VATA-ADL: The Visual Analogue Test for Anosognosia for Activities of Daily Living
Della Sala, Sergio; Cocchini, Gianna; Beschin, Nicoletta; Fowler, Elizabeth A.; Kaschel, Patrick and McIntosh, Robert D.. 2022. VATA-ADL: The Visual Analogue Test for Anosognosia for Activities of Daily Living. Archives of Clinical Neuropsychology, ISSN 0887-6177 [Article] (In Press)
No full text available![]() |
Text
Della_Sala_et_al_accepted_ACN.pdf - Accepted Version Permissions: Administrator Access Only until 21 March 2023. Available under License Creative Commons Attribution Non-commercial. Download (480kB) |
Abstract or Description
Objective. To study awareness of problems with one’s own Activities of Daily Living following stroke by means of a novel instrument, the Visual-Analogue Test for Anosognosia for Activities of Daily Living (VATA-ADL).
Methods. The new test overcomes some of the methodological problems of traditional structured interviews and self-rating questionnaires. In particular, to account for possible verbal communication difficulties, each question is illustrated by a drawing and a 4-point visual-analogue Likert scale. The patient’s self-rating is compared with that given by informants (personal or professional caregiver) to acquire a measure of metacognition of one’s own problems in performing everyday tasks.
Results. The VATA-ADL was validated in 61 dyads of older people and their informants. A group of 80 post-acute stroke patients and their informants then completed the test. Informant ratings correlated highly with traditional ADL scales, the questionnaire items showed high internal consistency (α = .95) and loaded onto one factor. By comparison to informants’ assessments, the patients showed a generally poor appreciation of their functional disabilities. Thirty-nine patients overestimated their abilities (anosognosia) whereas nine showed underestimation of their abilities.
Conclusions. Anosognosia (overestimation of abilities) for ADL is frequent, even in post-acute stages post-stroke. Some other patients underestimated their abilities, indicating that poor metacognition of one’s own abilities in brain damaged patients is bi-directional. Both types of misestimation may have clinical consequences worth considering for the wellbeing of patients and their carers.
Item Type: |
Article |
||||||
Identification Number (DOI): |
|||||||
Additional Information: |
This is a pre-copyedited, author-produced version of an article accepted for publication in Archives of Clinical Neuropsychology following peer review. The version of record is available online at: https://doi.org/10.1093/arclin/acac009. |
||||||
Keywords: |
Anosognosia, Unawareness, ADL/iADL, Stroke, Assessment |
||||||
Departments, Centres and Research Units: |
Psychology > Centre for Cognition, Computation and Culture (CCCC) |
||||||
Dates: |
|
||||||
Item ID: |
31478 |
||||||
Date Deposited: |
18 Feb 2022 15:10 |
||||||
Last Modified: |
27 Apr 2022 13:01 |
||||||
Peer Reviewed: |
Yes, this version has been peer-reviewed. |
||||||
URI: |
View statistics for this item...
![]() |
Edit Record (login required) |