Josman N, Katz N
Occupational Therapy Department, New York University, New York 10003.
Am J Occup Ther. 1991 Apr;45(4):331-8. doi: 10.5014/ajot.45.4.331.
The purpose of this study was to construct and validate a problem-solving version of the existing Allen Cognitive Level Test (ACL) (Allen, 1985). The new problem-solving version of the ACL (ACL-PS) follows the theoretical developments of the cognitive disability theory and the information processing approach. It was constructed to provide a more accurate assessment of the problem-solving process as well as task performance, especially at the higher cognitive levels. Both tests were administered to a psychiatric adolescent group (n = 49) who were subdivided according to diagnosis and to a matched nondysfunctional control group (n = 29). The results showed that both the ACL and the ACL-PS differentiated significantly between the patients and the control subjects and among the patient groups. At Level 6 of the ACL, none of the subjects needed any demonstration, with all scores distributed between independent performance or performance following verbal instructions only, that is, problem-solving phases that were added with the ACL-PS. The scoring of the ACL-PS is provided in addition to detailed scoring of the cognitive levels. It is suggested that the ACL-PS be implemented as a clinical evaluative tool with adolescents.
本研究的目的是构建并验证现有艾伦认知水平测试(ACL)(艾伦,1985年)的问题解决版本。新的ACL问题解决版本(ACL-PS)遵循认知障碍理论和信息处理方法的理论发展。其构建目的是更准确地评估问题解决过程以及任务表现,尤其是在较高认知水平上。这两项测试均施用于一个青少年精神病患者组(n = 49),该组根据诊断进行了细分,还施用于一个匹配的无功能对照组(n = 29)。结果表明,ACL和ACL-PS在患者与对照受试者之间以及患者组之间均有显著差异。在ACL的6级水平上,没有受试者需要任何示范,所有分数都分布在独立表现或仅遵循口头指示的表现之间,即ACL-PS所增加的问题解决阶段。除了认知水平的详细评分外,还提供了ACL-PS的评分。建议将ACL-PS作为青少年的临床评估工具加以应用。