Executive Functionsmentioning

confidence: 99%

Skills for life – evaluation of a group intervention for brain injury survivors

Foxhall

Gurr

2014

Social Care and Neurodisability

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Purpose -The purpose of this paper is to evaluate a weekly, group-based occupational therapy (OT) intervention in an inpatient brain injury rehabilitation unit. The evaluation aims to assess whether this intervention incorporates evidence-based recommendations for executive functioning and positive social interactions. Design/methodology/approach -A literature review was carried out to identify those components deemed most effective for improvements of executive functions and group interventions. Systematic observations of the intervention were used to collect data matching the research requirements. The group intervention which was subject to the evaluation was a weekly OT activity called Life Skills Group. Participants were four brain injured patients, aged between 49 and 62 years and on average 4.5 month post injury. The group activities included the preparation, cooking and consuming of a meal. Findings -Some elements of evidence-based procedure for executive functioning training were observed, including repeated practice and errorless learning. The group provided opportunities for social interaction and peer support/modelling. The evaluation indicated opportunities for improving executive functions within the Life Skills Group setting, for instance, the consistent use of errorless practice, repetition and meta-strategy training. Social interventions were mainly initiated by the facilitation therapists and opportunities for social skills training and positive interactions between participants were overlooked. The evaluation concludes in a set of recommendations aimed at optimising the effectiveness of future groups. Originality/value -This paper gives an example how the use of research evidence can influence and optimise cognitive rehabilitation, social training and group interventions. Thus it is an attempt to highlight how occupational interventions and social interactions can be improved by a systematic evaluation. The evaluation provides a framework for how OT and social interventions can be planned, implemented and researched which will hopefully increase systematic outcomes studies in this field in the future.

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A Meal Preparation Treatment Protocol for Adults With Brain Injury

Cited by 27 publications

References 4 publications

Cooking breakfast after a brain injury

Cooking breakfast after a brain injury

Functional cooking skills and neuropsychological functioning in patients with stroke: An ecological validity study

Skills for life – evaluation of a group intervention for brain injury survivors

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