Preliminary Study of the Utility of the Menu Task in an Acute Care Setting

IF 2 Q2 REHABILITATION
Gordon M. Giles PhD, OTR/L , Timothy S. Marks PhD , Terri Flynn MSOT, OTR/L, CLT , Courtney R. Arganek MSOT, OTR/L, CLT , Samantha M. Evander Elmore MSOT, OTR/L , Rebekka Schindler BSOT, OTR/L , Dorothy F. Edwards PhD
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Abstract

Objective

To establish the preliminary clinical utility and ecological validity in an acute care setting of a brief functional cognitive screening measure, the Menu Task (MT).

Design

Cross-sectional observational study.

Setting

Single university-affiliated acute care hospital.

Participants

A convenience sample of consecutive general medical patients (N=104) referred to occupational therapy who were not identified as having dementia or delirium and who provided consent.

Interventions

Not applicable.

Main Outcome Measures

MT, Mini-Cog, Activity Measure for Postacute Care (AM-PAC) 6-clicks.

Results

The mean age of participants was 70.75 years, and the mean length of stay was 10.17 days. The MT was not significantly correlated with age (r=−.15), education in years (r=.09), the number of chronic health conditions (r=−.18), or length of stay (r=.00). The MT was minimally and not significantly correlated with the AM-PAC Basic Mobility (r=−.06) and Daily Activity (r=−.17) scores. The MT identified more patients as impaired than the Mini-Cog (Χ2 =19.69, df=1, N=104; p<.0001). The MT mean scores increased in parallel with increasing scores in the Mini-Cog (F=5.75; df=4.99; p<.0001: ꞃ2=0.19).

Conclusions

The mean duration of the MT assessment suggests that routine administration by occupational therapists in an acute care setting is feasible and can add information distinct from the basic mobility and self-care data provided by the AM-PAC measures. This study provides preliminary evidence that the MT is sensitive to functional cognitive deficits in an acutely hospitalized population; however, further research is needed to establish the relationship between the MT and postdischarge independent living skills.
菜单任务在急症护理中应用的初步研究
目的探讨菜单任务(MT)这一简单的功能性认知筛查方法在急症护理中的初步临床应用和生态效度。设计横断面观察性研究。单一校属急症医院。参与者:一个方便的连续普通医疗患者样本(N=104),涉及职业治疗,未被确定为痴呆或谵妄,并提供同意。InterventionsNot适用。主要结果测量:mt, Mini-Cog,急性期后护理活动测量(AM-PAC)。结果患者平均年龄70.75岁,平均住院时间10.17天。MT与年龄(r= - 0.15)、受教育年限(r= 0.09)、慢性健康状况(r= - 0.18)或住院时间(r= 0.00)无显著相关。MT与AM-PAC基本活动能力(r= - 0.06)和日常活动(r= - 0.17)得分的相关性最小,且不显著。MT比Mini-Cog识别出更多的患者受损(Χ2 =19.69, df=1, N=104;术;。)。MT平均分数与Mini-Cog分数平行增加(F=5.75;df = 4.99;术;。0001:ꞃ2 = 0.19)。结论:MT评估的平均持续时间表明,在急性护理环境中,由职业治疗师进行常规管理是可行的,并且可以添加不同于AM-PAC措施提供的基本活动能力和自我护理数据的信息。这项研究提供了初步证据,证明MT对急性住院人群的功能性认知缺陷敏感;然而,MT与出院后独立生活能力之间的关系有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
3.00
自引率
0.00%
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