Executive functioning: A scoping review of the occupational therapy literature / Les fonctions exécutives : une analyse de la portée de la littérature en ergothérapie
Restricted accessResearch articleFirst published online June, 2013
Executive functioning: A scoping review of the occupational therapy literature / Les fonctions exécutives : une analyse de la portée de la littérature en ergothérapie
Increasingly recognized as an important factor in the performance of complex, goal-directed tasks, executive functioning is understood in different ways across disciplines.
Purpose.
The aim was to explore the ways in which executive functioning is conceptualized, discussed, described, and implied in the occupational therapy literature.
Method.
A scoping review of the occupational therapy literature was conducted following Levac, Colquhoun, and O’Brien’s (2010) recommended methodology.
Results.
Executive functioning is described both as a set of performance component skills or processes and as the executive occupational performance inherent in complex occupations. Executive functioning is implicit in occupational performance and engagement, and some health conditions seem to be commonly associated with impaired executive functioning. Assessing executive functioning requires dynamic occupation- and performance-based assessment. Interventions targeting executive functioning are grounded in metacognitive approaches.
Conclusion.
Executive functioning is a complex construct that is conceptualized with considerable variance within the occupational therapy literature, creating barriers to effective service delivery.
Description.
Bien qu’elles soient reconnues comme un facteur déterminant du rendement lors de la réalisation de tâches complexes et dirigées vers un but, les fonctions exécutives sont définies de différentes façons d’une discipline à l’autre.
But.
Examiner comment les fonctions exécutives sont conceptualisées, discutées, décrites et sous-entendues dans la littérature en ergothérapie.
Méthodologie.
Une analyse de la portée de la littérature en ergothérapie a été réalisée, selon la méthodologie recommandée par Levac, Colquhoun et O’Brien’s (2010).
Résultats.
Les fonctions exécutives sont décrites à la fois comme un ensemble de compétences ou de processus liés à la composante du rendement, et comme le rendement occupationnel exécutif inhérent aux occupations complexes. Les fonctions exécutives sont contenues implicitement dans le rendement occupationnel et la participation occupationnelle et certains problèmes de santé semblent être associés couramment à un trouble des fonctions exécutives. L’évaluation des fonctions exécutives fait appel à une évaluation dynamique du rendement occupationnel. Les interventions ciblant les fonctions exécutives sont fondées sur des approches métacognitives.
Conclusion.
Les fonctions exécutives sont un construit complexe et l’on observe une variance considérable face à la conceptualisation de ce construit dans la littérature en ergothérapie, ce qui constitue un obstacle à la prestation de services efficaces.
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