Bridget Hahn, Carolyn Baum, Jennifer Moore, Linda Ehrlich-Jones, Susan Spoeri, Meghan Doherty, Timothy J. Wolf; Development of Additional Tasks for the Executive Function Performance Test. Am J Occup Ther 2014;68(6):e241–e246. https://doi.org/10.5014/ajot.2014.008565
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© 2019 American Occupational Therapy Association
OBJECTIVE. The Executive Function Performance Test (EFPT) is a reliable and valid performance-based assessment of executive function for people with stroke. The objective of this study was to enhance the clinical utility of the EFPT by developing and testing additional tasks for the EFPT in the Alternate EFPT (aEFPT).
METHOD. We performed a cross-sectional study with poststroke participants (n = 25) and healthy control participants (n = 25). All participants completed a neuropsychological assessment battery and both the EFPT and the aEFPT.
RESULTS. No statistically significant differences were found between the EFPT and the aEFPT when examining total scores, construct scores, and two overall task scores. Correlations between the aEFPT and the neuropsychological measures were adequate to strong (r2s = .59–.83).
CONCLUSION. The aEFPT tasks are comparable to the original EFPT tasks, providing occupational therapy practitioners with additional tasks that can be used clinically to identify performance-based executive function deficits in people with stroke.
The aEFPT offers a promising way for clinicians to measure an outcome of clinical treatment of executive function deficits.
If administered in its entirety, the aEFPT is not significantly different than the EFPT and is able to detect change in deficits in executive function in the poststroke population.
The tasks of making pasta and ordering from a catalog could be used to measure change after administration of the original EFPT.
The aEFPT is a valid tool to capture performance-based executive function deficits in the poststroke population.
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