- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Occupational Therapy Practice and Research
- Cardiac Arrest and Resuscitation
- Assistive Technology in Communication and Mobility
- Dementia and Cognitive Impairment Research
- Geriatric Care and Nursing Homes
- Traumatic Brain Injury Research
- Musculoskeletal pain and rehabilitation
- Frailty in Older Adults
- Health disparities and outcomes
- Family and Disability Support Research
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Health, Nursing, Elderly Care
- Behavioral and Psychological Studies
- Balance, Gait, and Falls Prevention
- Nursing care and research
- Medical Education and Admissions
- Autism Spectrum Disorder Research
- Chronic Disease Management Strategies
- Ergonomics and Musculoskeletal Disorders
- Spinal Cord Injury Research
- Rheumatoid Arthritis Research and Therapies
- Bipolar Disorder and Treatment
University of Pittsburgh
2012-2021
University of South Australia
2020
University of Coimbra
2020
Rogers (United States)
2013
University of Pittsburgh Medical Center
2007-2012
Kessler Foundation
2011
The University of Texas Medical Branch at Galveston
2011
Michigan State University
2007
Neurological Surgery
2007
Misericordia University
1996-2001
Background and Purpose— The guidelines presented in this consensus statement are intended to serve researchers, clinicians, reviewers, regulators the selection of most appropriate primary outcome for a clinical trial cardiac arrest therapies. American Heart Association treatment depend on high-quality trials, which meaningful outcome. Because process has been subject much controversy, conference was convened with national international experts, National Institutes Health, US Food Drug...
Cognitive impairment in late-life depression is a core feature of the illness.
Objectives To examine whether preclinical disability in performance of cognitively focused instrumental activity daily living (C‐ IADL ) tasks can discriminate between older adults with normal cognitive function and those mild impairment ( MCI and, secondarily, to determine the two strongest psychometric properties assess their discriminative ability so as generate diagnosis‐relevant information about changes associated neurocognitive disorder according Diagnostic Statistical Manual Mental...
Abstract The health care environment of the past quarter century went through numerous evolutionary processes that affected how occupational therapy services were provided. last iterations these included requests for evidence supported what we doing. This year’s Eleanor Clarke Slagle Lecture (a) examines strength associated with interventions—what do and it—(b) raises dilemmas face our ethical principles when some practices are based on limited evidence, (c) proposes a framework continued...
OBJECTIVES: To determine the efficacy of skin protection wheelchair seat cushions in preventing pressure ulcers elderly nursing home population. DESIGN: Clinical trial with participants assigned at random to a or segmented foam cushion. Two hundred thirty‐two were recruited between June 2004 and May 2008 followed for 6 months until ulcer incidence. SETTING: Twelve homes. PARTICIPANTS: Nursing residents aged 65 older who using wheelchairs more hours per day had Braden score 18 less combined...
Background While bipolar disorder (BD) is a leading cause of disability, and an important contributor to disability in BD cognitive impairment, there little systematic research on the longitudinal course function instrumental activities daily living (IADLs) late-life. In this report, we characterize 2-year IADLs older adults with BD. Method We recruited non-demented individuals 50 years I or II ( n = 47) from out-patient clinics treatment studies at University Pittsburgh. Comparator subjects...
Background. Cognitive impairments occur frequently after stroke and contribute to significant disability. Strategy training shows promise but has not been examined in the acute phase of recovery. Objective. We conducted a single-blind randomized pilot study estimating effect strategy training, relative reflective listening (attention control), for reducing disability executive cognitive impairments. Methods. Thirty participants with who were enrolled inpatient rehabilitation had receive (n =...
OBJECTIVES: This study examined the effectiveness of a behavioral rehabilitation intervention for improving performance morning care activities daily living (ADL) nursing home residents with dementia. DESIGN: Participants and their caregivers were observed 5 days each under conditions Usual Care (naturalistic) Skill Elicitation (intervention), 15 Habit Training (intervention follow‐up). Observations involved ADL categories DRESSING, OTHER ADL, NO ADL. A 3 × design (condition X category) was...
This study examined the effect of classical music and favorite on repetitive disruptive vocalizations long-term-care facility (LTCF) residents with dementia Alzheimer's type (DAT).Three subjects diagnosed DAT who had a history were selected for study. Three single-subject withdrawal designs (ABA, ACA, ABCA) used to assess subjects' during each phase: no intervention (A); relaxing, (B); (C).Classical significantly decreased number in two three (p < .05).These findings support method that was...
Abstract The occupational therapy process involves the assessment and treatment of problems in status. Assessment entails sensing defining patients’ is accomplished through diagnosis. As a process, diagnosis creation clinical image patient cue acquisition, hypothesis generation, interpretation, evaluation. This sequence cognitive activities called diagnostic reasoning. product, summarizes patient’s deficits terms role performance, components performance. To serve adequately as basis for...
Gildengers AG, Butters MA, Chisholm D, Anderson SJ, Begley A, Holm M, Rogers JC, Reynolds CF III, Mulsant BH. Cognition in older adults with bipolar disorder versus major depressive disorder. Bipolar Disord 2012: 14: 198–205. © 2012 The Authors. Journal compilation John Wiley & Sons A/S. Objectives: (BD) and (MDD) are associated cognitive dysfunction age during both acute mood episodes remitted states. purpose of this study was to investigate for the first time similarities differences...
Meta-cognitive strategy training may be used to augment inpatient rehabilitation promote active engagement and subsequent benefit for individuals with cognitive impairments after stroke. We examined the feasibility of administering a form meta-cognitive training, Cognitive Orientation daily Occupational Performance (CO-OP), during rehabilitation. trained an individual right hemisphere stroke identify performance problems, set self-selected goals, develop plans address evaluate improvements....
Functional mobility is necessary to perform activities of daily living and for community participation everyone, but especially important persons with disabilities (PWD). Therefore, functional requires reliable measurement consumer satisfaction changes. The assessment (FMA) instrument a self-report outcomes tool designed measure effectiveness wheeled seating (WMS) interventions PWD. This study examined the test-retest reliability FMA, stability self-reported performance items.A...
Objective . The study aim was to characterize the time-course of recovery in impairments, activity limitations, participation restrictions, disability, and quality life during first year after cardiac arrest. Secondarily, described associations between instruments used measure each these domains. Methods Measures global disability (Cerebral Performance Category, CPC, Modified Rankin Scale, mRS), life, affective cognitive impairments were administered 29 participants 1, 6, 12 months Results...
The purpose of the study is to develop an outcome measurement tool investigate functional performance consumers using seating and wheelchair systems as their primary mobility device. instrument undergoing systematic development in three phases. results Phase 1 will be reported.Manual power users were interviewed a modified version client-centred measure. An item bank was derived based on interview data. Subjects then asked validate categories new instrument, finally self-administer first...