Cognitive and motor function in adults with spina bifida myelomeningocele: a pilot study

Jasien, Joan; Mikati, Mohamad A.; Kolářová, Michaela; Smith, Brian N.; Thera, Stephanie; Leblond, Pierre

doi:10.1007/s00381-020-04964-1

Cited by 3 publications

(1 citation statement)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast, the multiple domains assessed by MoCA encompassed aspects of both fluid and crystallized intelligence, yet did not distinctly delineate or quantify these discrete cognitive domains. As such, the MoCA measurement could not fully capture crystallized cognitive abilities., whereas fluid abilities (e.g., attention, memory) are known to vary with hippocampal integrity (96)(97)(98). Given the SF-12's emphasis on measuring crystallized health knowledge that is not impacted by age-related brain changes, the hypothesized mediation pathway was likely invalidated.…”

Section: Discussionmentioning

confidence: 99%

Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults

Chow,

Jiao,

Duong

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

BackgroundDeclining cognitive function (CF) and physical function (PF) relate to poorer health-related quality of life (HRQoL) in older adults. As health literacy (HL) facilitates health information utilization, it may mediate links between functionality and HRQoL appraisals. This study examined HL as an intermediary between joint CF and PF contributions and HRQoL in Hong Kong older adults.Methods490 older adults aged 50–80 years completed assessments from March to July 2021. Health Literacy Survey Questionnaire Short Form 12 questions (HLS-SF12), Montreal Cognitive Assessment (MoCA), Senior Fitness Test (SFT) and 12-Item Short-Form Health Survey version 2 (SF-12v2) were used to assess HL, CF, PF and HRQoL, respectively. Path analysis tested a model with HL mediating CF/PF predictors and HRQoL outcome.ResultsResults for direct effects indicated that CF significantly associated with PF (β = 0.115, SE = 0.012, p < 0.001), PF significantly connected to HL (β = 0.101, SE = 0.022, p < 0.001), and HL significantly related to HRQoL (β = 0.457, SE = 0.049, p < 0.001). Meanwhile, PF significantly linked to HRQoL directly (β = 0.156, SE = 0.025, p < 0.001) as well as indirectly (β = 0.046, 95% CI [0.028, 0.067]). Significant mediating effect of HL was found on the relationship of PF and HRQoL.ConclusionFindings confirm CF and PF joint impacts on HL and HRQoL in older adults, elucidating HL’s mediating role in translating functionality levels into HRQoL. Fostering enduring health knowledge access may thus buffer effects of age-related declines on well-being. Results can inform interventions leveraging this pathway to promote resilient trajectories.

show abstract

Section: Discussionmentioning

confidence: 99%

Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults

Chow,

Jiao,

Duong

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

A Systematic Review of Cognitive Function in Adults with Spina Bifida

Sachdeva

Kolářová

Foreman

et al. 2021

Developmental Neurorehabilitation

View full text Add to dashboard Cite

Health Literacy Mediates the Relationships of Cognitive and Physical Functions with Health-related Quality of Life in Older Adults: Cross-sectional Observational Study (Preprint)

Chow¹,

Duong²,

Jiao³

et al. 2022

Preprint

View full text Add to dashboard Cite

BACKGROUND Declines of cognitive function (CF) and physical function (PF) are two irreversible health conditions linked closely to the elderly’s health-related quality of life (HRQoL). Health literacy (HL) represents the abilities for individuals to cope with health issues, and shows a positive effect on HRQoL. This research hypothesized that HL may act as a partial mediator between CF together with PF and HRQoL. OBJECTIVE This research aimed to determine the model of relationships of CF and PF with HL that contributes to the HRQoL of older adults in Hong Kong METHODS Older adults aged 50-80 years old were recruited through social media and community centers from March to July 2021. HL was assessed using the 12-item Short-Form Health Literacy Survey Questionnaire (HLS-SF12). CF was assessed using Montreal Cognitive Assessment (MoCA). PF was assessed using the Senior Fitness Test (SFT). HRQoL was assessed using the 12-item Short Form Health Survey version 2 (SF-12v2). The mediating effects of HL was tested with path analysis based on the proposed theoretical model. RESULTS Totally, 490 older adults completed the survey. Results for direct effects indicated that CF significantly predicted PF (β=.115, SE=.012, p <.001), PF significantly predicted HL (β=.101, SE=.022, p<.001), and HL significantly predicted HRQoL (β=.457, SE=.049, p<.001). Meanwhile, PF significantly predicted HRQoL directly (β=.150, SE=.025, p<.001) as well as indirectly (β=.046, 95% CI [.028, .067]). CONCLUSIONS A mediational model was hypothesized and tested in the current study to explore the relationships of CF and PF with HL that contributes to the HRQoL. These findings partially supported the hypotheses, highlighting the effect of health literacy on improving older adults’ HRQoL under the influences of both CF and PF together. This study may contribute to further empirical research and health promotion intervention programs that aim to improve HL that leads to better quality of life for the elderly population.

show abstract

Cognitive and motor function in adults with spina bifida myelomeningocele: a pilot study

Cited by 3 publications

References 33 publications

Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults

Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults

A Systematic Review of Cognitive Function in Adults with Spina Bifida

Health Literacy Mediates the Relationships of Cognitive and Physical Functions with Health-related Quality of Life in Older Adults: Cross-sectional Observational Study (Preprint)

Contact Info

Product

Resources

About