Hahn Bridget, Baum Carolyn, Moore Jennifer, Ehrlich-Jones Linda, Spoeri Susan, Doherty Meghan, Wolf Timothy J
Bridget Hahn, MS, OTR/L, is Clinical Occupational Therapist, Day Rehabilitation Program, Rehabilitation Institute of Chicago, 307 West Grand Avenue, Chicago, IL 60654;
Carolyn Baum, PhD, OTR/L, FAOTA, is Professor, Departments of Occupational Therapy and Neurology, and Elias Michael Director, Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO.
Am J Occup Ther. 2014 Nov-Dec;68(6):e241-6. doi: 10.5014/ajot.2014.008565.
OBJECTIVE. The Executive Function Performance Test (EFPT) is a reliable and valid performance-based assessment of executive function for people with stroke. The objective of this study was to enhance the clinical utility of the EFPT by developing and testing additional tasks for the EFPT in the Alternate EFPT (aEFPT). METHOD. We performed a cross-sectional study with poststroke participants (n = 25) and healthy control participants (n = 25). All participants completed a neuropsychological assessment battery and both the EFPT and the aEFPT. RESULTS. No statistically significant differences were found between the EFPT and the aEFPT when examining total scores, construct scores, and two overall task scores. Correlations between the aEFPT and the neuropsychological measures were adequate to strong (r2s = .59-.83). CONCLUSION. The aEFPT tasks are comparable to the original EFPT tasks, providing occupational therapy practitioners with additional tasks that can be used clinically to identify performance-based executive function deficits in people with stroke.
目的。执行功能表现测试(EFPT)是一种针对中风患者的基于表现的可靠且有效的执行功能评估方法。本研究的目的是通过开发和测试交替执行功能表现测试(aEFPT)中EFPT的额外任务,提高EFPT的临床实用性。方法。我们对中风后参与者(n = 25)和健康对照参与者(n = 25)进行了横断面研究。所有参与者都完成了一套神经心理学评估以及EFPT和aEFPT。结果。在检查总分、结构得分和两个总体任务得分时,EFPT和aEFPT之间未发现统计学上的显著差异。aEFPT与神经心理学测量之间的相关性为中等至强(r² = 0.59 - 0.83)。结论。aEFPT任务与原始EFPT任务相当,为职业治疗从业者提供了额外的任务,可在临床上用于识别中风患者基于表现的执行功能缺陷。