We aimed to assess the convergence, feasibility, and acceptability of the Oxford Digital Multiple Errands Test (OxMET) and the in-person Multiple Errands Test-Home version (MET-Home). Participants completed OxMET, MET-Home, Montreal Cognitive Assessment (MoCA), and questionnaires on activities of daily living, depression, technology usage, mobility, and disability. Forty-eight stroke survivors (mean age 69.61, 41.67% female, and average 16.5 months post-stroke) and 50 controls (mean age 71.46, 56.00% female) took part. No performance differences were found for healthy and stroke participants for MET-Home, and only found below = .05 for OxMET but not below the corrected = .006. Convergent validity was found between MET-Home and OxMET metrics (most ≥ .30, < .006). MET-Home accuracy was related to age (B = -.04, = .03), sex ( = -.98, = .03), disability ( = -0.63, = .04), and MoCA ( = .26, < .001), whereas OxMET accuracy was predicted by MoCA score ( = .40, < .001). Feedback indicated that the OxMET was easy and fun and more acceptable than the MET-Home. The MET-Home was more stressful and interesting. The MET tasks demonstrated good convergent validity, with the OxMET digital administration providing a more feasible, inclusive, and acceptable assessment, especially to people with mobility restrictions and more severe stroke.
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http://dx.doi.org/10.1080/09602011.2024.2344326 | DOI Listing |
JCO Oncol Pract
January 2025
Surveillance and Health Equity Science Department, American Cancer Society, Atlanta, GA.
Purpose: Financial hardship is common among cancer survivors and has been associated with worse physical and mental health in selected subpopulations. We comprehensively examined associations of financial hardship with multiple measures of health status, social functioning, and mental health in a large, nationally representative sample of cancer survivors.
Materials And Methods: We identified adults with a cancer history (18-64 years: n = 3,157 and ≥65 years: n = 5,991) from the 2019 to 2021 National Health Interview Survey.
Am J Occup Ther
January 2025
Carolyn A. Unsworth, PhD, OTR, BAppSc(OT), GCTE, is Professor, Occupational Therapy Department, Institute of Health and Wellbeing, Federation University, Churchill, Victoria, Australia; Department of Neurosciences, Monash University, Clayton, Victoria, Australia; Department of Rehabilitation, Jönköping University, Jönköping, Sweden; Department of Occupational Therapy, James Cook University, Townsville, Queensland, Australia.
Importance: Driving is a complex occupation requiring the interplay of high-level cognitive, physical, sensory, and behavioral skills for safe performance. Occupational therapists need to routinely address driving with adults as an occupational performance area. Further research is needed to determine whether performance-based assessment tools can support occupational therapists in screening client driving potential.
View Article and Find Full Text PDFNeuropsychol Rehabil
May 2024
Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.
J Rehabil Med
January 2024
Department of Occupational Therapy, Faculty of Welfare and Health Sciences, University of Haifa, Israel; Department of Occupational Therapy, Sheba Medical Center, Tel-Hashomer, Israel; Department of Occupation Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Objectives: The Assessment of Participation and Executive Functions (A-PEX) evaluates executive functioning through daily participation in complex daily activities. This study examines its ability to discriminate between executive functioning profiles post-traumatic brain injury and post-stroke and its sensitivity to changes.
Design: Cross-sectional with a longitudinal component.
Aust Occup Ther J
February 2024
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia.
Introduction: The Multiple Errands Test (MET) is a complex, performance-based assessment that is useful for characterising the impact of impairments of executive function on everyday activities. However, performance variance amongst those without neurological pathology, and the impact of non-cognitive factors on this, requires further investigation.
Methods: This was a cross-sectional analytic study, conducted with a convenience sample of 40 neurologically intact community-dwelling Australian adults.
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