Yaddaden Amel, Couture Mélanie, Gagnon-Roy Mireille, Belchior Patricia, Lussier Maxime, Bottari Carolina, Giroux Sylvain, Pigot Hélène, Bier Nathalie
École de réadaptation,Université de Montréal, Montreal, Canada.
Centre de Recherche de l'Institut Universitaire en Gériatrie de Montréal, Montreal, Canada.
J Rehabil Assist Technol Eng. 2020 May 13;7:2055668320909074. doi: 10.1177/2055668320909074. eCollection 2020 Jan-Dec.
Occupational therapists promote safety and autonomy of older adults with cognitive impairments. A technology, named COOK, offers support on a touch screen installed next to the stove to support task performance while correcting risky behaviors. We aimed to document (1) the functional profiles according the diagnosis (2) the types of interventions used to increase autonomy in the kitchen (3) the facilitators and obstacles to the implementation of COOK with this clientele.
Four focus groups were conducted with occupational therapists ( = 24) and were transcribed and analyzed using thematic analysis, including coding and matrix building.
Occupational therapists identified different (1) functional profiles and (2) interventions for both diagnoses. The use of COOK (3) could be more beneficial in mild cognitive impairment, as many barriers occur for the use in Alzheimer's disease. Some parameters, such as digital control of the stove and complex information management, need to be simplified.
According to occupational therapists, this technology is particularly applicable to people with mild cognitive impairment, because this population has better learning abilities.
This study documented the specific needs of older adults with cognitive impairments as well as interventions used by occupational therapists. The perspectives of caregivers should be captured in future research.
职业治疗师致力于提升认知障碍老年人的安全性与自主性。一种名为COOK的技术，可在炉灶旁安装的触摸屏上提供支持，以协助任务执行，同时纠正危险行为。我们旨在记录：（1）根据诊断得出的功能概况；（2）用于增强厨房自主性的干预类型；（3）针对该客户群体实施COOK的促进因素和障碍。
与职业治疗师（n = 24）进行了四个焦点小组讨论，并使用主题分析（包括编码和构建矩阵）对讨论内容进行转录和分析。
职业治疗师针对两种诊断确定了不同的（1）功能概况和（2）干预措施。COOK的使用（3）在轻度认知障碍中可能更有益，因为在阿尔茨海默病中使用存在许多障碍。一些参数，如炉灶的数字控制和复杂的信息管理，需要简化。
根据职业治疗师的说法，这项技术特别适用于轻度认知障碍患者，因为该人群具有更好的学习能力。
本研究记录了认知障碍老年人的特定需求以及职业治疗师使用的干预措施。未来的研究应纳入护理人员的观点。
