Fogel Yael, Rosenblum Sara, Hirsh Renana, Chevignard Mathilde, Josman Naomi
The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel 3498838, Israel.
Rehabilitation Department for Children and Adolescents with Acquired Neurological Injury, And Outreach Team for Children and Adolescents with Acquired Brain Injury, Saint-Maurice Hospitals, 14 rue du Val d'Osne, 94410 Saint-Maurice, France.
Occup Ther Int. 2020 Feb 6;2020:3051809. doi: 10.1155/2020/3051809. eCollection 2020.
To characterize and analyze the performance of adolescents with executive function deficits through the Children's Cooking Task (CCT) as a performance-based complex ecological assessment.
Participants were 41 adolescents (aged 10-14 years) with normal intellectual function and executive function deficit profiles based on the Behavior Rating Inventory of Executive Function (BRIEF) parent reports and self-reports (BRIEF-SR) and the WebNeuro and 40 controls with typical development matched by age and gender. Participants in both groups performed the CCT, an ecological standardized complex task.
Significant group differences were found for all CCT outcome measures (total number of errors, task duration, and all qualitative rating variables). Significant correlations were found among children with executive function deficit profiles between the CCT performance duration and total number of errors and the BRIEF-SR subscale score. Two separate discriminant function analyses described primarily by the CCT correctly classified the study groups.
The poor performance of adolescents with executive function deficit profiles exhibited through the standardized complex task, as well as the relationships with their executive functions, supplies better insight about their daily confrontations. Identifying how they perform may lead to development of focused interventions to improve these adolescents' daily performance, participation, and wellbeing.
通过儿童烹饪任务（CCT）作为基于表现的复杂生态评估，对有执行功能缺陷的青少年的表现进行特征描述和分析。
参与者为41名青少年（年龄10 - 14岁），基于执行功能行为评定量表（BRIEF）家长报告和自我报告（BRIEF - SR）以及网络神经测试，他们具有正常智力功能但有执行功能缺陷特征，另有40名年龄和性别匹配的发育正常的对照组。两组参与者都执行了CCT，这是一项生态标准化复杂任务。
在所有CCT结果测量指标（错误总数、任务持续时间和所有定性评分变量）上发现了显著的组间差异。在有执行功能缺陷特征的儿童中，CCT表现持续时间与错误总数以及BRIEF - SR子量表得分之间存在显著相关性。由CCT主要描述的两个独立判别函数分析正确地对研究组进行了分类。
有执行功能缺陷特征的青少年在标准化复杂任务中表现不佳，以及他们与执行功能之间的关系，为了解他们的日常应对提供了更好的见解。确定他们的表现方式可能会促使制定有针对性的干预措施，以改善这些青少年的日常表现、参与度和幸福感。
