Everyday problem solving among four groups of individuals with cognitive impairments: Examination of the discriminant validity of the observed tasks of daily living - Revised

Yael Goverover, Naomi Josman

Research output: Contribution to journalArticle

Abstract

To examine the discriminant validity of the Observed Tasks of Daily Living-Revised (OTDL-R) assessment test, performance was compared across four groups of participants (N = 140) expected to have different problem-solving skills and even/day competencies (community-dwelling older adults, older adults living in nursing homes or assisted living facilities, individuals with schizophrenia, and individuals with brain injuries). Analysis of variance with covariates (age and education) was used to examine differences in total OTDL-R scores across the four groups. OTDL-R performance was significantly better for community-dwelling older adults and significantly worse for participants with schizophrenia than for all other groups. No statistically significant differences were found for older adults living in nursing homes or assisted living facilities or participants with brain injuries after controlling for age and education. The OTDL-R was found to be a sensitive performance-based assessment tool of potential importance for occupational therapists in assessing instrumental activities of daily living and problem-solving skills. Additional research is needed to more fully characterize the psychometric value of the OTDL-R for appropriate use by clinicians and researchers.

Original languageEnglish (US)
Pages (from-to)103-112
Number of pages10
JournalOTJR Occupation, Participation and Health
Volume24
Issue number3
StatePublished - Jun 2004

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Assisted Living Facilities
Independent Living
Nursing Homes
Brain Injuries
Schizophrenia
Education
Activities of Daily Living
Psychometrics
Analysis of Variance
Research Personnel
Research
Cognitive Dysfunction

Keywords

  • cognitive impairments
  • Cognitive rehabilitation
  • Functional performance
  • activities of daily living

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)

Cite this

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