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Research Article

Profinteg: A Tool for Real-Life Assessment of Activities of Daily Living in Patients with Cognitive Impairment

Authors:

Patrick Anselme,

University of Liège, Come-Back, Dienststelle für Personen mit Behinderung, BE
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Martine Poncelet,

University of Liège,Come-Back, Dienststelle für Personen mit Behinderung, BE
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Sharon Bouwens,

Maastricht University, NL
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Stephanie Knips,

Come-Back, Dienststelle für Personen mit Behinderung, BE
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Françoise Lekeu,

University Hospital, BE
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Catherine Olivier,

University Hospital, BE
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Anne Quittre,

University Hospital, BE
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Caroline Van Heugten,

Maastricht University, NL
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Sabine Warginaire,

Come-Back, Dienststelle für Personen mit Behinderung
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Vinciane Wojtasik,

University Hospital, BE
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Frans Verhey,

Maastricht University, NL
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Eric Salmon,

University Hospital, BE
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Steve Majerus

University of Liège,Fonds de la Recherche Scientifique FNRS, BE
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Abstract

Although there are many instruments for assessing activities of daily living (IADL) in brain injured patients, few instruments specifically target cognitive impairment and its impact on IADL. The present study presents the development of the Profinteg instrument, a tool for real-life assessment as well as rehabilitation of IADL in patients with cognitive impairment. This two-stage instrument covers over 90 activities. Psychometric properties of the different Profinteg measures were explored in twenty-five patients with mild to severe cognitive difficulties and twenty-five caregivers. The feasibility of the Profinteg rehabilitation procedure was explored in three patients. Excellent interrater reliability (r > 0.90, p < 0.01) was observed for all measures. Good sensitivity to changes in IADL disability over time was also observed (T = 2.37, p < 0.02). Significant improvement of IADL functioning was found after rehabilitation guided by Profinteg assessment. The Profinteg instrument detects with precision the difficulties patients encounter in their real-life setting via (1) assessment of a large number of activities and (2) detailed decomposition of activities into sub-activities. The Profinteg tool also provides promising results for guidance of IADL rehabilitation in the patient's real-life environment.
How to Cite: Anselme, P. et al., (2013). Profinteg: A Tool for Real-Life Assessment of Activities of Daily Living in Patients with Cognitive Impairment. Psychologica Belgica. 53(1), pp.3–22. DOI: http://doi.org/10.5334/pb-53-1-3
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Published on 01 Mar 2013.
Peer Reviewed

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