Reliability, Validity, and Clinical Utility of the Executive Function Performance Test: A Measure of Executive Function in a Sample of People With Stroke

Abstract

This study examined the reliability and validity of the Executive Function Performance Test (EFPT). The EFPT assesses executive function deficits in the performance of real-world tasks. It uses a structured cueing and scoring system to assess higher-level cognitive functions, specifically initiation, organization, sequencing safety and judgment, and task completion. Seventy-three participants with mild to moderate stroke and 22 age- and education-matched controls completed the 4 EFPT tasks (cooking, using the telephone, managing medications, and paying bills). Significant differences were found between participants with mild and moderate stroke and healthy control participants. The EFPT can help occupational therapists determine the level of support needed by people with cognitive impairments to perform complex instrumental tasks. Objective information derived from this assessment is an essential part of the process of determining whether the person can live independently and helping families understand how to support the performance of their family members at home.

Pilot study: Computer-based virtual anatomical interactivity for rehabilitation of individuals with chronic acquired brain injury

“…The interclass correlation coefficient for interrater reliability is 0.91, and internal consistency was high (α = 0.94). Construct, concurrent, and criterion validity for the EFPT are strong, as reported by Baum et al [34].…”

Cognitive Rehabilitation Multi-family Group Intervention for Individuals with Mild Cognitive Impairment and Their Care-Partners

“…Post-test assessments were completed during the 2 weeks following treatment, with equal time frame between pre-tests and post-tests for the treatment (M = 96.52 days, SD = 18.80) and SC (M = 102.69 days, SD = 13.46) groups, t(44) = 1.28. Outcome instruments have demonstrated reliability and validity (e.g., Baum et al, 2008;Randolph, Tierney, Mohr, & Chase, 1998;Wilson, Cockburn, Baddeley, & Hiorns, 1989), and many were developed specifically for use with MCI and AD populations (e.g., Glasko et al, 2006;Logsdon, Gibbons, McCurry, & Teri, 1999). With two exceptions (described below), where instructions were modified to allow for pre-planning and/or note-taking that can occur in the everyday environment, all instruments were administered in their standardized format and scored using standardized scoring procedures.…”

Development and Preliminary Reliability of a Multitasking Assessment for Executive Functioning After Concussion

“…Doing so is difficult when impairments such as executive dysfunction are potentially difficult to detect, as in servicemembers with concussion. Performance-based assessments that involve multitasking have demonstrated the potential to discriminate between healthy control participants and people with executive dysfunction (Alderman et al, 2003;Baum et al, 2008;Morrison et al, 2013;Wolf, Morrison, & Matheson, 2008) and may be an alternative to traditional measures of cognitive domains, which often fail to detect existing deficiencies in complex task performance (Tranel, Hathaway-Nepple, & Anderson, 2007). Although such tests do not appear to be subject to the ceiling effects of more structured measures of performance (Hall et al, 1996;Scott et al, 2011), they are typically complex to administer and score (Morrison et al, 2013).…”