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Research Article  |   July 2008
Reliability, Validity, and Clinical Utility of the Executive Function Performance Test: A Measure of Executive Function in a Sample of People With Stroke
Author Affiliations
  • Carolyn M. Baum, PhD, OTR, is Professor and Elias Michael Director, Program in Occupational Therapy, Washington University School of Medicine, 4444 Forest Park Avenue, Campus Box 8505, St. Louis, MO 63108; baumc@wustl.edu
  • Lisa Tabor Connor, PhD, is Assistant Professor, Program in Occupational Therapy and Departments of Radiology and Neurology, Washington University School of Medicine, St. Louis, MO
  • Tracy Morrison, OTD, OTR, is Research Assistant Professor, School of Allied Health, Occupational Therapy Education, University of Kansas Medical Center, Kansas City, KS
  • Michelle Hahn, MSOT, OTR, was previously at the Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO
  • Alexander W. Dromerick, MD, is Associate Professor, Georgetown University School of Medicine and National Rehabilitation Hospital, Washington, DC
  • Dorothy F. Edwards, PhD, is Associate Professor, Department of Kinesiology, University of Wisconsin, Madison
Article Information
Neurologic Conditions / Stroke / Rehabilitation, Disability, and Participation
Research Article   |   July 2008
Reliability, Validity, and Clinical Utility of the Executive Function Performance Test: A Measure of Executive Function in a Sample of People With Stroke
American Journal of Occupational Therapy, July/August 2008, Vol. 62, 446-455. doi:10.5014/ajot.62.4.446
American Journal of Occupational Therapy, July/August 2008, Vol. 62, 446-455. doi:10.5014/ajot.62.4.446
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.