TY - JOUR
T1 - Cognition and Daily Life Activities in Stroke
T2 - A Network Analysis
AU - Lau, Stephen C.L.
AU - Connor, Lisa Tabor
AU - Heinemann, Allen W.
AU - Baum, Carolyn M.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The main study was supported by the National Institute on Disability, Independent Living, and Rehabilitation Research under Grant H133B090024 (PI: A.W.H.). This study was supported by the Program in Occupational Therapy Dissertation Fund, Washington University in St. Louis.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022/10
Y1 - 2022/10
N2 - Understanding complex dynamics of cognitive constructs and the interplay between cognition and daily life activities is possible through network analysis. The objectives of this study are to characterize the cognition network and identify central cognitive constructs, and identify the cognitive constructs bridging cognition and daily life activities. In 210 community-dwelling stroke survivors, we employed network analysis to characterize the cognition network, identify the central cognitive constructs, and examine the bridge pathway connecting cognition and daily life activities. Cognitive constructs were positively correlated within the network, forming clusters of fluid (e.g., components of active problem-solving), crystallized (e.g., world knowledge), and functional cognition. Central constructs included inhibition, organization, and cognitive flexibility, whereas bridge constructs included organization, sequencing, and inhibition. Central and bridge constructs identified by this study are potential targets for future research and intervention. The emergence of functional cognition as central and bridge constructs may support its inclusion in occupational therapy practice.
AB - Understanding complex dynamics of cognitive constructs and the interplay between cognition and daily life activities is possible through network analysis. The objectives of this study are to characterize the cognition network and identify central cognitive constructs, and identify the cognitive constructs bridging cognition and daily life activities. In 210 community-dwelling stroke survivors, we employed network analysis to characterize the cognition network, identify the central cognitive constructs, and examine the bridge pathway connecting cognition and daily life activities. Cognitive constructs were positively correlated within the network, forming clusters of fluid (e.g., components of active problem-solving), crystallized (e.g., world knowledge), and functional cognition. Central constructs included inhibition, organization, and cognitive flexibility, whereas bridge constructs included organization, sequencing, and inhibition. Central and bridge constructs identified by this study are potential targets for future research and intervention. The emergence of functional cognition as central and bridge constructs may support its inclusion in occupational therapy practice.
KW - cognition
KW - daily living
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85134296675&partnerID=8YFLogxK
U2 - 10.1177/15394492221111730
DO - 10.1177/15394492221111730
M3 - Article
C2 - 35838366
AN - SCOPUS:85134296675
SN - 1539-4492
VL - 42
SP - 260
EP - 268
JO - OTJR Occupation, Participation and Health
JF - OTJR Occupation, Participation and Health
IS - 4
ER -