{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:16:51Z","timestamp":1788509811991,"version":"build-2803163510"},"reference-count":40,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Cognitive impairment is a common manifestation of Parkinson\u2019s disease (PD) that can limit participation. A clearer understanding of how people with PD (PwPD) use strategies to support their functional cognition can guide interventions designed to promote occupational performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate strategy use by PwPD during a functional cognitive task and how it relates to task performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional within and between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Participants\u2019 homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>\n                      PwPD without dementia (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u200951) were allocated into two groups according to Montreal Cognitive Assessment score: \u226526 for those with PD and normal cognition (PD\u2013NC;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200927) and \u226425 for those with PD and mild cognitive impairment (PD\u2013MCI;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200924).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Performance outcomes (accuracy, total time, and efficiency) and strategy use on the Level 2 Adult\/Older Adult version of the Weekly Calendar Planning Activity (WCPA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In the whole PD group, increased strategy use correlated with higher accuracy and longer total time, and four specific strategies correlated with higher accuracy (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.04). The PD\u2013NC group had higher accuracy and used more strategies than the PD\u2013MCI group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.02), including three strategies associated with higher accuracy (cross off entered appointments, enter fixed appointments first, cross off free day;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.03). In the PD\u2013NC group, increased strategy use correlated with higher accuracy and longer total time (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.02). Strategy use and WCPA performance outcomes did not correlate in the PD\u2013MCI group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u2009.10).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>This study adds to the understanding of how PwPD select and use strategies to support their functional cognition and suggests that PwPD could potentially benefit from interventions to optimize strategy use in occupational performance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051413","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T18:26:46Z","timestamp":1778264806000},"page":"566-575","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Strategy Use Among People With Parkinson\u2019s Disease During the Weekly Calendar Planning Activity"],"prefix":"10.1177","volume":"80","author":[{"given":"Kathleen","family":"Best","sequence":"first","affiliation":[{"name":"Kathleen Best, MOT, OTR\/L, is Occupational Therapist, Department of Occupational Therapy, Washington University in St. Louis, St. Louis, MO;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Casem","sequence":"additional","affiliation":[{"name":"Noelle Casem, BS, is Occupational Therapy Student, Department of Occupational Therapy, Washington University in St. Louis, St. Louis, MO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasha","family":"Doty","sequence":"additional","affiliation":[{"name":"Tasha Doty, MA, is Clinical Research Supervisor, School of Medicine, Washington University in St. Louis, St. Louis, MO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Toglia","sequence":"additional","affiliation":[{"name":"Joan Toglia, PhD, OTR\/L, FAOTA, is Professor Emerita, School of Health and Natural Sciences, Mercy College, Dobbs Ferry, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Foster","sequence":"additional","affiliation":[{"name":"Erin Foster, PhD, OTD, OTR\/L, FAOTA, is Associate Professor, School of Medicine, Washington University in St. Louis, St. Louis, MO."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.753016"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.27902"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2011.06.054"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2014.008987"},{"key":"e_1_3_2_6_1","first-page":"637","article-title":"On why not to rush older adults\u2014relying on reactive cognitive control can effectively reduce errors at the expense of slowed responses","volume":"47","author":"Czernochowski D.","year":"2010","unstructured":"Czernochowski D., Nessler D., , & Friedman D. 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