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The relationships between metacognitive aspects of daily activity performance and participation patterns: Older adults' perspectives.

作者信息

Lamash Liron

机构信息

Faculty of Welfare and Health Sciences University of Haifa, Israel.

出版信息

Hong Kong J Occup Ther. 2025 Apr 23:15691861251334783. doi: 10.1177/15691861251334783.


DOI:10.1177/15691861251334783
PMID:40291509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12018356/
Abstract

BACKGROUND: Metacognitive abilities in daily functioning and their relationship to older adults' participation have not been sufficiently explored. Prior research has mainly focused on cognitive performance without fully addressing its functional implications. OBJECTIVE: This descriptive quantitative study aimed to describe older adults' self-reported everyday difficulties related to their metacognitive abilities, their participation patterns, and the correlation relationships between them. METHODOLOGY: A total of 186 community-dwelling Israeli older adults (125 women; mean age 73.44yr ± 8.25) completed a demographic questionnaire, the Daily Living Questionnaire (DLQ), and the Adult Subjective Assessment of Participation (ASAP). RESULTS: Participants reported more difficulties in complex participation activities (e.g., paying bills, navigating unfamiliar environments) than in structured routine tasks. They also reported more difficulties in executive functions (EF) than in memory and executive monitoring. Cognitive difficulties were correlated with lower participation frequency ( = -.34, < .001), reduced activity diversity ( = -.34, < .001), and increased need for assistance ( = -.41, < .001). CONCLUSIONS: Findings highlight the need to assess metacognition functionally, as cognitive challenges significantly affect participation. Integrating subjective cognitive and participation assessments may lead to better prevention and intervention strategies among the older population.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af62/12102545/011011ae867e/10.1177_15691861251334783-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af62/12102545/011011ae867e/10.1177_15691861251334783-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af62/12102545/011011ae867e/10.1177_15691861251334783-fig1.jpg

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本文引用的文献

[1]
Using machine learning to modify and enhance the daily living questionnaire.

Digit Health. 2023-4-25

[2]
Occupational Therapy Practice Framework: Domain and Process-Fourth Edition.

Am J Occup Ther. 2020-8-1

[3]
Gender Differences in State Anxiety Related to Daily Function Among Older Adults During the COVID-19 Pandemic: Questionnaire Study.

JMIR Aging. 2021-6-3

[4]
Executive dysfunctions mediate between altered sensory processing and daily activity performance in older adults.

BMC Geriatr. 2021-2-22

[5]
Updated incidence and costs of hip fractures in elderly Italian population.

Aging Clin Exp Res. 2020-2-13

[6]
The effects of loneliness and social isolation on cognitive functioning in older adults: a need for nuanced assessments.

Int Psychogeriatr. 2019-4

[7]
Is intelligence equivalent to executive functions?

Psicothema. 2018-5

[8]
Self-report instruments of cognitive failures as screening tools for Subjective Cognitive Impairment in older adults.

Hell J Nucl Med. 2017

[9]
Global Performance of Executive Function Is Predictor of Risk of Frailty and Disability in Older Adults.

J Nutr Health Aging. 2017

[10]
The Effect of Physical Activity Interventions on Children's Cognition and Metacognition: A Systematic Review and Meta-Analysis.

J Am Acad Child Adolesc Psychiatry. 2017-7-6

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