Matsubara Asako, Higashi Yasuhiro, Kawabata Mio, Sugihara Katsunobu
Department of Rehabilitation, Hiroshima City Rehabilitation Hospital, Hiroshima 7313168, Japan.
Department of Rehabilitation, Faculty of Health Science, Naragakuen University, Nara 6310003, Japan.
Brain Sci. 2025 Sep 15;15(9):993. doi: 10.3390/brainsci15090993.
: The Weekly Calendar Planning Activity (WCPA) is one of the assessments of functional cognition, including executive function, by the cognitive instrumental activities of daily living (C-IADL). It is translated and adapted in many countries, but not in Japan. : This study aimed to examine the validity of the Japanese version of the WCPA-10 (WCPA-10-J) in patients with acquired brain injury (ABI), and to explore the characteristics of cognitive strategy use among that population. Fifty-three patients with ABI aged 27-81 years and 52 healthy controls (HCs) completed the WCPA-10-J, three neuropsychological tests, and the assessment of the instrumental activities of daily living (IADL). : Results demonstrated that the WCPA-10-J was able to discriminate between the patients with ABI and the HCs. We found significant limitations in ABI patients' ability to use strategies. Concurrent, convergent, and ecological validities were partly demonstrated through correlations between the neuropsychological test scores, IADL, and the WCPA-10-J performance. : This study provides initial evidence for the validity of the WCPA-10-J for patients with ABI and suggests the need to use performance-based tests even in patients with normal cognitive screening test results. The WCPA-10-J could provide useful information for strategy-based interventions for patients with ABI.
每周日程规划活动(WCPA)是通过认知性日常生活工具活动(C-IADL)对包括执行功能在内的功能性认知进行的评估之一。它在许多国家都有翻译和改编,但在日本没有。本研究旨在检验日本版WCPA-10(WCPA-10-J)在获得性脑损伤(ABI)患者中的有效性,并探索该人群认知策略使用的特点。53名年龄在27至81岁之间的ABI患者和52名健康对照(HCs)完成了WCPA-10-J、三项神经心理学测试以及日常生活工具活动(IADL)评估。结果表明,WCPA-10-J能够区分ABI患者和HCs。我们发现ABI患者使用策略的能力存在显著局限性。通过神经心理学测试分数、IADL与WCPA-10-J表现之间的相关性,部分证明了同时效度、聚合效度和生态效度。本研究为WCPA-10-J在ABI患者中的有效性提供了初步证据,并表明即使在认知筛查测试结果正常的患者中也需要使用基于表现的测试。WCPA-10-J可以为ABI患者基于策略的干预提供有用信息。