Beyond Dressing and Driving: Using Occupation to Facilitate Community Integration in Neurorehabilitation

Fleming, Jennifer; Doig, Emmah; Katz, Noomi

doi:10.1375/brim.1.2.141

Cited by 7 publications

(8 citation statements)

References 42 publications

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“…While these findings concur with previous discussions on the ecological validity of neuropsychological assessments for measuring PM impairments following TBI (Burgess, Alderman, Evans, & Emslie, 1998;Cicerone & DeLuca, 1990), it is not clear that this is due to a lack of ecological validity. It has previously been argued that the circumstances of a person performing a neuropsychological assessment under strict examination conditions might be so different from situations in the real world that there is little correspondence between the cognitive resources tapped in the examination condition, and those tapped in the real world ones (Burgess et al, 1998;Fleming, Doig, & Katz, 2000). If real life situations place higher demands on executive function and the ability to perform multiple tasks than what is required on a standardised assessment, it could be expected that participants would show unimpaired performance on tests but report impaired performance in everyday life.…”

Section: Discussionmentioning

confidence: 99%

Validity of the Comprehensive Assessment of Prospective Memory (CAPM) for Use With Adults With Traumatic Brain Injury

et al. 2009

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O bjective: To expand upon the existing psychometric properties of the Comprehensive Assessment of Prospective Memory (CAPM) for use with adults with traumatic brain injury by examining concurrent and criterion validity. Method: Participants were 45 adults with a traumatic brain injury. Participants and their relatives completed Section A of the CAPM and a measure of psychosocial integration. Participants were also administered two neuropsychological tests of prospective memory, the Cambridge Prospective Memory Test (CAM-PROMPT) and the Memory Intentions Screening Test (MIST). Concurrent validity was measured by comparing scores on the CAPM with scores on the CAM-PROMPT and MIST. Criterion validity was examined by correlating CAPM scores with level of psychosocial integration. Results: Participant self-reports on the CAPM were not significantly correlated with the CAM-PROMPT or MIST, but were significantly correlated with level of psychosocial integration. Relative reports on the CAPM were correlated significantly with total score on the MIST and CAM-PROMPT and level of psychological integration. Conclusions: The findings indicate that the concurrent validity of the self-report version of CAPM is low suggesting that selfreports alone do not provide an objective measure for assessing prospective memory function. The relative report version however, demonstrated reasonable concurrent and criterion validity, suggesting that the relative report version of the Section A of the CAPM is a useful means of evaluating frequency of prospective memory failure in adults with traumatic brain injury.

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Section: Discussionmentioning

confidence: 99%

Validity of the Comprehensive Assessment of Prospective Memory (CAPM) for Use With Adults With Traumatic Brain Injury

et al. 2009

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“…The degree of the involvement of executive functions in PM performance varies according to the task employed and cognitive load. It is important to note that some authors have observed lower correspondence between PM performance obtained with laboratory-based tasks and real life situations [23,33,34,45,46]. Studies conducted with virtual reality tasks are trying to fill this gap, but further research is required to provide reliable and valid scores, and to develop tasks that can be used in clinical settings to screen for PM performance.…”

Section: Studymentioning

confidence: 99%

“…Indeed, in real word situations, people required higher levels of executive functioning to perform multiple tasks than in a controlled experimental standardized setting. Therefore, some authors have found that TBI patients showed unimpaired performance on neuropsychological PM tests, but reported impaired PM performance in real life [45,46]. Second, it is important to consider the selfawareness dysfunction often observed in TBI patients that might compromise the validity of TBI participants' self-report measures [22,47].…”

Section: Self-report Questionnairesmentioning

confidence: 99%

Understanding, Assessing and Treating Prospective Memory Dysfunctions in Traumatic Brain Injury Patients

Mioni¹,

McClintock²,

Stablum³

2014

Traumatic Brain Injury

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Our capacity to shape and direct our future behaviour is of fundamental importance in the development, pursuit, and maintenance of independence and autonomy from early childhood to late adulthood. A cognitive ability required for those functions is prospective memory (PM), which is the ability to form and remember to prospectively perform the intended action.\ud Researchers have extensively focused on PM impairment in patients with traumatic brain injury (TBI). However, there has been limited research into the assessment and treatment of PM impairment in TBI patients. Reliable and valid tests with normative data are necessary for health professionals working with people with PM impairments. This chapter reviews the principal findings on PM impairment in TBI patients, and the main procedures used to assess and rehabilitate PM

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“…Functional activities allow clients who cannot express themselves verbally to be assessed accurately by means of observation. Their recommendation that executive functions be assessed during the performance of functional activities or occupations was reiterated by Fleming et al (2000). Toglia (1998) described a dynamic interactional approach to the occupational therapy assessment of self-awareness.…”

Section: Functional Task Performancementioning

confidence: 99%

Occupational Therapy Assessment of Self-Awareness following Traumatic Brain Injury

Simmond¹,

Fleming²

2003

British Journal of Occupational Therapy

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Impaired self-awareness is a common problem following traumatic brain injury. Without adequate self-awareness, a person's motivation to participate in rehabilitation may be limited, which in turn can have an adverse effect on his or her functional outcome. For this reason, it is important that brain injury rehabilitation professionals, including occupational therapists, both understand this phenomenon and use assessment and treatment approaches aimed at improving clients' self-awareness.This article provides an overview of self-aw areness, reviewing the distinction between intellectual and online awareness. The current role of occupational therapy in the assessment of self-awareness is highlighted and the guidelines for new assessments of self-awareness suitable for use in occupational therapy are explored. Downloaded from Physical Medicine and Rehabilitation, 82, 49-55. Allen CC, Ruff RM (1990) Self-rating versus neuropsychological performance of moderate versus severe head-injured patients. Brain Injury, 4(1), 7-17. American Occupational Therapy Association (1997) Fundamental concepts of occupational therapy: occupation, purposeful activity, and function. American Journal of Occupational Therapy, 51, 864-66. Anderson SW, Tranel D (1989) Awareness of disease states following cerebral infarction, dementia, and head trauma: standardised assessment. Clinical Neuropsychologist, 3(4), 327-39. Barco PP, Crosson B, Bolesta MM, Werts D, Stout R (1991) Training awareness and compensation in postacute head injury rehabilitation. In: JS Kreutzer, PH Wehman, eds. Cognitive rehabilitation for persons with traumatic brain injury: a functional approach. Baltimore, MD: Paul H Brookes, 129-46. Ben Yishay Y, Diller L (1981) Rehabilitation of cognitive and perceptual deficits in people with traumatic brain damage. International Journal of Rehabilitation Medicine, 4, 208-10. Ben-Yishay Y, Diller L (1993) Cognitive remediation in traumatic brain injury: update and issues. Archives of Physical Medicine and Rehabilitation, 74, 204-13. Bergquist TF, Jacket MP (1993) Programme methodology: awareness and goal setting with the traumatically brain injured. Brain Injury, 7(3), 275-82. Bisiach E, Vallar G, Perani D, Papagno C, Berti A (1986) Unawareness of disease following lesions of right hemisphere: anosognosia for hemiplegia and anosognosia for hemianopia. Neuropsychologia, 24, 471-82. Brooks DN, McKinlay WW (1983) Personality and behavioural change after severe blunt head injury -a relative's view. Journal of Neurology, Neurosurgery and Psychiatry, 46, 336-44. Bruininks R, Woodcock RW, Weatherman RF, Hill BK (1984) Scales of independent behaviour, interviewer's manual. Allen, TX: DLM Teaching Resources. Crosson B, Barco PP, Velozo CA, Bolesta MM, Cooper PV, Werts D, Brobeck TC (1989) Awareness and compensation in postacute head injury rehabilitation. Journal of Head Trauma Rehabilitation, 4, 46-54. Deaton AV (1986) Denial in the aftermath of traumatic head injury: its manifestations, measurement and treatment. Rehabilitation Psychology...

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Beyond Dressing and Driving: Using Occupation to Facilitate Community Integration in Neurorehabilitation

Cited by 7 publications

References 42 publications

Validity of the Comprehensive Assessment of Prospective Memory (CAPM) for Use With Adults With Traumatic Brain Injury

Validity of the Comprehensive Assessment of Prospective Memory (CAPM) for Use With Adults With Traumatic Brain Injury

Understanding, Assessing and Treating Prospective Memory Dysfunctions in Traumatic Brain Injury Patients

Occupational Therapy Assessment of Self-Awareness following Traumatic Brain Injury

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