Long-term cognitive functional limitations post stroke: objective assessment compared with self-evaluations and spouse reports

International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation
Kerstin WendelSusanne Iwarsson

Abstract

This study was part of a Swedish interdisciplinary research project targeting accessibility problems in public transport for people with cognitive functional limitations (CFLs). The objective was to describe and compare different assessment perspectives of long-term CFLs among community citizens having had CFLs in the acute stroke phase but with moderate physical limitations. Eighty-four participants in ordinary housing 18-36 months post stroke, initially sampled from a national quality stroke register, received data collection home-visits. The Cognistat screening instrument was used for an objective assessment, and a study-specific questionnaire for self-evaluations of CFLs. A revised form of the latter questionnaire was used for reports from spouses of a subset of 30 participants. The agreement between self-evaluated CFLs and spouse reports was analysed by percentage agreement and Cohen's kappa, whereas differences in ratings were tested by McNemar's test, as were differences between objective and self-evaluated/spouse-reported occurrence of CFLs. Regardless of the different perspectives applied, CFLs were frequent. In absence of significant difference in ratings, the percentage agreement between self-evaluations and spouse r...Continue Reading

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Citations

Jun 27, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Marielle W A van RijsbergenMargriet M Sitskoorn
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Jan 26, 2017·Scandinavian Journal of Occupational Therapy·Agneta Ståhl, Eva Månsson Lexell
Jan 29, 2013·European Journal of Ageing·Kerstin A WendelSusanne Iwarsson

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