[en] Although there are many instruments for assessing activities of daily living
(IADL) in brain injured patients, few instruments specifically target cognitive
impairment and its impact on IADL. The present study presents the development
of the Profinteg instrument, a tool for real-life assessment as well as rehabilitation
of IADL in patients with cognitive impairment. This two-stage
instrument covers over 90 activities. Psychometric properties of the different
Profinteg measures were explored in twenty-five patients with mild to severe
cognitive difficulties and twenty-five caregivers. The feasibility of the Profinteg
rehabilitation procedure was explored in three patients. Excellent interrater
reliability (r > 0.90, p < 0.01) was observed for all measures. Good sensitivity
to changes in IADL disability over time was also observed (T = 2.37, p <
0.02). Significant improvement of IADL functioning was found after rehabilitation
guided by Profinteg assessment. The Profinteg instrument detects with
precision the difficulties patients encounter in their real-life setting via (1)
assessment of a large number of activities and (2) detailed decomposition of
activities into sub-activities. The Profinteg tool also provides promising results
for guidance of IADL rehabilitation in the patient’s real-life environment.
Disciplines :
Neurology Neurosciences & behavior Orthopedics, rehabilitation & sports medicine
Author, co-author :
Anselme, Patrick ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Neuroscience comportementale et psychopharmacologie expér.
Poncelet, Martine ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Neuropsychologie du langage et des apprentissages
Bouwens, Sharon
Knips, Stephanie
LEKEU, Françoise ; Centre Hospitalier Universitaire de Liège - CHU > Neurologie Sart Tilman
OLIVIER, Catherine ; Centre Hospitalier Universitaire de Liège - CHU > Neurologie Sart Tilman
QUITTRE, Anne ; Centre Hospitalier Universitaire de Liège - CHU > Neurologie Sart Tilman
Van Heugten, Caroline
Warginaire, Sabine
WOJTASIK, Vinciane ; Centre Hospitalier Universitaire de Liège - CHU > Neurologie Sart Tilman
Verhey, Frans
SALMON, Eric ; Centre Hospitalier Universitaire de Liège - CHU > Neurologie Sart Tilman
Majerus, Steve ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychopathologie cognitive
Adam, S., Van der Linden, M., Juillerat, A.-C, & Salmon, E. ( 2000). The cognitive management of daily life activities in patients with mild to moderate Alzheimer's disease in a day care centre: A case report. Neuropsychological Rehabilitation, 10, 485-509.
Athlin, E., Norberg, A., Axelsson, K., Moller, A., & Nordstrom, G. ( 1989). Aberrant eating behaviour in elderly parkinsonian patients with and without dementia: Analysis of video-recorded meals. Research in Nursing and Health, 12, 41-51.
Bachy, N. ( 1987). Approche cognitive des troubles en dénomination de l'aphasie adulte: création et étalonnage de deux batteries d'analyse. Unpublished doctoral dissertation: University of Louvain, Belgium.
Beck, C. ( 1988). Measurement of dressing performance in persons with dementia. American Journal of Alzheimer's Care and Related Disorders and Research, May/June, 21-25.
Brinkenkamp, R., & Zillmer, E. ( 1988). D2 Test of Attention. Seattle: Hogrefe and Huber.
Bucks, R.S., Ashworth, D.L., Wilcock, G.K., & Siegdried, K. (1996). Assessment of activities of daily living in dementia: development of the Bristol activity of daily living scale. Age and Aging, 25,113-120. (Pubitemid 26091163)
Burns, A., Lawlor, B., & Craig, S. ( 2004). Assessment scales in old age psychiatry ( 2nd ed.). London, UK: Martin Dunitz.
Chevignard, M.P., Taillefer, C., Picq, C., Poncet, F., Noulhiane, M., & Pradat-Diehl, P. (2008). Ecological assessment of the dysexecutive syndrome using execution of a cooking task. Neuropsychological Rehabilitation, 18, 461-485. (Pubitemid 351896817)
Delis, D.C., Kramer, J.H., Kaplan, E., & Ober, B.A. ( 1987). CVLT California Verbal Learning Test: Adult version. Manual. Toronto: The Psychological Corporation. Harcourt Jovanovich.
Fisher, A.G., & Jones, K.B. ( 2010). Assessment of motor and process skills. Vol. 1. Development, Standardization and Administration Manual (7 th ed.). Fort Collins: Three Star Press.
Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., & Ferris, S. ( 1997). An inventory to assess activities of daily living clinical trials in Alzheimer's disease: the Alzheimer's disease cooperative study. Alzheimer's Disease and Associated Disorders, 11, S33-S39.
Gélinas, I., Gauthier, L., Mclntyre, M., & Gauthier, S. ( 1999). Development of a functional measure for persons with Alzheimer's disease: The disability assessment for dementia. The American Journal of Occupational Therapy, 53, 471 -481.
Grober, E., & Buschke, H. ( 1987). Genuine memory deficits in dementia. Developmental Neuropsychology, 3, 13-36.
Hindmarch, I., Lehfeld, H., De Jongh, P., & Erzigkeit, H. (1998). The Bayer activities of daily living scale (B-ADL). Dementia and Geriatric Cognitive Disorders, 9, 20-26. (Pubitemid 28325622)
Huber, W., Poeck, K., Weniger, D., & Willmes, K. ( 1983). Aachener Aphasie Test. Göttingen: Hogrefe.
Kane, R.L., Ouslander, J.G., & Abrass, LB. ( 2004). Essentials of clinical geriatrics. New York: McGraw-Hill.
Keith, R.A., Granger, C.V., Hamilton, B.B., & Sherwin, F.S. ( 1987). The functional independence measure: A new tool for rehabilitation. Advances in Clinical Rehabilitation, 1, 6-18.
Kuriansky, J., & Gurland, B. (1976). The performance test of activities of daily living (PADL). International journal of Aging and Human Development, 7, 343-352. (Pubitemid 8065783)
Lawton, M.P., & Brody, E.M. ( 1969). Instrumental activities of daily living (IADL). The Gerontologist, 9, 179-186.
Lindeboom, R., Vermeulen, M., Math, R.H., & De Haan, R.J. (2003). Activities of daily living instruments: Optimizing scales for neurologic assessments. Neurology, 60, 738-742. (Pubitemid 36297353)
Linn, M.W., & Linn, B.S. ( 1982). The rapid disability rating scale 2. Journal of the American Geriatrics Society, 30, 378-382.
Loewenstein, D.A., Amigo, E., Duara, R., Guterman, A., Hurwitz, N., Wilkie, F., Weinberg, G., Black, B., Gittelman, B., & Eisdorfer, C. ( 1989). A new scale for the assessment of functional status in Alzheimer's disease and related disorders. Journal of Gerontology, 44, 114-121.
Lucas-Blaustein, M.J., Filipp, L., Dungan, C., & Tune, L. (1988). Driving in patients with dementia. Journal of the American Geriatrics Society, 36, 1087-1091. (Pubitemid 19005049)
Mahurin, R.K., DeBettignies, B.H., & Pirozzolo, F.J. ( 1991). Structured assessment of independent living skills: Preliminary report of a performance measure of functional abilities in dementia. Journal of Gerontology, 46, 58-66.
Manchester, D., Priestley, N., & Jackson, H. (2004). The assessment of executive functions: Coming out of the office. Brain Injury, 18, 1067-1081. (Pubitemid 39368968)
Moore, D.J., Palmer, B.W., Patterson, T.L., & Jeste, D.V. ( 2007). A review of performance-based measures of functional living skills. Journal of Psychiatric Research, 41, 91-118.
Oakley, F., Sunderland, T., Hill, J.L., Phillips, S.L., Makahon, R., & Ebner, J.D. ( 1991). The daily activities questionnaire: A functional assessment for people with Alzheimer's disease. Physical and Occupational Therapy in Geriatrics, 10, 67-81.
Patterson, M.B., Mack, J.L., Neundorfer, M.M., Martin, R.J., Smyth, K.A., & Whitehouse, PJ. ( 1992). Assessment of functional ability in Alzheimer's disease: A review and a preliminary report on the Cleveland scale for activities of daily living. Alzheimer's Disease and Associated Disorders, 6, 145-163.
Sikkes, S.A., de Lange-de Klerk, E.S.M., Pijnenburg, Y.A., Scheltens, P., & Uitdehaag, B.M. ( 2009). A systematic review of instrumental activities of daily living scales in dementia: Room for improvement. Journal of Neurological and Neurosurgical Psychiatry, 80, 7-12.
Skurla, E., Rogers, J.C., & Sunderland, T. (1988). Direct assessment of activities of daily living in Alzheimer's disease. Journal of the American Geriatrics Society, 36, 97-103. (Pubitemid 18039552)
Tappen, R.M. ( 1994). Development of the refined ADL assessment scale for patients with Alzheimer's and related disorders. Journal of Gerontological Nursing, 20, 36-42.
Teunisse, S., & Derix, M.M. ( 1997). The interview for deterioration in daily living activities in dementia: agreement between primary and secondary caregivers. International Psychogeriatrics, 9, Sl 55-Sl 62.
Voigt-Radloff, S., Leonhart, R., Schützwohl, M., Jurianz, L., Reuster, T., Gerner, A. et al. ( 2012). Interview for deterioration in daily living activities in dementia: Construct and concurrent validity in patients with mild to moderate dementia. International Psychogeriatrics, 24, 382-390.
Wechsler, D. ( 1989). WAIS-R. Échelle d'intelligence de Wechsler pour adultes forme révisée. Paris: Éditions du Centre de Psychologie Appliquée.
Wilson, B.A., Alderman, N., Burgess, P.W., Emslie, H., & Evans, J.J. ( 1996). Behavioural assessment of the dysexecutive syndrome. Manual. Bury St. Edmunds: Thames Valley Test Company
