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The Association of Judgement Ability and Functional Status in Older Adult Rehabilitation Inpatients

Published online by Cambridge University Press:  23 July 2018

C. G. Quinn ,
L. A. Rabin  and
G. C. Sprehn
C. G. Quinn
Affiliation:
Department of Psychology, The Graduate Center, The City University of New York, New York, NY, USA Department of Psychology, Queens College, The City University of New York, Queens, NY, USA Department of Psychology, Brooklyn College, The City University of New York, Brooklyn, NY, USA
L. A. Rabin
Affiliation:
Department of Psychology, The Graduate Center, The City University of New York, New York, NY, USA Department of Psychology, Queens College, The City University of New York, Queens, NY, USA Department of Psychology, Brooklyn College, The City University of New York, Brooklyn, NY, USA
G. C. Sprehn*
Affiliation:
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA
*
Address for correspondence: G. C. Sprehn, Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA. E-mail: [email protected].
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Abstract

Purpose: Older adults have an increased likelihood of requiring rehabilitative care due to cognitive and physical risk factors. Research has found a link between executive functioning performance and functional outcomes; however, there is a dearth of research on the assessment of judgement ability. In the current pilot study, we investigated the clinical utility of the Test of Practical Judgment (TOP-J) in an older adult rehabilitation sample.

Methods: Inpatients of mixed diagnoses (n = 25, mean age = 72.60) completed the TOP-J and Functional Independence Measure (FIM). We assessed TOP-J performance in the entire sample and in those with intact vs. impaired global cognition (on the Mini-Mental State Examination; MMSE). Correlational analyses were conducted between the TOP-J, MMSE and relevant FIM items.

Results: TOP-J performance fell between the means typically observed in individuals with mild cognitive impairment and mild Alzheimer's disease. Participants with intact global cognition obtained significantly higher TOP-J scores than those with impaired global cognition. Moderate to strong positive correlations emerged between TOP-J, MMSE and FIM items of problem solving, comprehension and memory.

Conclusions: Results provide support for the clinical utility and validity of the TOP-J among older adults in the rehabilitation setting. Administering the TOP-J may help identify patients at risk for future injury and facilitate role transitions.

Keywords

Judgementrehabilitationfunctionalolder adultsneuropsychological assessment
Type
Articles
Information
Brain Impairment , Volume 19 , Issue 3 , December 2018 , pp. 235 - 245
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2018 

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