Title: Patterns of functioning in older adults with mild cognitive impairment : a two-year study focusing on everyday technology use
Authors : Hedman, Annicka
Nygård, Louise
Almkvist, Ove
Kottorp, Anders
Published in : Aging & Mental Health
Volume(Issue) : 17
Issue : 6
Pages : 679
Pages to: 688
Publisher / Ed. Institution : Taylor & Francis
Issue Date: 2013
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Disease progression; Longitudinal study; Cognitive dysfunction; Dementia
Subject (DDC) : 616.8: Neurology, diseases of nervous system
Abstract: Objectives: Early detection is vital for persons with mild cognitive impairment (MCI) who are at risk of activity and participation limitations, and crosssectional studies suggest the ability to use everyday technology (ET) to be a sensible tool. However, group level analyses fail to inform us about how functioning can vary over time for individuals. This study aimed at exploring and describing patterns of functioning over two years in a sample newly classified with MCI, with a special focus on perceived difficulty in ET use and involvement in everyday activities. In addition, cognitive functioning and conversion to dementia were studied. Method: 37 older adults (aged ≥ 55) with MCI were assessed at inclusion, and at 6, 12, and 24 months. Longitudinal case plots for the variables under study were analyzed based on strict criteria using a person-oriented approach. Paired t-tests from baseline and 24 months were also conducted to analyze change. Results: The 32 participants who remained in the study after two years showed three distinct patterns of functioning over time: stable/ascending (n = 10), fluctuating (n = 10), and descending (n = 12), with the highest conversion to dementia in the descending pattern (58%). The perceived ability to use ET decreased or fluctuated in 50% of the sample. However, on a group level, a significant difference between baseline and 24 months was found only regarding cognitive function. Conclusion: As the need for support is individual and likely to alter over time, repeated evaluations of activity involvement and difficulty in ET use are suggested to target timely interventions for persons with MCI.
Departement: Gesundheit
Organisational Unit: Institute of Occupational Therapy (IER)
Publication type: Article in scientific Journal
DOI : 10.1080/13607863.2013.777396
ISSN: 1360-7863
URI: https://digitalcollection.zhaw.ch/handle/11475/8706
Appears in Collections:Publikationen Gesundheit

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