A novel assessment of participation and executive functions (A-PEX) for traumatic brain injury: a validity study.
Eur J Phys Rehabil Med
; 59(3): 317-326, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-37083100
ABSTRACT
BACKGROUND:
Executive function deficits are a main cause of participation restrictions post-traumatic brain injury (TBI). Assessing executive functions through actual daily participation may provide valuable information for treatment planning and progress.AIM:
This study aimed to validate the Assessment of Participation and Executive Functions (A-PEX), a tool for evaluating executive function deficits through actual participation in the inpatient rehabilitation context during the subacute phase following TBI.DESIGN:
A cross-sectional with a longitudinal component.SETTING:
Inpatient rehabilitation facility. POPULATION This study included 56 participants divided into two groups 30 with orthopedic or spinal cord injuries and 26 with TBI.METHODS:
Internal consistency was evaluated by Cronbach's alpha, and test-retest reliability was assessed using interclass correlation coefficients. Known-group construct validity was examined by comparing the A-PEX scores between the two groups, and A-PEX convergent construct validity for patients with TBI was examined using correlations between scores on the A-PEX, Multiple Errands Test-hospital version (MET-HV), and Color Trail Test (CTT).RESULTS:
Cronbach's alpha coefficients for the A-PEX domains ranged between 0.83 and 0.96, indicating good-to-excellent internal consistency. Interclass correlations calculated for the control group indicated moderate test-retest reliability for most A-PEX components. Participants with TBI scored significantly lower than those with orthopedic or spinal cord injury for all A-PEX components (P<0.001). Within the TBI group, significant moderate-to-strong correlations were found between all A-PEX components and the MET-HV (0.52CONCLUSIONS:
The findings provide evidence for the initial reliability and validity of the A-PEX as a measure of post-TBI executive functions. CLINICAL REHABILITATION IMPACT By evaluating actual everyday participation, the A-PEX provides valuable clinical insight into the interrelationship between executive functions and participation in the post-TBI subacute phase.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Lesões Encefálicas Traumáticas
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Eur J Phys Rehabil Med
Assunto da revista:
MEDICINA FISICA
/
REABILITACAO
Ano de publicação:
2023
Tipo de documento:
Article