Online awareness: a concept analysis and review of assessment approaches for adults with neurological conditions

Sansonetti, Danielle; Fleming, Jennifer; Patterson, Freyr; Lannin, Natasha A.; Toglia, Joan

doi:10.1080/09638288.2024.2338876

Cited by 2 publications

(1 citation statement)

References 66 publications

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“…We evaluated online awareness, which involves judgments in relation to a specific situation (in this case, the WCPA-17) and which may be highly dependent on task characteristics such as familiarity and complexity ( Toglia and Goverover, 2022 ). The finding that performance on the PCST was associated with online awareness described by the WCPA-17 suggests that individuals who are unaware of ongoing task performance may be at risk for poor performance during other complex everyday tasks that present similar cognitive and functional challenges, though this finding needs further exploration as awareness can also be task specific ( Goverover et al, 2007 ; Sansonetti et al, 2024 ). Poor online awareness provides clinicians with an additional datapoint over and above performance Accuracy in making judgements about an individual’s functional independence and need for support.…”

Section: Discussionmentioning

confidence: 99%

Online awareness is associated with superior performance on assessments of functional cognition

Marks,

Giles,

Edwards

2024

Front. Aging Neurosci.

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BackgroundIntact awareness facilitates an individual’s adoption of strategies to support community living skills. However, most studies have not examined awareness during ongoing complex task performance. Objective: To examine whether community-dwelling adult’s Accuracy and Strategy use on the Weekly Calendar Planning Activity 17-item version (WCPA-17), Total Cues on the Performance Assessment of Self-care Skills Checkbook Balancing and Shopping Task (PCST), and scores on the self-report Alzheimer’s Disease Cooperative Study – Activities of Daily Living Scale (ADCS-ADL) differ between groups who do and do not demonstrate awareness of performance difficulties on the WCPA-17.MethodsUsing data collected as part of a larger study we performed a cross-sectional analysis of 274 community-dwelling adults aged 55 to 93 years. Two methods classified participants into groups aware or unaware of their performance. Independent sample t-tests examined group differences on four dependent variables: Accuracy and Strategy use on the WCPA-17, PCST Total Cues, and score on the ADCS-ADL.ResultsUsing one classification method, aware individuals showed superior Accuracy (p < 0.001), used more Strategies (p = 0.002), needed fewer PCST Total Cues (p < 0.001), and reported greater independence on the ADCS-ADL (p < 0.004), similar trends were observed with the other method in Accuracy (p < 0.001) and PCST Total Cues (p < 0.001) but Strategy use and ADCS-ADL differences failed to reach significance after Bonferroni correction.ConclusionGroups categorized as aware performed better on all measures. Intact awareness is critical to performance on complex everyday activities and can be evaluated with functional cognition assessments.

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Section: Discussionmentioning

confidence: 99%

Online awareness is associated with superior performance on assessments of functional cognition

Marks,

Giles,

Edwards

2024

Front. Aging Neurosci.

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The Moderating Role of Online Awareness in the Association between Strategy Use and Performance Accuracy on a Test of Functional Cognition in Individuals with Acquired Brain Injury

Salazar-Frías,

Funes,

Szot

et al. 2024

Archives of Clinical Neuropsychology

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Objective Deficits in online self-awareness (SA) are common after acquired brain injury (ABI), leading to safety concerns and impacting daily activities and rehabilitation outcomes. Early identification is recommended as a critical first step in cognitive rehabilitation following ABI. The aim of this observational study was to examine differences in online SA and strategy use between individuals with ABI and healthy controls. It also investigated whether online SA moderates the relationship between strategy use and performance accuracy on a test designed to assess cognitive-functional deficits. Method 80 individuals with ABI and 76 controls completed the Spanish Weekly Calendar Planning Activity-10. Measures of online SA included strategy use and self-recognized errors assessed during task. An after-task interview assessed individuals’ self-evaluation of task difficulty and accuracy of performance. Results Individuals with ABI performed worse than controls on most measures of online SA. They were less likely to self-recognize errors and use self-monitoring strategies. They also tended to overestimate their performance and showed greater discrepancy between self-rated and actual performance. Moderation analyses show that better performance was significantly associated with greater strategy use among ABI individuals who were aware of their performance. Conclusions Online SA appears to moderate the use of cognitive strategies during functional cognitive performance after ABI. Therefore, it is important to include assessments of online SA and strategy use for individuals with ABI. Furthermore, these findings highlight the importance of focusing on SA and self-generated strategies as key goals of cognitive rehabilitation aimed at improving daily functioning after ABI.

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Online awareness: a concept analysis and review of assessment approaches for adults with neurological conditions

Cited by 2 publications

References 66 publications

Online awareness is associated with superior performance on assessments of functional cognition

Online awareness is associated with superior performance on assessments of functional cognition

The Moderating Role of Online Awareness in the Association between Strategy Use and Performance Accuracy on a Test of Functional Cognition in Individuals with Acquired Brain Injury

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