Profinteg: a tool for real-life assessment of activities of daily living in patients with cognitive impairment

P. Anselme; M. Poncelet; S. Bouwens; S. Knips; F. Lekeu; C. Olivier; A. Quittre; C. van Heugten; S. Warginaire; V. Wojtasik; F. Verhey; E. Salmon; S. Majerus

doi:10.5334/pb-53-1-3

Profinteg: a tool for real-life assessment of activities of daily living in patients with cognitive impairment

P. Anselme, M. Poncelet, S. Bouwens, S. Knips, F. Lekeu, C. Olivier, A. Quittre, C. van Heugten, S. Warginaire, V. Wojtasik, F. Verhey, E. Salmon, S. Majerus^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

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 (I) 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.

Original language	English
Pages (from-to)	3-22
Number of pages	20
Journal	Psychologica Belgica
Volume	53
Issue number	1
DOIs	https://doi.org/10.5334/pb-53-1-3
Publication status	Published - 1 Jan 2013

Keywords

ALZHEIMERS-DISEASE
DEMENTIA
SCALES

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Cite this

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title = "Profinteg: a tool for real-life assessment of activities of daily living in patients with cognitive impairment",

abstract = "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 (I) 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.",

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AU - Poncelet, M.

AU - Bouwens, S.

AU - Knips, S.

AU - Lekeu, F.

AU - Olivier, C.

AU - Quittre, A.

AU - van Heugten, C.

AU - Warginaire, S.

AU - Wojtasik, V.

AU - Verhey, F.

AU - Salmon, E.

AU - Majerus, S.

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