1. Executive Functioning Performance Test
EFPT

2. 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

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

4. 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

5. General Principles

6. 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.

7. 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!

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

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

10. 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

11. 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.