@article{ref1,
title="Cooking task assessment in frail older adults: who performed better at home and in the clinic?",
journal="Scandinavian journal of occupational therapy",
year="2013",
author="Provencher, Véronique and Demers, Louise and Gelinas, Isabelle and Giroux, Francine",
volume="20",
number="5",
pages="374-383",
abstract="Aim: The purpose of this study was to determine: (i) the proportion of frail older adults who demonstrate (a) statistically significant and (b) clinically meaningful differences between home and clinic cooking task performance; and (ii) factors associated with a better performance in each environment. Methods:Thirty-seven participants were evaluated with the Assessment of Motor and Process Skills (AMPS) in home and clinic environments using a counterbalanced design. Demographic, physical, cognitive, psychological, and environmental characteristics were also collected. Results:Thirty-three participants were retained for analysis. A statistically significant difference (> ±2 standard errors of measurement) between environments was found in 33% of the participants on the motor scale and the same proportion on the process scale. A clinically meaningful difference (based on cut-off scores predicting need for assistance) was noted in 30% of the participants. Better performance at home on the process scale was associated with a decrease in some executive functions, while better performance in the clinic on the motor scale was mostly related to a decline in grip strength. Conclusions:Our findings may help occupational therapists identify frail patients for whom home assessments would be advisable prior to discharge so that assistance provided meets their needs at home.<p /> <p>Language: en</p>",
language="en",
issn="1103-8128",
doi="10.3109/11038128.2012.743586",
url="http://dx.doi.org/10.3109/11038128.2012.743586"
}