Community Learning Disabilities Service, Cumbria Partnership NHS Foundation Trust, Cedarwood, Carleton Clinic, Carlisle, Cumbria, UK.
J Intellect Disabil Res. 2010 May;54(5):457-67. doi: 10.1111/j.1365-2788.2010.01280.x.
There is a need for validated, standardised tools for the assessment of executive functions in adults with intellectual disabilities (ID). This study examines the validity of a test of planning and problem solving (Tower of London) with adults with ID.
Participants completed an adapted version of the Tower of London (ToL) while day-centre staff completed adaptive function (Adaptive Behaviour Scale - Residential and Community: Second Edition, modified version) and dysexecutive function (DEX-Independent Rater) questionnaires for each participant. Correlation analyses of test and questionnaire variables were undertaken.
The adapted ToL has a robust structure and shows significant associations with independent living skills, challenging behaviour and behaviours related to dysexecutive function.
The adapted ToL is a valid test for use with people with ID. However, there is also a need to develop other ecologically valid tools based on everyday planning tasks undertaken by people with ID.
在评估智力障碍成年人的执行功能时，需要经过验证的、标准化的工具。本研究检验了一种用于评估智力障碍成年人计划和问题解决能力的测试（伦敦塔）的有效性。
参与者完成了伦敦塔测试的改编版，而日间中心的工作人员则为每位参与者完成了适应性功能（适应性行为量表-住宅和社区：第二版，修订版）和执行功能障碍（DEX-独立评估者）问卷。对测试和问卷变量进行了相关分析。
改编后的伦敦塔测试具有稳健的结构，并与独立生活技能、挑战性行为以及与执行功能障碍相关的行为显著相关。
改编后的伦敦塔测试是一种评估智力障碍成年人的有效工具。然而，也需要开发其他基于智力障碍人士日常计划任务的具有生态有效性的工具。
Zotero 插件