[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
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