Measurement Characteristics and Clinical Utility of the Executive Function Performance Test Among Individuals With Stroke

      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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