Components of cognitive competence predictive of occupational competence in persons with dementia: A Delphi study

Abstract

Background Within the area of dementia care, occupational therapists are asked to predict occupational competence in everyday living and often do so by assessing cognitive competence. Considering the cognitive changes that occur with dementia over time, the construct of cognitive competence is a key consideration. Still, a gap exists in the literature examining the relationship between cognitive competence and occupational competence. Purpose This study developed a consensus among participating Canadian occupational therapists regarding the components of cognitive competence they considered essential to predict occupational competence in people with dementia. Method A three-round Delphi study was completed with English- and French-speaking occupational therapists ( n = 127; 116; 125) experienced in dementia care. Findings Ten cognitive components were identified as essential to predict occupational competence in individuals with dementia. Implications The 10 identified components provide direction for assessment practices and education in dementia care and for development of measurement tools.