Cognitive assessments for older adults: which ones are used by Canadian therapists and why

Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
Alison DouglasTammy Hopper

Abstract

Occupational therapists routinely evaluate cognition in older adults, yet little is known about which assessments they use and for what purposes. To examine the standardised and non-standardised assessments used by occupational therapists to evaluate cognition. A random sample of 1042 Canadian occupational therapists completed the questionnaire by e-mail, post, or Internet website (n=247, response rate: 24.5%). Respondents reported using 75 standardised and non-standardised measures. The assessments were grouped according to theoretical approach: bottom-up (assessment of cognitive components), top-down (assessment of function) and combined (either of above, plus interview). Theoretical approaches were used similarly across regions, despite differences in reporting of particular assessments. Therapists used more bottom-up assessments that were standardised, identified deficits, and easy to administer. They used more top-down assessments that were non-standardised, predicted function, and fit with their theoretical approach. It is recommended that standardised top-down assessments be developed to support evidence-based occupational therapy.

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Citations

Jul 21, 2011·Australian Occupational Therapy Journal·Nicol Korner-BitenskyValérie Poulin
Oct 13, 2015·Scandinavian Journal of Occupational Therapy·Elizabeth HobsonCarolyn Unsworth
Nov 1, 2012·Scandinavian Journal of Occupational Therapy·Linda Robertson, Luciana Blaga
Feb 18, 2010·Archives of Physical Medicine and Rehabilitation·Yael GoveroverJohn DeLuca
May 8, 2015·Australian Occupational Therapy Journal·Patrícia BelchiorAlexandra Robert
Jun 7, 2012·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Heather L ColquhounCheryl A Missiuna
Nov 15, 2013·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Briana M ZurJennie L Wells
Apr 5, 2013·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Alison M DouglasKevin W Eva
Dec 8, 2017·Dementia & Neuropsychologia·Juliana Conti
Jun 14, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Janie GobeilMélanie Levasseur
Jan 5, 2017·Scandinavian Journal of Occupational Therapy·Linda StigenMilada Cvancarova Småstuen
Sep 17, 2020·Occupational Therapy International·Fahad S ManeeMehdi Rassafiani

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