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

Author

  • Marie Cederfeldt
  • Yvonne Widell
  • Elisabeth Elgmark Andersson
  • Synneve Dahlin-Ivanoff
  • Gunilla Gosman-Hedstrom

Summary, in English

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.

Publishing year

2011

Language

English

Pages

443-449

Publication/Series

British Journal of Occupational Therapy

Volume

74

Issue

9

Document type

Journal article

Publisher

SAGE Publications

Topic

  • Occupational Therapy

Keywords

  • Cognition
  • concurrent validity
  • EFPT
  • executive dysfunction
  • instrumental activities

Status

Published

ISBN/ISSN/Other

  • ISSN: 1477-6006