Characterising omission errors in everyday task completion and cognitive correlates in individuals with mild cognitive impairment and dementia.
Jenna Beaver, Kaci B Wilson, Maureen Schmitter-Edgecombe
PMID 28617099WHAT IT FOUND
Older adults with multi-domain mild cognitive impairment and dementia omitted more action steps in everyday tasks than healthy adults and those with single-domain MCI.
Dementia also showed more preparatory and concluding omissions. Memory was linked to all omission types.
Key findings
01Action-oriented steps accounted for the largest proportion of omission errors, followed by concluding steps, then preparatory steps.
02Multi-domain MCI showed more action-oriented omissions than healthy older adults and single-domain MCI, and dementia showed more omissions in all three step categories.
03Memory was associated with omissions in all three step categories. Working memory was associated with preparatory and concluding omissions. Processing speed was associated with action-oriented omissions.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The sample was highly educated, so the results may not apply to more diverse older adults. Tasks were completed in a campus apartment, not in participants' own homes, so everyday performance may differ from real home life. Some neuropsychological tests used to create cognitive composites were also used to assign diagnostic groups, which can blur the link between diagnosis and measured cognition. The cognitive composites depended on the tests that were administered, so other cognitive abilities were not examined. For the regression analyses, diagnostic groups were combined to increase statistical power, so the associations were estimated across the whole sample rather than within each group. One participant was excluded from the regression analyses because a processing speed measure was missing, reducing the regression sample to 129.
The easy way to misread this
Do not read the memory association as proof that memory training will reduce everyday task omissions. The study observed existing diagnostic groups and did not test an intervention. It also showed that working memory and processing speed were associated with some omission categories, while executive functioning did not emerge as a significant predictor.