Executive Functioning Performance Test EFPT

Executive Function Dorsolateral prefrontal cortex Initiation Execution Organization Sequencing Judgment & Safety Completion EF is more than this but this is how the test is laid out. Initiation is in the prefrontal cortex but it primarily on the R side. All of these components are measured but in truth only organization, sequencing and judgment are considered EF

Purpose Executive function impairments Capacity for independence Assistance needed to complete task

Why? Tasks Simple cooking Telephone use Medication management Bill payment Making oatmeal from a box, need a stove or burner Telephone- call a grocery store

General Principles

Cues: Don’t let them fail Two cues given at each level Go back to beginning each error until you reach direct verbal 0 No Cues Indirect verbal guidance Gestural guidance Direct verbal assistance Physical assistance Do the step for client Unless the participant is in danger (e.g., putting the pitcher of water down where it could fall off the table and break, putting a hot pad on the burner, touching the burner to see if it is on, placing their sleeve in the fire, etc.), do not intervene until the participant shows he/she is not processing to move to the next step. If the person has difficulty with any aspect of any of the tasks, you must wait to give them time to process before giving the participant a cue, don’t wait to allow them to make a error, the cue avoids the error. Give two cues of each kind before progressing to the next cueing level.

Other Principles No conversations Standardized instructions Record the time for each task Each task has a score sheet If physically unable to complete a step, don’t count off All tasks should be completed in order Item preparation is key!

Practice Rounds Team: client, scorer/timer, reader Two “stations” per room Complete the instructions Keep to schedule

Test Administration Be prepared! Follow the script with pre-test questions

The Box Use the checklist of items in the test manual to set up the box. Use the Pre-Test Checklist to make sure everything is in place prior to each use. Must personalize the following each time: Medication label Envelopes containing the bills Two of the checks in the check book Date cable bill as due 3 weeks after the date of the test

Standardized Patient Lab You will need to bring with you: The cable bill and phone bill in their envelopes “Check book” that contains two checks and a balance sheet Score sheets for Medication Management and Bill Payment Your own script for administering the test Your client: Chris Johnson 128 Ontario Shreveport, LA 71101 The Box will be in the room already.