Marks Timothy S, Giles Gordon Muir, Edwards Dorothy Farrar
Department of Occupational Therapy, University of Missouri, Columbia, MO, United States.
Department of Occupational Therapy, Samuel Merritt University, Oakland, CA, United States.
Front Aging Neurosci. 2024 Jul 3;16:1384812. doi: 10.3389/fnagi.2024.1384812. eCollection 2024.
Intact awareness facilitates an individual's adoption of strategies to support community living skills. However, most studies have not examined awareness during ongoing complex task performance. Objective: To examine whether community-dwelling adult's Accuracy and Strategy use on the Weekly Calendar Planning Activity 17-item version (WCPA-17), Total Cues on the Performance Assessment of Self-care Skills Checkbook Balancing and Shopping Task (PCST), and scores on the self-report Alzheimer's Disease Cooperative Study - Activities of Daily Living Scale (ADCS-ADL) differ between groups who do and do not demonstrate awareness of performance difficulties on the WCPA-17.
Using data collected as part of a larger study we performed a cross-sectional analysis of 274 community-dwelling adults aged 55 to 93 years. Two methods classified participants into groups aware or unaware of their performance. Independent sample -tests examined group differences on four dependent variables: Accuracy and Strategy use on the WCPA-17, PCST Total Cues, and score on the ADCS-ADL.
Using one classification method, aware individuals showed superior Accuracy ( < 0.001), used more Strategies ( = 0.002), needed fewer PCST Total Cues ( < 0.001), and reported greater independence on the ADCS-ADL ( < 0.004), similar trends were observed with the other method in Accuracy ( < 0.001) and PCST Total Cues ( < 0.001) but Strategy use and ADCS-ADL differences failed to reach significance after Bonferroni correction.
Groups categorized as aware performed better on all measures. Intact awareness is critical to performance on complex everyday activities and can be evaluated with functional cognition assessments.
完整的意识有助于个体采用策略来支持社区生活技能。然而，大多数研究并未考察在进行复杂任务时的意识情况。目的：探讨社区居住的成年人在每周日历规划活动17项版本（WCPA - 17）中的准确性和策略运用、自我护理技能支票簿平衡和购物任务（PCST）的总提示数，以及自我报告的阿尔茨海默病协作研究 - 日常生活活动量表（ADCS - ADL）得分在WCPA - 17中表现困难意识不同的组之间是否存在差异。
利用作为一项更大规模研究一部分收集的数据，我们对274名年龄在55至93岁的社区居住成年人进行了横断面分析。两种方法将参与者分为意识到或未意识到自身表现的组。独立样本t检验考察了四个因变量的组间差异：WCPA - 17的准确性和策略运用、PCST总提示数以及ADCS - ADL得分。
使用一种分类方法，有意识的个体表现出更高的准确性（<0.001），使用了更多策略（=0.002），所需的PCST总提示数更少（<0.001），并且在ADCS - ADL上报告的独立性更强（<0.004）；使用另一种方法在准确性（<0.001）和PCST总提示数（<0.001）方面观察到类似趋势，但在Bonferroni校正后，策略运用和ADCS - ADL差异未达到显著水平。
被归类为有意识的组在所有测量指标上表现更好。完整的意识对于复杂日常活动的表现至关重要，并且可以通过功能认知评估进行评估。
