Higher-level cognitive functions, such as decision-making, self-correction, and judgment,
are referred to as executive functions. Following stroke, approximately two-thirds
of individuals experience some impairment in cognitive function,1 which is associated with decreased ability to complete activities of daily living
and instrumental activities of daily living, contributing to longer rehabilitation
stays.2 Because of the impact these deficits have on independent living, assessment of executive
function is critical to understanding the amount of support or assistance an individual
requires in order to complete daily tasks. The Executive Function Performance Test
(EFPT) is a performance-based measure that assesses impairments in executive function,
including an individual's capacity to live independently and the amount of assistance
needed to complete common tasks. Tasks assessed include: simple cooking, telephone
use, medication management, and bill payment. The EFPT has demonstrated excellent
reliability and adequate to excellent validity in individuals with stroke. Approximately
2 hours are required to complete the EFPT. The instrument's test booklet is free;
however, the test kit costs approximately $50.
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© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.