Lamash Liron
Faculty of Welfare and Health Sciences University of Haifa, Israel.
Hong Kong J Occup Ther. 2025 Apr 23:15691861251334783. doi: 10.1177/15691861251334783.
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.
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.
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).
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).
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.
日常功能中的元认知能力及其与老年人参与度的关系尚未得到充分探索。先前的研究主要集中在认知表现上，而没有充分探讨其功能意义。
这项描述性定量研究旨在描述老年人自我报告的与元认知能力相关的日常困难、他们的参与模式以及两者之间的相关关系。
共有186名居住在以色列社区的老年人（125名女性；平均年龄73.44岁±8.25岁）完成了一份人口统计问卷、日常生活问卷（DLQ）和成人参与主观评估（ASAP）。
参与者报告称，在复杂的参与活动（如支付账单、在不熟悉的环境中导航）中遇到的困难比在结构化的日常任务中更多。他们还报告称，执行功能（EF）方面的困难比记忆和执行监控方面更多。认知困难与较低的参与频率（r = -0.34，p < .001）、活动多样性降低（r = -0.34，p < .001）以及对帮助的需求增加（r = -0.41，p < .001）相关。
研究结果强调了从功能角度评估元认知的必要性，因为认知挑战会显著影响参与度。将主观认知和参与评估相结合可能会为老年人群带来更好的预防和干预策略。
