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Journal articles on the topic 'Services cognitif'
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Serpantié, Georges, Albert Rakotonirina, Jean-Christophe Poussin, Aurélie Toillier, and Fano Andriamahefazafy. "Une approche cognitive co-constructiviste pour définir un service environnemental « bassin versant ». Cas de Tolongoina, Madagascar." Cahiers Agricultures 30 (2021): 18. http://dx.doi.org/10.1051/cagri/2021004.
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Lors du montage d’un dispositif de paiement pour service environnemental lié à l’eau (PSE-bassin versant), l’identification précise des services environnementaux en jeu est une étape à forte dimension cognitive, mais souvent laissée implicite. À l’occasion d’un projet d’hydro-électricité à Madagascar dans un contexte conflictuel de déforestation, une recherche-action en partenariat a créé les conditions d’un rapprochement cognitif et d’une explicitation du service environnemental, grâce à des études écohydrologiques participatives, la mobilisation de savoirs locaux et des ateliers-débats multi-acteurs. Suivi d’autres études et négociations, cet apprentissage collectif a facilité l’aboutissement du premier contrat PSE-bassin versant-hydro-électricité dans ce pays, et permis d’y inclure des agriculteurs.
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Robin, Nicolas, Robbin Carrien, Christophe Boudier, and Laurent Dominique. "Le discours interne optimise les effets positifs de l’imagerie mentale lors de l’apprentissage du service chez des debutants." ITF Coaching & Sport Science Review 29, no. 85 (2021): 9–11. http://dx.doi.org/10.52383/itfcoaching.v29i85.143.
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L’objectif de cette étude exploratoire était de tester les effets, au cours d’un stage d’une semaine, d’une combinaison d’imagerie mentale (s’imaginer se voir réaliser un service) et de discours interne cognitif (portant sur les instructions pour servir) sur le pourcentage de réussite et la qualité technique du service de joueurs débutants au tennis dans le but d’apporter des recommandations pratiques aux entraîneurs. Les résultats montrent une amélioration supplémentaire de la performance des services quand l’imagerie mentale est associée au discours interne.
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Mvilongo-Tsala, Anselme. "Formation et intervention interculturelle : défi pour l’Ontario français." Reflets : Revue ontaroise d'intervention sociale et communautaire 1, no. 1 (2007): 122–40. http://dx.doi.org/10.7202/026057ar.
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Résumé Cet article s'inscrit dans l'effort de formation à l'intervention sociale interculturelle, effort entrepris depuis quelques années par des théoriciens et praticiens sociaux afin de dispenser des services plus adéquats aux personnes provenant de cultures diverses. Après avoir relevé les différents modèles d'approches théoriques et pratiques de la problématique, Vauteur propose d'enrichir cette formation par l'apport du double concept de la centration et de la décentration culturelle. Reconnaissant les répercussions négatives du sociocentrisme cognitif déformant, il suggère aux intervenantes et intervenants franco-ontariens des pistes pour éviter le danger associé à une pratique sociocentriste uniformisante, et pour soulever la question des bases culturelles du style de vie des populations à aider.
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Luctkar-Flude, Marian, Jane Tyerman, Shawna Burnett, Janet Giroux, and Dianne Groll. "Effets du neurofeedback sur la fatigue et les troubles cognitifs qui surviennent après un cancer : Étude pilote de faisabilité." Canadian Oncology Nursing Journal 32, no. 2 (2022): 223–32. http://dx.doi.org/10.5737/23688076322223232.
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Objectif : La fatigue et les troubles cognitifs qui se manifestent après un cancer sont des effets indésirables qui, souvent, perdurent après les traitements et nuisent à la qualité de vie. L’étude vise à évaluer la faisabilité du neurofeedback et ses effets sur le fonctionnement cognitif et la fatigue des survivants du cancer, particulièrement la faisabilité des stratégies de recrutement, du protocole de recherche et des mesures de résultats. Devis : L’étude pilote de faisabilité est construite selon un devis avec groupe témoin mis sur liste d’attente pendant une période de 10 semaines. Les participantes servaient elles-mêmes de groupe témoin. Elles ont suivi deux séances de neurofeedback par semaine, pendant 10 semaines. Participants : L’échantillon était composé de survivantes du cancer du sein vivant à Kingston, en Ontario (n=16). Méthodologie : Les résultats ont été évalués à l’aide d’échelles d’autoévaluation validées, ainsi que par des tests neurobiologiques avant, pendant et après le traitement par neurofeedback. Résultats : La faisabilité du protocole de neurofeedback a été confirmée : la procédure s’accompagne d’une diminution significative des troubles cognitifs, de la fatigue, des troubles du sommeil et des symptômes psychologiques. Implications pour les services psychosociaux : Le neurofeedback pourrait se poser en thérapie complémentaire efficace et non invasive pour traiter les troubles cognitifs qui surviennent chez les survivantes du cancer du sein après les traitements.
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Rivard, Mélina, Céline Mercier, Marjorie Morin, and Anabel Lépine. "Le point de vue de parents d’enfants présentant un trouble du spectre de l’autisme en regard d’un programme public d’intervention comportementale." Revue de psychoéducation 44, no. 2 (2017): 289–315. http://dx.doi.org/10.7202/1039257ar.
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L’intervention comportementale intensive (ICI) est implantée depuis 2003 dans les services publics québécois destinés aux enfants de 2 à 5 ans ayant un trouble du spectre de l’autisme. Ce choix a été fait sur la base de l’avis d’experts et des données probantes à l’effet que l’ICI représente l’intervention la plus efficace pour les jeunes enfants ayant ce type de trouble. Bien que les effets de l’ICI soient largement documentés, la perception des familles quant aux services d’ICI reçus demeure peu étudiée. À partir d’entretiens effectués auprès de 52 familles, le point de vue des parents concernant les services d’ICI a été abordé selon trois dimensions : l’appréciation générale, les effets perçus sur l’enfant et la famille ainsi que le niveau de satisfaction. Les données ont été recueillies à partir de questions ouvertes, d’un questionnaire structuré et de l’Échelle de satisfaction des services (CSQ-8). Les parents participants rapportent que l’équipe d’intervention, les modalités d’intervention ainsi que le contenu de l’intervention des services ICI sont les principaux points forts des services évalués. Des améliorations pourraient néanmoins être apportées à certaines modalités de dispensation des services, ainsi qu’à l’accessibilité, aux mouvements de personnel et à l’implication des parents. Tous les parents, sauf un, rapportent des effets positifs chez l’enfant, notamment sur les plans de la communication, du fonctionnement cognitif et des aspects sociaux. Les services ont aussi des effets sur le bien-être des parents, leurs habiletés parentales et la vie quotidienne familiale. Plus de 95 % des répondants se sont déclarés satisfaits ou très satisfaits des modalités du programme ICI. Le niveau général de satisfaction est également très élevé.
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Durand, Marie-José, and Marlène Falardeau. "Lorsque l'enseignement supérieur s'intéresse au renouvellement des pratiques en réadaptation: étude de besoins." Canadian Journal of Occupational Therapy 70, no. 4 (2003): 233–42. http://dx.doi.org/10.1177/000841740307000407.
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Description générale et but. Afin de répondre aux nouveaux défis que pose la pratique professionnelle en réadaptation, une étude a été effectuée au Québec auprès d'intervenants du domaine pour évaluer leurs besoins de formation continue au 2e cycle universitaire. Méthodologie. Au total, 99 personnes ont participé à des groupes de discussion et à des entrevues téléphoniques. Une analyse de contenu des discours a été réalisée. Résultats. Deux grandes catégories de compétences à acquérir ont été dégagées : le développement du « soi-outil », c'est-à-dire de l'amélioration de la capacité d'introspection de l'intervenant dans sa pratique professionnelle et le “ soi-producteur de services », à savoir l'acquisition de connaissances dans le domaine cognitif reliée à l'amélioration de la qualité des services. Par ailleurs, les participants ont favorisé une variété de modes pédagogiques dont des enseignements intensifs offerts de préférence les fins de semaine et des programmes courts de formation (9 à 15 crédits). Conséquences pour la pratique. Cette étude a permis de cibler les besoins particuliers des cliniciens pour faire face aux transformations actuelles des services de santé. La nécessité de créer un programme de 2e cycle en réadaptation a été mise en évidence et beaucoup d'enthousiasme face à la création d'un tel programme a été manifesté.
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Paquette, Gilbert. "L’ingénierie des interactions dans les systèmes d’apprentissage." Articles 25, no. 1 (2007): 135–61. http://dx.doi.org/10.7202/031996ar.
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Résumé Cet article traite des interactions dans les systèmes d'apprentissage. Pragmatique, le point de vue est centré sur les méthodes de conception favorisant des interactions significatives entre les acteurs d'un système d'apprentissage, que ceux-ci soient des personnes intervenant directement sur les réseaux de télécommunication ou des services interactifs médiatisés dans des environnements logiciels. Le point de vue est aussi cognitif et pédagogique plutôt que médiatique. L'auteur s'intéresse à la modélisation des connaissances, à la scénarisation pédagogique et à leur relation par l'intermédiaire des habiletés et des compétences visées. Un processus de conception des scénarios pédagogiques est ainsi décrit comme l'ancrage d'un ensemble de prescriptions, de principes destinés aux concepteurs d'un système d'apprentissage afin de les aider à maximiser les interactions utiles à l'apprentissage.
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Vu, M., DB Hogan, SB Patten, et al. "Profil complet des caractéristiques sociodémographiques, psychosociales et sanitaires des clients des soins à domicile atteints de démence en Ontario." Maladies chroniques et blessures au Canada 34, no. 2/3 (2014): 143–57. http://dx.doi.org/10.24095/hpcdp.34.2/3.08f.
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Introduction Cette étude fournit une synthèse des caractéristiques sociodémographiques, psychosociales et sanitaires d'une vaste cohorte représentative des clients des soins à domicile en Ontario (âgés de 50 ans ou plus) atteints de démence et elle examine les variations de ces caractéristiques chez les clients atteints de maladies neurologiques concomitantes. Méthodologie Les clients ont été évalués à l'aide de l'Instrument d'évaluation des résidents – Soins à domicile (RAI-HC) entre janvier 2003 et décembre 2010. Les analyses descriptives fournissent la répartition de ces caractéristiques en comparant les clients atteints de démence et ceux de plusieurs autres groupes ainsi que ceux atteints d'autres maladies neurologiques documentées. Résultats Environ 22 % des clients (n = 104 802) avaient reçu un diagnostic de démence (âge moyen de 83 ans, 64 % de femmes) et un sur quatre parmi eux était atteint d'une maladie neurologique concomitante (AVC ou maladie de Parkinson la plupart du temps). Environ 43 % des clients atteints de démence n'habitaient pas avec leur principal aidant. Par rapport aux clients des groupes de comparaison, les clients atteints de démence présentaient des taux considérablement plus élevés de déficit cognitif et fonctionnel, d'agressivité, d'anxiété, d'errance et d'hallucinations ou de délire, avaient plus souvent un aidant en détresse et couraient un plus grand risque de placement en établissement. Par contre, ils étaient moins souvent atteints de diverses maladies chroniques et étaient moins nombreux à avoir eu recours à des services de santé récemment. Les symptômes de dépression étaient relativement fréquents chez les clients atteints de démence et chez ceux atteints d'une autre maladie neurologique. Conclusion Les clients atteints de maladies neurologiques concomitantes présentaient des profils cliniques bien particuliers illustrant la nécessité de personnaliser et d'assouplir les services de soins à domicile et d'améliorer les programmes de soutien pour les aidants.
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Ritz, L., C. Lannuzel, C. Boudehent, et al. "Validation d’un outil de dépistage rapide des troubles neuropsychologiques consécutifs à l’alcoolo-dépendance (BEARNI)." European Psychiatry 30, S2 (2015): S103. http://dx.doi.org/10.1016/j.eurpsy.2015.09.193.
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Les déficits neuropsychologiques consécutifs à l’alcoolo-dépendance affectent principalement la mémoire épisodique, la mémoire de travail et les capacités visuospatiales, ainsi que les fonctions exécutives et motrices [1,2]. Ces déficits présents notamment en début de sevrage peuvent conduire à un bénéfice limité des ateliers psychothérapeutiques et entraver le maintien de l’abstinence des patients alcoolo-dépendants [3,4]. Ainsi, une évaluation neuropsychologique étendue conduite après sevrage semble essentielle afin d’orienter la prise en charge clinique de ces patients. Cependant, peu de services d’addictologie ont les ressources humaines et financières pour conduire une telle évaluation chez chaque patient. L’objectif de cette étude était donc d’examiner la validité et les qualités psychométriques d’un outil de dépistage : le BEARNI (pour Brief Examination of Alcohol-Related Neuropsychological Impairments). Cet outil a été spécialement développé pour être accessible au personnel soignant non psychologue dans l’objectif de conduire un dépistage rapide des déficits neuropsychologiques consécutifs à l’alcoolo-dépendance. Une batterie neuropsychologique étendue a servi de référence (gold standard) pour déterminer le profil cognitif des patients alcoolo-dépendants et examiner les qualités psychométriques du BEARNI. L’analyse factorielle exploratoire a permis de valider la structure interne de BEARNI en mettant en évidence 5 facteurs expliquant 60 % de la variabilité et reflétant les capacités visuospatiales, les fonctions exécutives, la mémoire verbale et la mémoire de travail verbale. La standardisation de chacun des sub-tests et des scores totaux à BEARNI, conduite par l’intermédiaire de courbes ROC, a mis en évidence que cet outil de dépistage présente une bonne efficacité diagnostique dans le dépistage des atteintes cognitives et motrices présentes chez les patients alcoolo-dépendants après sevrage. Cette étude montre la pertinence de l’utilisation de BEARNI en pratique clinique pour détecter la présence de troubles neuropsychologiques chez les patients alcoolo-dépendants et permettre d’orienter ceux ayant besoin d’une évaluation neuropsychologique étendue.
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Cole, Kevin N., Truman E. Coggins, and Cheryl Vanderstoep. "The Influence of Language/Cognitive Profile on Discourse Intervention Outcome." Language, Speech, and Hearing Services in Schools 30, no. 1 (1999): 61–67. http://dx.doi.org/10.1044/0161-1461.3001.61.
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Children with communication needs are often allocated intervention services as a result of the relationship between their cognitive ability and language performance. Children with higher cognitive skills relative to language skills are considered promising candidates for language services. In contrast, children who are delayed in both cognitive and language abilities are considered poor candidates for intervention and are often excluded from services, or given a lower priority for services. This study examines the effects of intervention on one aspect of pragmatic development (discourse skills) following intervention for two groups of young children with delayed language development: one group with measured cognitive performance above language performance, and the other group with similar delays in both language and cognitive performance. Repeated measures analyses of variance indicated significant differences between groups for two of 15 measures derived from language samples. Both favored the children with equivalent delays in language and cognition. These findings do not support the notion that children with equivalent delays in cognition and language development are poor candidates for language intervention. Service delivery and policy implications are discussed.
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Kawakami, Rei. "Microsoft Cognitive Services." Journal of The Institute of Image Information and Television Engineers 72, no. 5 (2018): 423–26. http://dx.doi.org/10.3169/itej.72.423.
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Čaić, Martina, Dominik Mahr, and Gaby Oderkerken-Schröder. "Value of social robots in services: social cognition perspective." Journal of Services Marketing 33, no. 4 (2019): 463–78. http://dx.doi.org/10.1108/jsm-02-2018-0080.
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Purpose The technological revolution in the service sector is radically changing the ways in which and with whom consumers co-create value. This conceptual paper considers social robots in elderly care services and outlines ways in which their human-like affect and cognition influence users’ social perceptions and anticipations of robots’ value co-creation or co-destruction potential. A future research agenda offers relevant, conceptually robust directions for stimulating the advancement of knowledge and understanding in this nascent field. Design/methodology/approach Drawing from service, robotics and social cognition research, this paper develops a conceptual understanding of the value co-creation/destruction potential of social robots in services. Findings Three theoretical propositions construct an iterative framework of users’ evaluations of social robots in services. First, social robots offer users value propositions leveraging affective and cognitive resources. Second, users’ personal values become salient through interactions with social robots’ affective and cognitive resources. Third, users evaluate social robots’ value co-creation/destruction potential according to social cognition dimensions. Originality/value Social robots in services are an emerging topic in service research and hold promising implications for organizations and users. This relevant, conceptually robust framework advances scholarly understanding of their opportunities and pitfalls for realizing value. This study also identifies guidelines for service managers for designing and introducing social robots into complex service environments.
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Neal, Vanessa, and Nan Musson. "SPEECH-LANGUAGE PATHOLOGISTS’ PRACTICE PATTERNS IN THE MANAGEMENT OF COGNITIVE IMPAIRMENT IN PARKINSON’S DISEASE." Innovation in Aging 7, Supplement_1 (2023): 815. http://dx.doi.org/10.1093/geroni/igad104.2630.
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Abstract Cognitive impairment is common in patients with Parkinson’s disease (PD) and can have significant impact on quality of life. Speech-language pathologists (SLPs) are qualified to treat cognitive impairment in PD, yet previous studies have shown SLPs tend to place greater focus on other impairment areas (e.g., dysarthria) and may lack confidence treating cognition. This study sought to better understand practice patterns in PD cognitive treatment among Veteran Affairs SLPs (N=14) participating in a national quality improvement project. Using a mixed-methods design, we examined SLPs’ use of formal assessments (e.g., standardized screening) and patient-reported outcome measures for cognition. We also examined SLPs’ clinical recommendations and perspectives toward providing cognitive services. Data was obtained using REDCap and semi-structured interviews. Results showed formal cognitive assessments were completed on 45% of patients (N=191) and patient-reported outcome measures were completed with 36% of patients. Of the patients formally assessed (n=86), 55 scored as having some degree of cognitive impairment and 17 were ultimately enrolled in cognitive treatment. The most common reasons SLPs provided for not treating cognition included: patient declining treatment, supportive home environment, needing further testing, or other medical needs (e.g., sleep management). Overall, results suggest cognitive management was a low priority among clinicians and patients. SLPs reported barriers to providing cognitive treatment included patient desire to participate and therapeutic time constraints when also providing speech and/or swallowing services. Further research is needed to increase integration of cognitive services into SLP treatment of PD and identify strategies to increase patient buy-in of cognitive treatment.
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Hynes, Sinéad M., Fiadhnait O’Keeffe, Eimear Bane, et al. "Assessment and Management of Cognitive and Psychosocial Difficulties for People with Multiple Sclerosis in Ireland: A National Survey of Clinical Practice." International Journal of Clinical Practice 2022 (October 21, 2022): 1–13. http://dx.doi.org/10.1155/2022/3232076.
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Background. A recent survey of 109 healthcare professionals explored how UK healthcare professionals typically assess and treat multiple sclerosis (MS)-related cognitive impairment. Little is currently known about what constitutes usual care for cognitive impairment and psychosocial care for people with MS in Ireland. Aim. The aim of the current research was to survey healthcare professionals (HCPs) who work with people with MS, to understand current assessment and management of cognition and psychosocial care in people with MS in the Republic of Ireland. Methods. A cross-sectional survey design was used. Data were collected online through Microsoft forms and through postal responses. The original UK questionnaire was adapted, piloted, and distributed to Irish HCPs. Participants were qualified HCPs who work clinically with people with MS in the Republic of Ireland. Results. Ninety-eight HCPs completed the survey. Only 34% of those surveyed reported routine screening of cognition for people with MS within their services; approximately, 36% HCPs reported that they did not provide information or services in relation to cognition to people with MS and 39% reported not referring elsewhere when cognitive difficulties were suspected. Out of the 98 HCPs, 47% reported assessing mood difficulties as part of their services, with 14% unsure. In total, 70% of participants reported onward referral took place if mood difficulties were identified. The Montreal Cognitive Assessment was the most commonly administrated cognitive assessment. Cognitive intervention choices were found to be guided by clinical judgement in 75.5% of cases. Discussion. Despite the high importance placed on cognitive and psychosocial care, there is very little consistency in treatment and assessment across services for people with MS in Ireland.
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Talley, C. Richard. "Compensation for cognitive services." American Journal of Health-System Pharmacy 52, no. 7 (1995): 693. http://dx.doi.org/10.1093/ajhp/52.7.693.
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Iacobucci, Dawn. "Cognitive Networks of Services." Journal of Service Research 1, no. 1 (1998): 32–46. http://dx.doi.org/10.1177/109467059800100104.
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Postman, Whitney Anne, Maureen Fischer, Kellie Dalton, et al. "Coupling Hearing Health With Community-Based Group Therapy for Cognitive Health in Low-Income African American Elders." Perspectives of the ASHA Special Interest Groups 7, no. 2 (2022): 387–99. http://dx.doi.org/10.1044/2021_persp-21-00110.
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Purpose: To address disparities in the domains of hearing health and cognitive health experienced by African American elders in early stages of cognitive-communicative decline, a cognitive stimulation therapy (CST) group was established. The group intervention was coupled with comprehensive audiology services. This clinical focus article describes the features of the program, its implementation, and outcomes from its first cohort of participants. Method: CST is an evidence-based group intervention for elderly individuals living with mild-to-moderate dementia. The program was designed to (a) adapt and then apply CST to a target group of low-income African American elders and (b) integrate audiology services and education about hearing health and hearing loss in the context of CST therapy. In partnership with two community health centers in North St. Louis, a CST group was established for 12 elderly African American clients with cognitive-communicative impairments as measured by standardized assessments. During weekly group sessions, culturally informed activities and discussions were conducted with input from staff and participants to stimulate social interaction and cognition. Health topics relevant to age-related sensory and cognitive decline were introduced, with emphasis on management of common chronic diseases such as diabetes that are known to be associated with increased risk of hearing loss. Free hearing health services were provided, including screenings and, as needed, full audiological evaluations, cerumen management, otolaryngology referrals, hearing aids, and aural rehabilitation. Results: Participants' self-administered ratings and self-generated comments indicated meaningful increases in actionable knowledge about both hearing and cognitive health that led to enhanced utilization of available health services. They also suggested that audiology services were paramount to their enthusiastic adherence to the combined CST–audiology program. Conclusion: Interlinking of interventions for hearing and cognition reduced common barriers to care for this target group of low-income African American elders with cognitive-communicative impairments.
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Monds, L. A., N. J. Ridley, C. Rivas, A. Withall, B. Draper, and N. Lintzeris. "Cognition and adaptive functioning in older people attending drug and alcohol services." International Psychogeriatrics 29, no. 5 (2017): 815–23. http://dx.doi.org/10.1017/s1041610216002428.
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ABSTRACTBackground:Substance use disorders in older adults are expected to increase dramatically in the coming years. Given the increased susceptibility to cognitive deficits in older substance users (defined here as aged 50+ years due to the accelerated health decline observed in this population), it is important to consider the functional correlates of cognitive impairment in these older adults. This study details the cognitive status of older individuals attending outpatient drug and alcohol (D&A) treatment services and seeks to determine of the association of cognitive impairment to self-reported daily functioning.Methods:Ninety nine clients aged 50 years or over attending outpatient D&A treatment services in Sydney, Australia participated. Cognition was assessed using the Addenbrooke's Cognitive Examination – Revised (ACE-R). Recent substance use (Australian Treatment Outcome Profile), physical and mental health (SF12, Geriatric Depression Scale), social isolation (Lubben Social Network Scale), and activities of daily living (Bayer ADL Scale) were also assessed.Results:Nearly two-thirds of participants screened positive for cognitive impairment on the ACE-R; 41% and 65% of clients met the cut-off scores for mild cognitive impairment (MCI) and more severe cognitive impairment, respectively. Self-reported seizure history was a predictor of cognitive impairment.Conclusions:The results suggest that cognitive impairment in this group is common. The assessment of cognitive status for this older group of patients should not only include the identification of cognitive impairment but also encompass mental health and social functioning. A greater understanding of the needs of this cohort will also enable better co-ordination with other health and welfare services tailored to this population.
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de Domingo, Kathy. "Assistive Technology for Cognition: Perspectives on Funding." Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 23, no. 2 (2013): 84–89. http://dx.doi.org/10.1044/nnsld23.2.84.
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Physical and occupational therapists commonly provide services that incorporate prosthetic and orthotic devices such as crutches, canes, reachers, and ankle–foot orthoses to support mobility and activities of daily living (ADLs). Likewise, speech-language pathologists provide services incorporating prosthetic devices to support communication such as an electrolarynx, microcomputers, and mobile devices and apps with voice output capability. Assistive technology for cognition (ATC) includes the use of personal digital assistants (PDAs), tablets, and smart phones — cognitive prostheses — to compensate for cognitive challenges following acquired brain injury (ABI). Whereas funding sources for devices and services that support/compensate for mobility, ADLs, and communication challenges are generally well established, funding for ATC devices and services is relatively new to the field of speech-language pathology. This article explores the funding aspect of ATC devices and services.
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Kuan-Yu Chen, Kuan-Yu Chen, Yu-Lun Hsu Kuan-Yu Chen, Yu-San Ting Yu-Lun Hsu, and Pi-Tzong Jan Yu-San Ting. "Applying Fuzzy Cognitive Map Based on Structural Equation Modeling for Perceiving the Service Quality and Attributes in Service Industry." 網際網路技術學刊 24, no. 1 (2023): 113–21. http://dx.doi.org/10.53106/160792642023012401011.
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<p>This study explores why the business firm survival due to provide the service quality and perceived values since servicescape, waiting experiences and food quality are three major factors that affect customer intentions. Therefore, the most examined restaurant attributes are included physical setting and environment, wait time, and food and service quality in this study. Servicescape positively effects perceived service quality. However, service quality is an overall judgment that a based on the perception of the object in consumer process of customer and can be seen as the result of customer evaluation. Therefore, we analyze data from 396 full-service restaurant diners in Taiwan based on Fuzzy Cognitive Map (FCM) and Structural Equation Model (SEM) to investigate hypothesis and to identify the most relevant decision factors to enhance outcome variables and furthers to help decision makers have a clear picture of affecting factors in the customer behavioral intention. The findings support the model and show that perceived overall service quality and perceived value do exert mediating effects in the relationship between restaurant-related attributes and customer behavioral intention. This study could ultimately contribute to the business firms in service industry to provide decision makers the most desirable outcomes to survival the competitive society.</p> <p>&nbsp;</p>
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Kharb, Dr Latika. "Embedding Intelligence through Cognitive Services." International Journal for Research in Applied Science and Engineering Technology V, no. XI (2017): 533–37. http://dx.doi.org/10.22214/ijraset.2017.11083.
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Meade, Vicki. "Getting Paid for Cognitive Services." American Pharmacy 34, no. 6 (1994): 32–36. http://dx.doi.org/10.1016/s0160-3450(15)30397-4.
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Raisch, Dennis W. "Barriers to providing cognitive services." American Pharmacy 33, no. 12 (1993): 54–58. http://dx.doi.org/10.1016/s0160-3450(15)30574-2.
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Siette, Joyce, Andrew Georgiou, and Johanna Westbrook. "Observational cohort study investigating cognitive outcomes, social networks and well-being in older adults: a study protocol." BMJ Open 9, no. 6 (2019): e029495. http://dx.doi.org/10.1136/bmjopen-2019-029495.
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IntroductionSocial networks play a role in slowing the development of dementia. However, there is a need for further investigation of the effects of improving social networks on health-related quality of life and cognitive performance. Targeted community aged care services are a central strategy for supporting older adults to initiate and maintain their social engagement with other individuals at all stages of later life. This protocol describes a prospective observational cohort study aimed at (1) characterising interpersonal relationships in older adults receiving community care services, (2) assessing the relationship social networks and health-related quality of life and cognition and (3) identifying the association between community care use, social networks and cognition. The findings will contribute to our understanding of how specific social network structures and social support services can maintain cognitive function in community-dwelling older adults.Methods and analysisThis is a prospective, observational cohort study of 201 older Australians residing in the community and receiving care services from one of three aged care organisations. Clients with a history of neurological injury will be excluded. Participants will undergo baseline measures of social networks, health-related quality of life and cognitive function, and a follow-up at 6 months. Service use and sociodemographic variables will also be collected. The primary outcome is cognitive function, and secondary outcomes include social networks and health-related quality of life. Multivariable linear regression will test the hypothesis that increased social networks are associated with an increase in cognitive function.Ethics and disseminationApproval of the study by Macquarie University Research Ethics Committee (reference number 5201831394062) has been obtained. This work will be disseminated by publication of peer-reviewed manuscripts, presentations in abstract form at scientific meetings and results will be made available to home and community-based care older adults and care staff of the involved organisations.Trial registration numberACTRN12618001723279; Pre-results.
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Hassanin, Hany I., Heba M. Tawfik, Stelios Zygouris, Marianna Tsatali, Hala S. Sweed, and Magda Tsolaki. "Setting Up a Cognitive Training Service for Egyptian Older Adults." Journal of Alzheimer's Disease 79, no. 4 (2021): 1673–82. http://dx.doi.org/10.3233/jad-201278.
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Background: With greying of nations, dementia becomes a public health priority. The rising dementia prevalence escalates both health care expenses and burden, placing the entire healthcare system and caregivers under huge stress. Cognition-oriented interventions have been shown to enhance the overall cognitive performance among healthy and cognitively impaired older adults. Objective: This article is assumed to be a steppingstone for the introduction and establishment of cognition- oriented interventions in Egypt. In addition, it aims to offer provisional guidance for health care providers in Arab speaking countries in a stepwise approach in order to establish cognition-oriented intervention services and help them to evaluate and monitor their efficacy. Methods: Aconsortium of Egyptian and Greek specialists developed a protocol for the operations of the Ain Shams Cognitive Training Lab and the provision of cognition-oriented interventions. This protocol is based on a previous successful protocol that has been implemented in Greece for more than 10 years and is co-designed to fit the needs of older adults in Arabic speaking countries. Results: The types of services offered, their objectives, recruitment of participants, delivery of interventions, measurement of outcomes and privacy policy are all outlined in the policy. Conclusion: Establishing the appropriate framework in which cognitive training strategies can be adapted and implemented in Arabic population, constitutes an inevitable achievement in healthy ageing and can be also assumed as a dementia prevention strategy. Moreover, setting up the first cognitive laboratory in Egypt older adults, can be a model of good practice across the Arabic countries.
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Hsieh, Jung-Kuei. "The role of customers in co-creating m-services in the O2O model." Journal of Service Management 28, no. 5 (2017): 866–83. http://dx.doi.org/10.1108/josm-03-2016-0062.
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Purpose The purpose of this paper is to investigate customer loyalty in the online-to-offline (O2O) model by conceptualizing and measuring emotion and cognition. Design/methodology/approach An online survey was used to collect 514 questionnaire responses. The data were analyzed using structural equation modeling. Findings Three emotional factors influence two cognitive factors, which in turn affect customer loyalty. The type of message source acts as a moderator. In addition to pleasure and arousal, dominance is a key factor of emotion. The effects of social enhancement and store environment on customer loyalty reflect the O2O model’s integration of online and offline environments. Practical implications The moderating role of the type of message source implies that marketers of brick-and-mortar stores can promote positive offline experiences to attract online customers and then encourage these customers to disseminate personal messages in their social circles. By attracting online customers through appealing m-services and retaining these customers through favorable store environments, marketers can maximize the utility of the O2O model. Originality/value Three emotional factors and two cognitive factors are conceptualized to predict customer loyalty in the O2O model. This study shows that the relationships between cognitive factors and customer loyalty are moderated by the type of message source. When check-in activity messages are sent by friends, the perception of social enhancement can lead to greater customer loyalty. In contrast, when check-in activity messages are sent by unfamiliar sources, customer loyalty is driven more by cognition of the store environment than by online interaction. The findings enrich existing knowledge of the O2O model and m-services, and have implications for researchers and marketers.
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Ning, Weining, Joy Goodman-Deane, and P. John Clarkson. "Addressing Cognitive Challenges in Design – A Review on Existing Approaches." Proceedings of the Design Society: International Conference on Engineering Design 1, no. 1 (2019): 2775–84. http://dx.doi.org/10.1017/dsi.2019.284.
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AbstractInsufficient design often causes challenges to users on a cognitive level, hindering them from interacting with products smoothly. There is a lack of effective design tools and supporting materials that can help designers to understand human cognition and how it affects the way that users experience and use products and services. This paper aims to identify current approaches that can be applied to address this issue, and to examine their strengths and weaknesses. This helps to identify future directions for developing and improving cognitive design supports. A literature review was conducted of research publications in the fields of both design and cognition. Four key approaches are identified: cognitive design principles/guidelines, the demand-capability approach, cognitive walkthrough and cognitive modelling. Their strengths and weaknesses are analyzed from a design standpoint. The paper also analyses the underlying causes of the insufficient uptake of cognitive design approaches by designers.
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Saraceno, Carolyn. "Learning to Use Assistive Technology for Cognition: A Survivor's Perspective." Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 23, no. 2 (2013): 69–73. http://dx.doi.org/10.1044/nnsld23.2.69.
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Rehabilitation professionals serving individuals with acquired brain injuries perform myriad tasks related to the complex needs of this population: assessment, treatment, client and family education, coordination of services across levels of care, etc. One aspect of rehabilitation practice that is often overlooked is adopting the perspective of the client—considering what it feels like to be on the receiving end of rehabilitation services. In this article, an individual with cognitive challenges due to an acquired brain injury shares her views on how it felt to be trained to use assistive technology for cognition (ATC) to compensate for cognitive challenges and the effect of this experience on her sense of self.
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Eirinakis, Pavlos, Stavros Lounis, Stathis Plitsos, et al. "Cognitive Digital Twins for Resilience in Production: A Conceptual Framework." Information 13, no. 1 (2022): 33. http://dx.doi.org/10.3390/info13010033.
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Digital Twins (DTs) are a core enabler of Industry 4.0 in manufacturing. Cognitive Digital Twins (CDTs), as an evolution, utilize services and tools towards enabling human-like cognitive capabilities in DTs. This paper proposes a conceptual framework for implementing CDTs to support resilience in production, i.e., to enable manufacturing systems to identify and handle anomalies and disruptive events in production processes and to support decisions to alleviate their consequences. Through analyzing five real-life production cases in different industries, similarities and differences in their corresponding needs are identified. Moreover, a connection between resilience and cognition is established. Further, a conceptual architecture is proposed that maps the tools materializing cognition within the DT core together with a cognitive process that enables resilience in production by utilizing CDTs.
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Johansen, Kirstine Helboe, and Katrine Frøkjær Baunvig. "Gudstjeneste og erkendelse – en Donaldsk analyse af kirkens gudstjenester og deres deltagere." Dansk Teologisk Tidsskrift 77, no. 4 (2014): 297–316. http://dx.doi.org/10.7146/dtt.v77i4.105727.
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The worship service of the Church has been an object of intenseinterest within both scholarly work and the everyday work of thecongregations. This article contributes to this ongoing discussion by acognitive analysis of selected services and groups of ritual participantsin the Evangelical-Lutheran Church in Denmark. The theoreticalframework is the Canadian evolutionary psychologist Merlin Donald.His theory of the evolution of the human cognition is illustrated bya model that guides the analyses of both services and types of ritualparticipants. The analyses show differences between the cognitive approaches that dominate among the participants and the cognitive appealsthat dominate in the ritual procedures. In continuation of theseanalyses, the conclusion points to cognitive appeals within the ritualprocedures of the established church that may be elaborated on to adjustto the group of participants as well as to appeal to the full spectrumof cognitive strategies that any human being possess.
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Asadov, Shahriddin. "LEGAL REGULATION OF CONSULTING SERVICES." Review of Law Sciences 7, no. 2 (2023): 81–89. http://dx.doi.org/10.51788/tsul.rols.2023.7.2./zdpq7738.
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Consulting services have become an integral part of modern business, and regulatory oversight is necessary to ensure that they operate ethically and professionally. In recent years, the consulting industry has experienced tremendous growth due to the growing demand for professional expertise and market knowledge. However, the industry has also faced numerous legal and ethical challenges, which have revealed the need for even more effective legal regulation. In this article, in order to determine more effective methods of regulation, various legal issues related to the provision of consulting services were discussed. Applying several general and private legal methods of legal research as a cognitive method, a method of analysis and synthesis, etc., the analysis of the legal conjuncture of the consulting services market was carried out. As a result of this work, results have been obtained in the form of scientific definitions and when applied can be effective tools for the legal regulation of consulting services.
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AYGUN, Hanife ESEN. "The Relationship between Pre–Service Teachers’ Cognitive Flexibility and Interpersonal Problem Solving Skills." Eurasian Journal of Educational Research 18, no. 77 (2018): 1–24. http://dx.doi.org/10.14689/ejer.2018.77.6.
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Aygün, Hanife Esen, and Çiğdem Şahin Taşkın. "Pre-Service Teachers' Views on Cognitive Flexibility within the Scope of Teaching Practice." Journal of Qualitative Research in Education 7, no. 4 (2019): 1–25. http://dx.doi.org/10.14689/issn.2148-2624.1.7c.4s.8m.
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Daniels, Kevin, Gerry Johnson, and Leslie de Chernatony. "Task and Institutional Influences on Managers' Mental Models of Competition." Organization Studies 23, no. 1 (2002): 31–62. http://dx.doi.org/10.1177/0170840602231002.
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From institutional theory, we argue (a) that the competitive, or task environment may encourage divergence of management cognition between organizations, management functions and amongst senior managers, and (b) that the institutional environment may encourage cognitive convergence at the level of the industry, the strategic group and within institutionalized practices linked to management functions and level. Using management cognition of competition as a vehicle and two cognitive mapping methods, we test a series of competing propositions amongst 32 managers in the UK personal financial services industry, an industry that evidences both task and institutional characteristics. Our findings indicate neither the superiority of exclusively task nor institutional explanations of management cognition. However, the results do indicate some influence of the institutional environment, most noticeably through the convergence of mental models within middle managers across the industry. The results also indicate some influence of the task environment, through cognitive differences across organizations and greater differentiation amongst senior managers' mental models. We interpret our results by referring to the usefulness of distinguishing between task and institutional environments in management cognition and strategic management research.
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Han, Sae Hwang, Bei Wu, and Jeffrey A. Burr. "Edentulism and Trajectories of Cognitive Functioning Among Older Adults: The Role of Dental Care Service Utilization." Journal of Aging and Health 32, no. 7-8 (2019): 744–52. http://dx.doi.org/10.1177/0898264319851654.
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Objective: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults. Method: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years. Results: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline. Discussion: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.
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Zhang, Zhan, Karen Joy, Pradeepti Upadhyayula, Mustafa Ozkaynak, Richard Harris, and Kathleen Adelgais. "Data Work and Decision Making in Emergency Medical Services: A Distributed Cognition Perspective." Proceedings of the ACM on Human-Computer Interaction 5, CSCW2 (2021): 1–32. http://dx.doi.org/10.1145/3479500.
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Emergency medical services (EMS) teams are first responders providing urgent medical care to severely ill or injured patients in the field. Despite their criticality, EMS work is one of the very few medical domains with limited technical support. This paper describes a study conducted to examine technology opportunities for supporting EMS data work and decision-making. We transcribed and analyzed 25 simulation videos. Using the distributed cognition framework, we examined EMS teams' work practices that support information acquisition and sharing. Our results showed that EMS teams leveraged various mechanisms (e.g., verbal communication and external cognitive aids) to distribute cognitive labor in managing, collecting, and using patient data. However, we observed a set of prominent challenges in EMS data work, including lack of detailed documentation in real time, situation recall issues, situation awareness problems, and challenges in decision making and communication. Based on the results, we discuss implications for technology opportunities to support rapid information acquisition, integration, and sharing in time-critical, high-risk medical settings.
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Yandra Alves Prestes, Johrdy Amilton da Costa Braga, Higo da Silva Lopes, Maria Helena Ribeiro De Checchi, Elisa Brosina de Leon, and Hércules Lázaro Morais Campos. "Perfil cognitivo e de funcionalidade de idosos comunitários residentes no interior do estado do Amazonas." Saúde em Redes 9, sup6 (2023): 4356. http://dx.doi.org/10.18310/2446-4813.2023v9nsup6.4356.
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Este estudo tem como objetivo descrever o perfil cognitivo e de funcionalidade de pessoas idosas que participaram de um grupo um treinamento focado em atividades de dupla tarefa, em uma universidade pública. Métodos: Trata-se de um estudo transversal com idosos que apresentam idade > 60 anos de ambos os sexos. Avaliou-se a cognição pelo Mini-Exame do Estado Mental (MEEM), Teste de Trilha, Teste de Fluência Verbal (TFV), Teste de Reconhecimento de Figuras e Informant Questionnaire on Cognitive Decline in the Elderly-IQCODE. A funcionalidade foi avaliada com o Instrumento de Avaliação de Incapacidade (WHODAS II) e o Brazilian Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire (BOMFAQ). Resultados: Foram avaliados 26 idosos, sendo a maioria do sexo feminino 73,1% (19); com idade ? 60 anos. A maioria dos idosos declararam-se aposentados 92,3% (24), analfabetos ou possui menos de 5 anos de escolaridade 76,9% (20). Os participantes obtiveram uma boa pontuação nas avaliações funcionais, já nas de cognição os idosos apresentaram de moderado a grave déficit cognitivo. Nos testes de avaliação cognitiva aplicados verificou-se comprometimento significativo em relação ao desempenho. Conclusão: no que diz respeito ao perfil cognitivo, verificou-se um comprometimento cognitivo preocupante dos idosos avaliados. Quanto à funcionalidade, os idosos ativos obtiveram bons resultados, mostraram ser independentes ou possuir pouca dificuldade na realização de suas atividades cotidianas e não precisam de dispositivo de auxílio de marcha.
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Murray, James J. "Cognitive Services in Nutrition Support Pharmacy." Journal of Pharmacy Practice 7, no. 6 (1994): 271–79. http://dx.doi.org/10.1177/089719009400700609.
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Many new opportunities are available to the clinical pharmacist in search of an appropriate environment in which to tailor specific clinical services. This is an opportune time for pharmacists to become more creative in their practice settings and to become more involved with, and responsible for, the therapy process of patients. Cognitive services provide a value-added service to the patient, physician, and third-party payor. The value of pharmaceutical cognitive services becomes more evident in the outpatient setting. The value of cognitive services varies depending on the practice setting, demographics of the patient, and resources of the pharmacy organization. This article describes a pharmacist's experience in developing nutritional support cognitive services to patients and targeted physicians in an outpatient home infusion pharmacy. If properly developed, a well-marketed cognitive service can add tremendous revenue to a pharmacy by creating respect and loyalty from physicians and third-party payors, creating a formidable patient base. Cognitive services are not reimbursed separately at present, but future studies should show the value of these services if more pharmacists will provide cost-effective cognitive services and be able to show more positive patient therapy outcomes.
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Poirier, Sylvie. "Reimbursement for Cognitive Services: Quebec's Experience." American Pharmacy 32, no. 5 (1992): 56–60. http://dx.doi.org/10.1016/s0160-3450(15)31125-9.
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MacStravic, Robin Scott. "Cognitive commitments in health services marketing." Health Care Management Review 10, no. 3 (1985): 11–18. http://dx.doi.org/10.1097/00004010-198501030-00005.
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Brewer, Martha J. "Two Consultations: Cognitive Services vs Procedures." JAMA: The Journal of the American Medical Association 256, no. 4 (1986): 472. http://dx.doi.org/10.1001/jama.1986.03380040046021.
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Barone, James E. "Two Consultations: Cognitive Services vs Procedures." JAMA: The Journal of the American Medical Association 256, no. 4 (1986): 472. http://dx.doi.org/10.1001/jama.1986.03380040046022.
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Sautter, Richard D. "Two Consultations: Cognitive Services vs Procedures." JAMA: The Journal of the American Medical Association 256, no. 4 (1986): 473. http://dx.doi.org/10.1001/jama.1986.03380040046023.
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Gloria, Onwuneme, Hayat Tayyib TA, and Hosseini Akram A. "WED 165 The management of cognitive and behavioural symptoms in ms." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 10 (2018): A20.4—A21. http://dx.doi.org/10.1136/jnnp-2018-abn.74.
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BackgroundApproximately half of MS patients (pwMS) experience cognitive impairments including domains such as memory, concentrations, executive functions, which can be exacerbated by mood disturbances and fatigue. NICE guidelines (CG168) recommend proactive identification of cognitive symptoms, assessment and referral to neuropsychology services or occupational therapy.AimTo assess the local departmental MS service with regards to diagnosis and management of cognitive and behavioural symptoms.MethodWe conducted a retrospective audit of pwMS attending the specialist MS clinic since March 2017. Records were reviewed for documented evidence of: a discussion about cognitive and behavioural changes; use of assessment tools; management; referral. Data was also collected on demographics, presence of comorbidities, use of disease modifying therapy, and cognition-modulating medication.Results69% of pwMS demonstrated cognitive or behavioural symptoms including: fatigue (71%), poor memory (28%), depression, sleep disturbance, and concentration difficulties. Almost half expressed multiple symptoms. 47% of patients were referred for further management with OT, psychology services, or counselling.ConclusionThis study highlights the ongoing need for greater focus on identification of cognitive and behavioural symptoms in the MS population. Furthermore, simple assessment tools such as questionnaires should be considered within the clinic for monitoring cognitive symptoms and response to intervention.
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L Beck, Douglas, Sarah Bant, and Nathan A Clarke. "Hearing loss and cognition: a discussion for audiologists and hearing healthcare professionals." Journal of Otolaryngology-ENT Research 12, no. 3 (2020): 72–78. http://dx.doi.org/10.15406/joentr.2020.12.00459.
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Among researchers, clinicians and patients, there is widespread and growing interest in the relationship between hearing and cognition. The Cognition in Hearing Special Interest Group (SIG) is part of the British Society of Audiology (BSA) and is uniquely positioned to explore the relationship between hearing loss, amplification and cognitive ability and cognitive decline. The multiplicity of emerging reports concerning hearing loss and cognition is increasing rapidly. In light of this vast growth, there is a risk that clinicians may be left uncertain regarding the nature and extent of the emerging evidence linking hearing and cognition. The trickle-down corollary of such uncertainty can negatively impact patient care. Answering challenging questions and disseminating complex information about the latest evidence-based hearing science are a daily part of any clinician’s role and those in audiology services may be asked “How does my hearing loss affect my chance of getting dementia?” or “can hearing aids help people with dementia?” This discussion is therefore, based on articles and information our committee members selected to represent the status quo. The Cognition in Hearing SIG aims, through this discussion article, to provide clinicians a contemporary understanding of research on this topic. We will discuss evidence concerning hearing loss and cognition and how it relates to people living with hearing loss and cognitive decline or dementia, and we shall pose some challenges and opportunities for future research and clinical practice evidence. Therefore, to address these aims in an accessible manner for clinicians, the Cognition in Hearing SIG shall address the following broad questions: What is the relationship between hearing loss and cognition? What do we know about hearing loss and cognitive performance? Is there a link between hearing loss, cognitive decline, and dementia? Can we intervene on the relationship between hearing loss and cognition?
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Gain, Ulla. "The cognitive function and the framework of the functional hierarchy." Applied Computing and Informatics 16, no. 1/2 (2018): 81–116. http://dx.doi.org/10.1016/j.aci.2018.03.003.
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Cognitive computing is part of AI and cognitive applications consists of cognitive services, which are building blocks of the cognitive systems. These applications mimic the human brain functions, for example, recognize the speaker, sense the tone of the text. On this paper, we present the similarities of these with human cognitive functions. We establish a framework which gathers cognitive functions into nine intentional processes from the substructures of the human brain. The framework, underpins human cognitive functions, and categorizes cognitive computing functions into the functional hierarchy, through which we present the functional similarities between cognitive service and human cognitive functions to illustrate what kind of functions are cognitive in the computing. The results from the comparison of the functional hierarchy of cognitive functions are consistent with cognitive computing literature. Thus, the functional hierarchy allows us to find the type of cognition and reach the comparability between the applications.
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Poh, Zhing Loong, Dexia Kong, Mengting Li, and XinQi Dong. "The Association Between Cognitive Function and Preventive Care Service Utilization Among U.S. Chinese Older Adults." Innovation in Aging 4, Supplement_1 (2020): 366–67. http://dx.doi.org/10.1093/geroni/igaa057.1180.
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Abstract Preventive healthcare utilization is an important aspect of medical practice that facilitates the identification of chronic diseases at an early stage and increases options for treatment. Cognitive function plays an important role in individuals’ utilization of preventive care services. However, our understanding of the relationship between cognitive function and preventive care utilization is limited, particularly in older minority aging populations. The study aims to assess the association between cognitive function and preventive healthcare utilization among U.S. Chinese older adults. Data were obtained from the Population Study of Chinese Elderly in Chicago (PINE). Five instruments were used to measure global cognition, including the Mini-Mental State Examination, East Boston Memory Test Immediate Recall and Delayed Recall, Digit Span Backwards, and Symbol Digit Modalities Test. Preventive care services included immunization (i.e. flu, pneumonia, and hepatitis B vaccines) and cancer screenings (i.e. colorectal, breast, cervical, and prostate). Multivariable regression analyses were used. The findings showed that higher level of global cognition was associated with higher utilization of pneumonia vaccination (OR=1.32, 95% CI= 1.14-1.52), hepatitis B vaccination (OR=1.24, 95% CI= 1.05-1.47), colon exam (OR=1.23, 95% CI= 1.07-1.41), mammogram (OR=1.46, 95% CI= 1.22-1.73), breast exam (OR=1.23, 95% CI= 1.04-1.46), and cervical exam (OR=1.38, 95% CI= 1.15-1.65). Future longitudinal studies are needed to elucidate potential mechanisms underlying the relationship between cognitive function and preventive care utilization among U.S. Chinese older adults. Study findings underscore the need to understand preventive care utilization patterns among U.S. Chinese older adults with low cognitive function.
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Mulkey, Malissa A., DaiWai M. Olson, and Sonya R. Hardin. "Patient Safety: Cognitive Assessment at Intensive Care Unit Discharge." Critical Care Nurse 43, no. 2 (2023): 64–67. http://dx.doi.org/10.4037/ccn2023718.
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Topic Assessing functional cognition is a critical need for intensive care unit survivors transitioning to another level of care. Clinical Relevance Up to 62% of patients discharged from an intensive care unit have significant cognitive impairment that is not associated with severity of illness, number of comorbidities, or length of hospital stay. For more than 20 years, researchers have published an array of potentially effective interventions, including case management, patient and informal caregiver education, and home health care services. Purpose To describe the impact of and potential interventions for cognitive decline at intensive care unit discharge and discharge readiness on 30-day readmission rates. Content Covered Assessing the patient’s functional cognition assessment and advocating for appropriate resources are needed to improve patient and clinical outcomes.
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Prins, Emily Jean, Quinn P. Tyminski, Carolyn Baum, Samantha Strich, and Madeline Contreras. "Functional Cognition in Individuals Experiencing Homelessness: A Relationship With Well-Being." American Journal of Occupational Therapy 76, Supplement_1 (2022): 7610505006p1. http://dx.doi.org/10.5014/ajot.2022.76s1-rp6.
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Abstract Date Presented 03/31/2022 Individuals experiencing homelessness (IEH) (N = 19) were assessed to examine the prevalence of cognitive impairment and its impact on participation and well-being through performance-based testing. Participants demonstrated decreased cognition on standardized assessments and self-reported poor well-being. Results demonstrate that cognitive supports are needed for some IEH to complete essential daily activities, participate in their communities, navigate services, and manage health. Primary Author and Speaker: Emily Jean Prins Additional Authors and Speakers: Samantha Strich, Madeline Contreras Contributing Authors: Quinn P. Tyminski, Carolyn Baum
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Lin, Zhuoer, Mark Schlesinger, and Xi Chen. "COGNITIVE MISPERCEPTION, DISABILITY, AND MORTALITY AMONG OLDER ADULTS IN 25 COUNTRIES." Innovation in Aging 7, Supplement_1 (2023): 210. http://dx.doi.org/10.1093/geroni/igad104.0694.
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Abstract Despite a large body of literature on cognitive ability and health, less is known about the health consequences of biased cognitive perception. Using harmonized and nationally representative longitudinal surveys from 25 countries spanning Asia, Europe and the Americas, we document the growing gap between actual and perceived cognitive ability that appears to increase with age, and construct a standardized measure of cognitive misperception. Linking this novel measure with mortality and disability, we model the cognitive misperception – health gradient. Results show that being in the upper quartile of cognitive misperception (i.e., showing heightened overconfidence in cognition) leads to higher mortality rates within 1 year, 3 years, and 5 years. Conditional on survival, being overconfident in cognition also greatly increases the risks of incident disability and frailty, especially for older adults receiving less family support. We identify two possible pathways inducing poorer outcomes: the first stemming from increased risk taking and financial vulnerability; the second associated with suboptimal use of preventive services and declines in health-promoting behaviors. Given the large and profound impacts of cognitive misperception on older adults’ health and well-being, more family and social supports, public investment in education and health literacy, and better healthcare access and affordability are needed to increase the timely awareness of cognitive decline.