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Concurrent validity of the Executive Function Performance Test in people with mild stroke

Artikel i vetenskaplig tidskrift
Författare Marie Cederfeldt
Widell Yvonne
Elgmark Andersson Elisabeth
Synneve Dahlin-Ivanoff
Gunilla Gosman-Hedström
Publicerad i The British Journal of Occupational Therapy
Volym 74
Nummer/häfte 9
Sidor 443-449
ISSN 0308-0226
Publiceringsår 2011
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Sidor 443-449
Språk en
Länkar dx.doi.org/10.4276/030802211X131530...
Ämnesord cognition, concurrent validity, EFPT, executive dysfunction, instrumental activities
Ämneskategorier Neurologi, Arbetsterapi, Äldre och åldrande

Sammanfattning

Introduction: Studies have shown that executive dysfunction is common in adults after stroke. Occupational therapists working in acute care assess the performance of activities of daily living; most instruments focus on personal care. However, the assessment of instrumental activities of daily living has been shown to discriminate executive dysfunction more effectively. An instrument for assessing executive dysfunction in more complex activities that is easy to handle in acute care is consequently required for clinical use. The Executive Function Performance Test (EFPT) was recently introduced into Sweden. The purpose of this study was to evaluate the concurrent validity of the EFPT in acute care for patients with mild stroke. Method: Twenty-three patients from an acute stroke unit were assessed with both the EFPT and the Assessment of Motor and Process Skills (AMPS). Results: The correlation between the EFPT and the AMPS assessments was highly significant (p = 0.003) and the concurrent validity was rho = 0.61. Conclusion: Since there is a risk that adult patients with mild stroke are discharged without rehabilitation, and there is a lack of a relevant instrument for occupational therapists that discriminates executive dysfunction in acute stroke care, the EFPT may be a suitable instrument to use with these patients.

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