Yifat Schwartz, Sara Averbuch, Noomi Katz, Aliza Sagiv; Validity of the Functional Loewenstein Occupational Therapy Cognitive Assessment (FLOTCA). Am J Occup Ther 2015;70(1):7001290010. https://doi.org/10.5014/ajot.2016.016451
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© 2021 American Occupational Therapy Association
The Functional Loewenstein Occupational Therapy Cognitive Assessment (FLOTCA) was developed to assess integrative higher cognitive abilities in people with traumatic brain injury (TBI). The FLOTCA measures performance on three tasks: navigating on a map, organizing a toolbox, and planning a daily schedule. This study assessed the psychometric properties of the FLOTCA with a sample of 25 participants with TBI ages 18–49 and 25 matched healthy participants. The FLOTCA showed high interrater reliability (intraclass correlation = .996) and internal consistency reliability for the total score (α = .82). Construct validity was supported for the total score, t (48) = −5.48, d = 1.52, and the separate tasks. Moderate ecological validity was obtained with the combined FIM™ and Functional Assessment Measure, r (19) = .44, p < .05. The results indicate that the FLOTCA can be used to assess higher cognitive abilities in functioning and can serve as the basis for intervention planning.
The FLOTCA is a useful tool that can contribute to the overall occupational therapy evaluation and assist in setting relevant therapeutic goals for treatment.
The FLOTCA is based on everyday functions; therefore, clients can relate the different tasks to their daily activities. Difficulties in performing the tasks may increase clients’ awareness of their functional problems.
Years of education has no influence on performance on the FLOTCA, so the tool can be used with people who have various levels of education.
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