Background. Increase in hospitalizations of older adults emphasizes the need for efficient hospital discharge planning to enable optimal reentry upon returning home. Yet few assessments offer an extensive picture of the older adult's functional-cognitive state. A comprehensive assessment for discharge planning together with a written summary can be beneficial to the older adult and family. Purpose. This quantitative study compared a modified version of a previously validated tool COFEE (cognitive OT functional evaluation of elders), for use in the hospital, HD (hospital discharge) with standard hospitals assessments. Methods. Of the 77 participants recruited in hospital, home assessments were conducted 4 months later on 64 participants. Findings. The COFEE-HD scores (physical functioning, personal and environmental safety and meta cognitive functioning) were significantly correlated with standard hospital measures and with the home assessment. Implications. The COFEE-HD was found to have a high level of validity in a hospital setting, and the resulting evaluation can provide important insights into function, safety and cognitive function for post-discharge behaviors.
AhnM.KwonH. J.KangJ. (2020). Supporting aging-in-place well: Findings from a cluster analysis of the reasons for aging-in-place and perceptions of well-being. Journal of Applied Gerontology, 39(1), 3–15. https://doi.org/10.1177/0733464817748779
2.
AkazawaN.OkawaN.KishiM.HinoT.TsujiR.TamuraK.MoriyamaH. (2020). Quantitative features of intramuscular adipose tissue of the quadriceps and their association with gait independence in older inpatients: A cross-sectional study. Nutrition (Burbank, Los Angeles County, Calif.), 71, 110600. https://doi.org/10.1016/j.nut.2019.110600
3.
BaumC. M.EdwardsD. F. (1998). Home occupational environmental assessment: An environmental checklist for treatment planning [Unpublished Manuscript]. Washington University School of Medicine.
4.
BaumC. T.MorrisonT.HahnM.EdwardsD. (2003). Executive function performance test: Test protocol booklet. Washington University School of Medicine.
5.
BonderB. (2018). Growing old in today’s world. In BonderB. R.Dal Bello-HaasV. (Eds.), Functional performance in older adults (pp. 181–272). FA Davis.
6.
BurnsT.LawlerK.LawlerD.McCartenJ. R.KuskowskiM. (2018). Predictive value of the cognitive performance test (CPT) for staging function and fitness to drive in people with neurocognitive disorders. The American Journal of Occupational Therapy, 72(4), 7204205040p1–7204205040p9. https://doi.org/10.5014/ajot.2018.027052
7.
CesarK. W.GaravanR.LaudP.HayatM.FiedlerI. G. (2002). Perceptions of environmental safety among individuals with spinal cord injury. American Journal of Physical Medicine & Rehabilitation, 81(10), 798–800.
8.
ChangW. C.ChanC.SlaughterS. E.CartwrightD. (1997). Evaluating the FONE FIM: Part II. Concurrent validity & influencing factors. Journal of Outcome Measurement, 1(4), 259–285.
9.
ChisholmD.TotoP.RainaK.HolmM.RogersJ. (2014). Evaluating capacity to live independently and safely in the community: Performance assessment of self-care skills. British Journal of Occupational Therapy, 77(2), 59–63. https://doi.org/10.4276/030802214X13916969447038
10.
ChiuT.OliverR. (2006). Factor analysis and construct validity of the SAFER-HOME. OTJR: Occupation, Participation and Health, 26(4), 132–142. https://doi.org/10.1177/153944920602600403
DouglasA. M.LettsL. J.RichardsonJ. A.EvaK. W. (2013). Validity of predischarge measures for predicting time to harm in older adults. Canadian Journal of Occupational Therapy, 80(1), 19–27. https://doi.org/10.1177/0008417412473577
13.
D’SouzaA. N.SaidC. M.LeggettN. E.TomkinsM. S.KayJ. E.GrangerC. L. (2022). Assessment tools and factors used to predict discharge from acute general medical wards: A systematic review. Disability and Rehabilitation, 44(14), 3373–3387. https://doi.org/10.1080/09638288.2020.1867906
14.
EdemekongP. F.BomgaarsD. L.SukumaranS.SchooC. (2023). Activities of daily living. [Updated 2022 Nov 19]. In: StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470404/
15.
FaulF.ErdfelderE.BuchnerA.LangA. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
16.
FisherA. G.JonesK. B. (2010). Assessment of motor and process skills: Skills, development, standardization and administration: Manual. Three Star Press.
17.
FolsteinM. F.FolsteinS. E.McHughP. R. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. https://doi.org/10.1016/0022-3956(75)90026-6
FujitaT.SatoA.YamamotoY.YamaneK.OtsukiK.TsuchiyaK.TozatoF. (2015). Relationship between dressing and motor function in stroke patients: A study with partial correlation analysis. Journal of Physical Therapy Science, 27(12), 3771–3774. https://doi.org/10.1589/jpts.27.3771
20.
GilesG. M.EdwardsD. F.BaumC.FurnissJ.SkidmoreE.WolfT.LelandN. E. (2020). Making functional cognition a professional priority. The American Journal of Occupational Therapy, 74(1), 7401090010p1–7401090010p6. https://doi.org/10.5014/ajot.2020.741002
HargroveT. W.GarcíaC.CagneyK. A. (2021). The role of neighborhoods in shaping the aging experience during times of crisis. Public Policy & Aging Report, 31(1), 38–43. https://doi.org/10.1093/ppar/praa041
23.
Hopman-RockM.van HirtumH.de VreedeP.FreibergerE. (2019). Activities of daily living in older community-dwelling persons: A systematic review of psychometric properties of instruments. Aging Clinical and Experimental Research, 31(7), 917–925. https://doi.org/10.1007/s40520-018-1034-6
24.
HorowitzB. P.NochajskiS. M.SchweitzerJ. A. (2013). Occupational therapy community practice and home assessments: Use of the Home Safety Self-Assessment Tool (HSSAT) to support aging in place. Occupational Therapy in Health Care, 27(3), 216–227. https://doi.org/10.3109/07380577.2013.807450
25.
InoueT.MisuS.TanakaT.SakamotoH.IwataK.ChumanY.OnoR. (2017). Pre-fracture nutritional status is predictive of functional status at discharge during the acute phase with hip fracture patients: A multicenter prospective cohort study. Clinical Nutrition, 36(5), 1320–1325. https://doi.org/10.1016/j.clnu.2016.08.021
26.
LarnerA. J. (2020). Combining screeners (1): Cognitive screeners. In LarnerA. J. (Ed.), Manual of screeners for dementia (pp. 119–134). Springer International. https://doi.org/10.1007/978-3-030-41636-2_11.
27.
LawM.CooperB.StrongS.StewartD.RigbyP.LettsL. (1996). The person-environment-occupation model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63, 9–23. https://doi.org/10.1177/000841749606300103
28.
LawtonM. P.BrodyE. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3Part 1), 179–186. https://doi.org/10.1093/geront/9.3_Part_1.179
LockwoodK. J.HardingK. E.BoydJ. N.TaylorN. F. (2019). Predischarge home visits after hip fracture: A randomized controlled trial. Clinical Rehabilitation, 33(4), 681–692. https://doi.org/10.1177/0269215518823256
31.
MahoneyF. I.BarthelD. W. (1965). Functional evaluation: The Barthel Index: A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland Medical Journal, 965(14), 61–65.
32.
MansbachW. E.MacDougallE. E.ClarkK. M.MaceR. A. (2014). Preliminary investigation of the kitchen picture test (KPT): A new screening test of practical judgment for older adults. Aging, Neuropsychology, and Cognition, 21(6), 674–692. https://doi.org/10.1080/13825585.2013.865698
33.
MillerA.ClemsonL.LanninN. (2011). Measurement properties of a modified reintegration to normal living index in a community-dwelling adult rehabilitation population. Disability and Rehabilitation, 33(21–22), 1968–1978. https://doi.org/10.3109/09638288.2011.553707
34.
MountainA.LindsayM. P.TeasellR.SalbachN. M.Van Der Meulen De JongA. E.FoleyN.BhogalS. K.BainsN. P.BowesR.CheungD.CorriveauH.JosephL.LeskoD.MillarA.EngJ. J.PikulaA.ScarfoneD.RochetteA.TaylorT., … CameronJ. I. (2020). Canadian stroke best practice recommendations: Rehabilitation, recovery, and community participation following stroke. Part two: Transitions and community participation following stroke. International Journal of Stroke, 15(7), 789–806. https://doi.org/10.1177/1747493019897847
ProvencherV.ClemsonL.WalesK.CameronI. D.GitlinL. N.GrenierA.LanninN. A. (2020). Supporting at-risk older adults transitioning from hospital to home: Who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatrics, 20(1), 1–10. https://doi.org/10.1186/s12877-020-1494-3
37.
RogersA. T.BaiG.LavinR. A.AndersonG. F. (2017). Higher hospital spending on occupational therapy is associated with lower readmission rates. Medical Care Research and Review, 74(6), 668–686. https://doi.org/10.1177/1077558716666981
38.
RøpkeA.MorvilleA. L.MøllerT. E.DelkusE. C. G.JuhlC. B. (2022). HIP Fracture REhabilitation Program for older adults with hip fracture (HIP-REP) based on activity of daily living: A feasibility study. BMC geriatrics, 22(1), 1–13. https://doi.org/10.1186/s12877-022-03039-x
39.
SchaeferM. S.HammerM.PlatzbeckerK.SanterP.GrabitzS. D.MurugappanK. R.HouleT.BarnettS.RodriguezE. K.EikermannM. (2021). What factors predict adverse discharge disposition in patients older than 60 years undergoing lower-extremity surgery? The adverse discharge in older patients after lower-extremity surgery (ADELES) risk score. Clinical Orthopaedics and Related Research, 479(3), 546. https://doi.org/10.1097/CORR.0000000000001532
40.
Scheel-HinckeL. L.MöllerS.Lindahl-JacobsenR.JeuneB.AhrenfeldtL. J. (2020). Cross-national comparison of sex differences in ADL and IADL in Europe: Findings from SHARE. European Journal of Ageing, 17(1), 69–79. https://doi.org/10.1007/s10433-019-00524-y
StarkS. L.EdwardsD. F.HollingsworthH.GrayD. B. (2005). Validation of the reintegration to normal living index in a population of community-dwelling people with mobility limitations. Archives of Physical Medicine and Rehabilitation, 86(2), 344–345. https://doi.org/10.1016/j.apmr.2004.03.020
43.
StormM.SiemsenI. M. D.LaugalandK.DyrstadD. N.AaseK. (2014). Quality in transitional care of the elderly: Key challenges and relevant improvement measures. International Journal of Integrated Care, 14, e013. https://doi.org/10.5334/ijic.1194
44.
StrongS.Rebeiro GruhlK. (2011). Person-environment-occupation model. In BrownC.StoffelV. C. (Eds.), Occupational therapy in mental health: A vision for participation (pp. 231–246). FA Davis.
45.
WalesK.ClemsonL.LanninN. A.CameronI. D.SalkedG.GitlinL.RubensteinL.BarrasS.MackenzieL.DaviesC. (2012). Occupational therapy discharge planning for older adults: A protocol for a randomised trial and economic evaluation. BMC Geriatrics, 12(1), 1–7. https://doi.org/10.1186/1471-2318-12-34
46.
WalesK.LanninN. A.ClemsonL.CameronI. D. (2018). Measuring functional ability in hospitalized older adults: A validation study. Disability and Rehabilitation, 40(16), 1972–1978. https://doi.org/10.1080/09638288.2017.1323021
47.
WessonJ.ClemsonL.BrodatyH.ReppermundS. (2016). Estimating functional cognition in older adults using observational assessments of task performance in complex everyday activities: A systematic review and evaluation of measurement properties. Neuroscience & Biobehavioral Reviews, 68, 335–360. https://doi.org/10.1016/j.neubiorev.2016.05.024
48.
WolfT. J.EdwardsD.GilesG. (Eds.). (2019). Functional cognition and occupational therapy: A practical approach to treating individuals with cognitive loss (pp. 129–161). AOTA Press.
49.
YanezN. D.WeissN. S.RomandJ. A.TreggiariM. M. (2020). COVID-19 mortality risk for older men and women. BMC Public Health, 20(1), 1–7. https://doi.org/10.1186/s12889-020-09826-8
50.
ZilbershlagY.JosmanN. (2019). The functional cognitive evaluation and model to assess older adults’ ability to function in their homes in the community. Physical & Occupational Therapy in Geriatrics, 37(3), 151–170. https://doi.org/10.1080/02703181.2019.1622620
