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Long-term cognitive functional limitations post stroke: objective assessment compared with self-evaluations and spouse reports.

In English

Författare

Summary, in English

This study was part of a Swedish interdisciplinary research project targeting accessibility problems in public transport for people with cognitive functional limitations (CFLs). The objective was to describe and compare different assessment perspectives of long-term CFLs among community citizens having had CFLs in the acute stroke phase but with moderate physical limitations. Eighty-four participants in ordinary housing 18-36 months post stroke, initially sampled from a national quality stroke register, received data collection home-visits. The Cognistat screening instrument was used for an objective assessment, and a study-specific questionnaire for self-evaluations of CFLs. A revised form of the latter questionnaire was used for reports from spouses of a subset of 30 participants. The agreement between self-evaluated CFLs and spouse reports was analysed by percentage agreement and Cohen's kappa, whereas differences in ratings were tested by McNemar's test, as were differences between objective and self-evaluated/spouse-reported occurrence of CFLs. Regardless of the different perspectives applied, CFLs were frequent. In absence of significant difference in ratings, the percentage agreement between self-evaluations and spouse reports was good or very good, whereas kappa values were less encouraging. Overall, participants and spouses expressed more CFLs, as compared with the screening. Most consistency was demonstrated for the area of calculation. When researchers and clinicians solely rely on cognitive screenings in their investigations, there is a considerable risk for underestimations of CFLs.

Publiceringsår

2008

Språk

Engelska

Sidor

231-239

Publikation/Tidskrift/Serie

International Journal of Rehabilitation Research

Volym

31

Issue

3

Dokumenttyp

Artikel i tidskrift

Förlag

Lippincott Williams & Wilkins

Ämne

  • Other Medical Sciences not elsewhere specified

Status

Published

Projekt

  • REKO - Accessibility in public transport and people with cognitive limitations

Forskningsgrupp

  • Sustainable occupations and health in a life course perspective
  • Active and Healthy Ageing Research Group

ISBN/ISSN/Övrigt

  • ISSN: 1473-5660