The Assessment of Motor and Process Skills as a measure of ADL ability in schizophrenia

Ayres, Helen; John, Alexander

doi:10.3109/11038128.2015.1061050

Cited by 13 publications

(5 citation statements)

References 22 publications

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“…Finally, the observed decreased ADL process ability indicates that almost one third of the included participants may need assistance to live in the community, in line with previous studies using clinician ratings [13] or self-report [23]. Studies using AMPS on patients with schizophrenia have overall found a higher percentage from 17-72% that may need assistance to live in the community [37,48,49]. Similarly, studies on patients with major depression using AMPS have found that approximately 47% may need assistance to live in the community [37].…”

Section: Discussionsupporting

confidence: 83%

Ability to perform activities of daily living among patients with bipolar disorder in remission

Decker

Träger

Wæhrens

et al. 2017

Edorium J Disabil Rehabil

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Aims: Patients with bipolar disorder often experience disability in terms of cognitive impairments and activity limitations even in remission. However, knowledge is sparse concerning the ability to perform Activities of Daily Living (ADL) during remission. The aim of this study was to (1) investigate the observed and self-reported ability to perform ADL tasks and (2) examine the association between observed and self-reported ability to perform ADL in patients with bipolar disorder in remission. Methods:

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Section: Discussionsupporting

confidence: 83%

Ability to perform activities of daily living among patients with bipolar disorder in remission

Decker

Träger

Wæhrens

et al. 2017

Edorium J Disabil Rehabil

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“…Thus, AMPS is likely to be measuring the ADL ability more accurately reflecting the real world situation. Ayres and John (2015) and Fossey et al (2006) have previously demonstrated that a majority of people with schizophrenia admitted to treatment and rehabilitation facilities or living in supported residential rehabilitation settings have moderate to severe impairments of ADL ability as measured using the AMPS. However, to our knowledge, there are no published studies systematically evaluating changes in ADL performance skills following interventions among people with schizophrenia and the factors determining the changes.…”

Section: Introductionmentioning

confidence: 99%

Limited changes in activities of daily life performance ability among people with schizophrenia at clinical settings and the factors moderating the changes

Ayres

Ngo

John

2019

Schizophrenia Research: Cognition

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BackgroundImpaired community functioning and functional ability are common among people with schizophrenia spectrum disorders (SSD). However, changes occurring in activities of daily life (ADL) ability through interventions provided at clinical settings have not been systematically examined in this population.MethodsWe retrospectively collated and analysed changes in ADL ability between admissions and discharges, measured utilising the Assessment of Motor and Process Skills (AMPS), among 72 people with SSD at a public inpatient treatment and rehabilitation facility in Western Australia. Clinical and demographic factors moderating the changes were also determined.ResultsThe standardised AMPS motor (p = 0.0088) and process scores (p < 0.0001) improved significantly between admission and discharge. However, overall, the improvements were of small to moderate magnitude, and >60% of participants did not experience significant or meaningful changes. Furthermore, mild to moderate impairment in the AMPS standardised motor (−1.3 SD), and process (−1.6 SD) ability was present at discharge. A logistic regression analysis revealed that low admission AMPS scores and duration of illness of more than five years predicted improvement of the AMPS motor score by discharge, but only the former predicted changes in the process scores. Other demographic, clinical, and treatment-related variables did not affect the outcome of the AMPS scores.ConclusionsImpairment of ADL ability is recalcitrant in schizophrenia. The improvement was modest and occurred only in a proportion of participants. However, promisingly, chronic illness, low baseline ADL ability, treatment with clozapine and presence of treatment-resistant schizophrenia did not have an adverse effect on the outcome.

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“…When these behaviours are expressed, persons with schizophrenia are taken to the hospital and lose their daily functioning at home or in their community. Ayres and Panickacheril ( 2015 ) found that abnormal motor behaviours created difficulties in goal-directed behaviours, which limited the accomplishment of different daily activities and affected the competencies of persons with schizophrenia to live and participate independently in the community. Bhuyan et al ( 2016 ) revealed that socially embarrassing behaviour is high among persons with schizophrenia, and these behaviours negatively impact their participation in IADLs demanding social interaction and routines.…”

Section: Discussionmentioning

confidence: 99%

Personal barriers to participation in chosen instrumental activities of daily living among community-dwelling persons with schizophrenia in Rwanda

Turikumana¹,

Cloete²,

Fredericks³

2023

Afr. j. disabil.

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Background: Mental disorders are a major health concern across the globe. Schizophrenia, one of the mental disorders, affects approximately 20 million people globally and 5 million people within the African continent. Schizophrenia can affect all areas of life, including participation in instrumental activities of daily living (IADLs).Objectives: The study aimed to explore personal barriers affecting participation in chosen IADLs among community-dwelling persons with schizophrenia in Kigali city, Rwanda.Method: A qualitative, embedded case study design and constructivist epistemology paradigm were used. Purposive sampling and semi-structured interviews were conducted with 20 participants that included 10 persons diagnosed with schizophrenia (case 1) and 10 of their caregivers (case 2). Data were analysed according to the seven steps of Ziebland and Mcpherson.Findings: The two themes identified were community negative attitudes and individual hindrances to participation in IADLs. Theme 1 demonstrated the community’s poor support towards persons with schizophrenia due to the stigma attached to mental health illness, which is reported elsewhere. This paper reports on individual hindrances to participation, which revealed limited knowledge and skills, decreased motivation and interest, financial problems, maladaptive behaviours, medication side effects, loss of social interaction and isolation, and disorganised in performing activities to negatively affect persons with schizophrenia’s full participation in their chosen IADLs.Conclusion: Community-dwelling persons with schizophrenia are experiencing various hindrances to participating in their chosen IADLs, which shows a need for support from different stakeholders to improve access and participation of persons with schizophrenia in their daily activities based on their abilities.Contribution: Different barriers affecting participation of the persons with schizophrenia in their chosen IADLs were highlighted together with the common affected IADLs. It is recommended that when right support is provided, persons with schizophrenia may function at their maximum abilities in their activities of choice and may live at their highest independence level.

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The Assessment of Motor and Process Skills as a measure of ADL ability in schizophrenia

Cited by 13 publications

References 22 publications

Ability to perform activities of daily living among patients with bipolar disorder in remission

Ability to perform activities of daily living among patients with bipolar disorder in remission

Limited changes in activities of daily life performance ability among people with schizophrenia at clinical settings and the factors moderating the changes

Personal barriers to participation in chosen instrumental activities of daily living among community-dwelling persons with schizophrenia in Rwanda

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