M. Tracy Morrison, Gordon Muir Giles, Jennifer D. Ryan, Carolyn M. Baum, Alexander W. Dromerick, Helene J. Polatajko, Dorothy F. Edwards; Multiple Errands Test–Revised (MET–R): A Performance-Based Measure of Executive Function in People With Mild Cerebrovascular Accident. Am J Occup Ther 2013;67(4):460-468. doi: 10.5014/ajot.2013.007880.
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© 2017 American Occupational Therapy Association
OBJECTIVE. This article describes a performance-based measure of executive function, the Multiple Errands Test–Revised (MET–R), and examines its ability to discriminate between people with mild cerebrovascular accident (mCVA) and control participants.
METHOD. We compared the MET–R scores and measures of CVA outcome of 25 participants 6 mo post-mCVA and 21 matched control participants.
RESULTS. Participants with mCVA showed no to minimal impairment on measures of executive function at hospital discharge but reported difficulty with community integration at 6 mo. The MET–R discriminated between participants with and without mCVA (p ≤ .002).
CONCLUSION. The MET–R is a valid and reliable measure of executive functions appropriate for the evaluation of clients with mild executive function deficits who need occupational therapy to fully participate in community living.
Performance-based evaluation of EF using real-world activities is an important area of study for occupational therapists.
The MET–R is highly sensitive in detecting EF deficits in a group of people with mCVA.
The MET–R scoring simplifications and new efficiency score improve ease of use.
The MET–R identifies EF deficits missed by standard paper-and-pencil and office-based measures.
Occupational therapists have a crucial role in supporting clients’ recovery from mCVA, and the MET–R may strengthen occupational therapists’ ability to identify clients with EF deficits who need occupational therapy to successfully reintegrate into community living.
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