功能導向執行功能評估工具之測量項目整理進度(11/15)

Instrument	Item
Executive Function Performance Test (EFPT)	4 IADL tasks1: simple cooling*, telephone use, medication management, and bill payment
Behavioural Assessment of the Dysexecutive Syndrome (BADS)	1. Six test: 0-4 for each test2   (1) Rule shift cards**   (2) Action program**   (3) Key search   (4) Temporal Judgment   (5) Zoo map   (6) Modified six elements 2. Two questions: self rating and proxy  rating of Dysexecutive questionnaire
Dysexecutive Questionnaire (DEX)	Two versions (self rating and proxy  rating), 20 items (score 0-4 for each item)3 ： 1. abstract thinking problems 2. impulsivity 3. confabulation 4. planning problems 5. euphoria 6. temporal sequencing deficits 7. lack of insight and social awareness 8. apathy and lack of drive 9. disinhibition 10. variable motivation 11. shallowing of affective responses 12. aggression 13. lack of concern 14. perseveration 15. restlessness-hyperkinesis 16. inability to inhibit responses 17. knowing-doing dissociation 18. distractibility 19. poor decision-making ability 20. no concern for social rules
Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A) (screening tool)	Two versions (self rating and proxy  rating), 75 items, 9 scales4: 1. inhibit 2. self-monitor 3. plan/organize 4. shift 5. initiate 6. task monitor 7. emotional control 8. working memory 9. organization of materials
Multiple Errands Test	Do a task in the shopping mall; 4 sets of simple tasks. (community-based, hospital-based versions, and virtual MET) Procedures 1. purchase 6 items 2. locate and record 4 items of information 3. meet the assessor at a designated point (20 minutes) 4. tell the assessor when he/she had finished
Profile of the Executive Control System (PRO-EX)	1. observational assessment (1) naturalistic setting: multi-step tasks at home, e.g., balancing checkbook (2) simulated setting: route-finding task in hospital Observational assessment consists of 7 scales: (a) goal selection; (b) planning/sequencing; (c) initiation; (d) execution; (e) timesense; (f) awareness of deficits; and (g) self-monitoring 2. interview: ask caregiver scale-specific questions
Executive Function Route Finding Task (EFRT)	Ask the patient to start at a designated point and to locate an office on campus (not familiar to patients). The EFRT followed a number of potential routes involving at least 5 choice points and one change in floor level. Score on the parameters: (1) task understanding; (2) information seeking; (3) retaining directions; (4) error detection; (5) error correction; and (6) on-task behavior. (score 1-4 for each parameter)
Brock Adaptive Functioning Questionnaire (BAFQ)	68 questions, divided into12 subscales5: (1) planning; (2) initiation; (3) flexibility; (4) excess caution; (5) attention; (6) memory; (7) arousal level; (8) emotionality; (9) impulsivity; (10) aggressiveness; (11) social monitoring; and (12) empathy Assessing 5 domains6: (1) planning; (2) initiation; (3) attention/memory; (4) arousal/inhibition; and (5) social monitoring Score5, 6: hardly ever (0), rarely (1), sometimes (2), often (3), almost always (4) Self rating and proxy rating, two versions

*需二手操作

**非功能導向

References:

1.         Baum CM,Morrison T. Test Protocol Booklet- Executive  Function Performance Test. St. Louis, MO: Program in Occupational Therapy, School of Medicine, Washington University, 2007.

2.        Wilson AB, Alderman N, Burgess PW, et al. Behavioural Assessment of the Dysexecutive Syndome (BADS). Journal of Occupational Psychology, Employment and Disability 2003;5.

3.         Burgess PW, Alderman N, Evans J, et al. The ecological validity of tests of executive function. Journal of the International Neuropsychological Society 1998;4:547-558.

4.         Rabin LA, Roth RM, Isquith PK, et al. Self- and informant reports of executive function on the BRIEF-A in MCI and older adults with cognitive compliants. Arch Clin Neuropsychol 2006;31:721-732.

5.         Chaytor N, Schmitter-Edgecombe M, Burr R. Improving the ecological validity of executive functioning assessment. Arch Clin Neuropsychol 2006;21:217-227.

6.         Sohlberg MM,Matter CA. Cognitive Rehabilitation. New York: The Guilford Press, 2001.