Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-20547
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dc.contributor.authorBruderer-Hofstetter, Marina-
dc.contributor.authorSikkes, Sietske A. M.-
dc.contributor.authorMünzer, Thomas-
dc.contributor.authorNiedermann Schneider, Karin-
dc.date.accessioned2020-10-01T14:48:16Z-
dc.date.available2020-10-01T14:48:16Z-
dc.date.issued2020-
dc.identifier.issn1471-2377de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/20547-
dc.description.abstractIntroduction: The level of function of instrumental activities of daily living (IADL) is crucial for a person’s autonomy. A clear understanding of the nature of IADL and its limitations in people with mild cognitive impairment (MCI) is lacking. Literature suggests numerous possible influencing factors, e.g. cognitive function, but has not considered other domains of human functioning, such as environmental factors. Our aim was to develop a comprehensive model of IADL functioning that depicts the relevant influencing factors. Methods: We conducted a four-round online Delphi study with a sample of international IADL experts (N = 69). In the first round, panelists were asked to mention all possible relevant cognitive and physical function factors, as well as environmental and personal factors, that influence IADL functioning. In the subsequent rounds, panelists rated the relevance of these factors. Consensus was defined as: 1) ≥70% agreement between panelists on a factor, and 2) stability over two successive rounds. Results: Response rates from the four rounds were high (83 to 100%). In the first round, 229 influencing factors were mentioned, whereof 13 factors reached consensus in the subsequent rounds. These consensual factors were used to build a model of IADL functioning. The final model included: five cognitive function factors (i.e. memory, attention, executive function, and two executive function subdomains -problem solving / reasoning and organization / planning); five physical function factors (i.e. seeing functions, hearing functions, balance, gait / mobility functions and functional mobility functions); two environmental factors (i.e. social network / environment and support of social network / environment); and one personal factor (i.e. education). Conclusions: This study proposes a comprehensive model of IADL functioning in people with MCI. The results from this Delphi study suggest that IADL functioning is not merely affected by cognitive function factors, but also by physical function factors, environmental factors and personal factors. The multiplicity of factors mentioned in the first round also underlines the individuality of IADL functioning in people with MCI. This model may serve as a basis for future research in IADL functioning in people with MCI.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Neurologyde_CH
dc.rightshttps://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectCognitive functionde_CH
dc.subjectDelphi studyde_CH
dc.subjectEnvironmental factorde_CH
dc.subjectInstrumental activities of daily living (IADL)de_CH
dc.subjectMild cognitive impairment (MCI)de_CH
dc.subjectModelde_CH
dc.subjectPersonal factorde_CH
dc.subjectPhysical functionde_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.titleDevelopment of a model on factors affecting instrumental activities of daily living in people with mild cognitive impairment : a Delphi studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
dc.identifier.doi10.1186/s12883-020-01843-9de_CH
dc.identifier.doi10.21256/zhaw-20547-
dc.identifier.pmid32611388de_CH
zhaw.funding.euNode_CH
zhaw.issue264de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume20de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.zhawTest der Deutschen Version des Amsterdam-IADL-Fragebogens® bei Personen ohne und mit leichter Hirnleistungsschwächede_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Bruderer-Hofstetter, M., Sikkes, S. A. M., Münzer, T., & Niedermann Schneider, K. (2020). Development of a model on factors affecting instrumental activities of daily living in people with mild cognitive impairment : a Delphi study. BMC Neurology, 20(264). https://doi.org/10.1186/s12883-020-01843-9
Bruderer-Hofstetter, M. et al. (2020) ‘Development of a model on factors affecting instrumental activities of daily living in people with mild cognitive impairment : a Delphi study’, BMC Neurology, 20(264). Available at: https://doi.org/10.1186/s12883-020-01843-9.
M. Bruderer-Hofstetter, S. A. M. Sikkes, T. Münzer, and K. Niedermann Schneider, “Development of a model on factors affecting instrumental activities of daily living in people with mild cognitive impairment : a Delphi study,” BMC Neurology, vol. 20, no. 264, 2020, doi: 10.1186/s12883-020-01843-9.
BRUDERER-HOFSTETTER, Marina, Sietske A. M. SIKKES, Thomas MÜNZER und Karin NIEDERMANN SCHNEIDER, 2020. Development of a model on factors affecting instrumental activities of daily living in people with mild cognitive impairment : a Delphi study. BMC Neurology. 2020. Bd. 20, Nr. 264. DOI 10.1186/s12883-020-01843-9
Bruderer-Hofstetter, Marina, Sietske A. M. Sikkes, Thomas Münzer, and Karin Niedermann Schneider. 2020. “Development of a Model on Factors Affecting Instrumental Activities of Daily Living in People with Mild Cognitive Impairment : A Delphi Study.” BMC Neurology 20 (264). https://doi.org/10.1186/s12883-020-01843-9.
Bruderer-Hofstetter, Marina, et al. “Development of a Model on Factors Affecting Instrumental Activities of Daily Living in People with Mild Cognitive Impairment : A Delphi Study.” BMC Neurology, vol. 20, no. 264, 2020, https://doi.org/10.1186/s12883-020-01843-9.


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