TY  - JOUR
PY  - 2013//
TI  - Cooking task assessment in frail older adults: who performed better at home and in the clinic?
JO  - Scandinavian journal of occupational therapy
A1  - Provencher, Véronique
A1  - Demers, Louise
A1  - Gelinas, Isabelle
A1  - Giroux, Francine
SP  - 374
EP  - 383
VL  - 20
IS  - 5
N2  - 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>
LA  - en
SN  - 1103-8128
UR  - http://dx.doi.org/10.3109/11038128.2012.743586
ID  - ref1
ER  -