2 Title : Reduced Dual - Task Performance in MS Patients Is

Background. The incidence of stroke and subsequent level of disability will increase, as age is the greatest risk factor for stroke and the world's population is aging. Hospital admissions are too brief for patients to regain necessary function. Research to examine therapy delivered within the home environment has the potential to expedite relearning of function and reduce health care expenditures. Purpose. This case report describes the use of the knowledge-to-action cycle (KTA) to develop and evaluate an evidencebased approach for rehabilitation in the home that incorporates self-management and task-oriented functional training (TOFT) for people with stroke. Case Description. The KTA cycle was used to guide adaptation of evidence from self-management and TOFT into an approach titled START (Self-Management and Task-Oriented Approach to Rehabilitation Training). Three stakeholder sympo siums identified barriers and supports to implementation. Clinical practice leaders were engaged as partners in the development of the intervention. An online learning management system housed the resources to support therapist training. Therapist focus groups were conducted and stroke outcomes were used to assess patient response. Outcomes. Eight therapists completed 4 workshops and applied the home intervention in 12 people with stroke. A mentoring process for therapists included feedback from peers and experts after viewing treatment videos. Therapist response was determined from the focus groups; patient response was measured by standard ized assessments. The therapists noted that the intervention was easier to implement with patients who were motivated and had minimal cognitive impairment. Discussion. The KTA cycle provided a structure for the development of this evidence-based rehabilitation intervention, which was feasible to implement in the home. Further evaluation needs to be undertaken to assess the effectiveness of START. Full Text: Available from EBSCOhost in Physical Therapy Available from ProQuest in Physical Therapy Title: Identification and assessment of functional performance in mild cognitive impairment: A survey of occupational therapy practices. Citation: Australian Occupational Therapy Journal, 01 June 2015, vol./is. 62/3(187-196), 00450766 Author(s): Belchior, Patrícia, Korner-Bitensky, Nicol, Holmes, Melanie, Robert, Alexandra Abstract: Background/aim Despite the amount of research evidence pointing to functional changes Background/aim Despite the amount of research evidence pointing to functional changes experienced by individuals with mild cognitive impairment ( MCI), we still do not understand how occupational therapists are currently addressing these concerns. Thus, we designed a national study to investigate Canadian occupational therapists practices with this clientele. Methods We conducted a Canada-wide online survey to investigate occupational therapists' practices with clients with potential MCI. Clinicians were prompted by a case vignette that described two clients: one vignette included cues associated with amnestic MCI ( aMCI), the other non-amnestic MCI (na MCI). Specifically, clinicians were asked to identify potential concerns and to indicate the screening and assessment tools they would use in clinical practice. Results Two hundred and eighty-five participants met the inclusion criteria and were included in the final analysis. The average clinician age was 38.6 ( SD = 10.3), 92% were female and