Peter Hassmén, Emily Hindman, Tamara Keiller, Duncan Blair
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引用次数: 0
摘要
负责目标导向行为的心理过程--执行功能（EF）--包括工作记忆、灵活思维和认知控制。对 EF 进行可靠有效的评估可以为适当的干预措施和驾驶决策提供依据。我们在非临床样本中研究了一种由 iPad 操作的简易 EF 筛查工具的可行性和有效性：科夫斯港执行功能筛查（CHEFS）。参与者（55人）在完成CHEFS筛查的同时，还完成了用于评估驾驶能力的EF神经心理学评估。判别功能分析（DFA）显示，CHEFS 能正确地将 87% 的参与者划分到言语流畅性测试的临床常模范围内。结果表明，CHEFS 是一种新颖、易于管理的工具，可用于评估非临床样本的 EF。DFA 是一种适当的工具内分析，可用于支持筛查工具的广泛应用，以确定是否适合驾驶并对患者的转诊需求进行分类。还需要进行进一步的评估，以确定 CHEFS 在更广泛的参与者中的可靠性和有效性，这些参与者在神经心理功能、年龄、种族、测试经验等方面各不相同，并与道路驾驶表现进行比较。
Piloting the Coffs Harbour Executive Functioning Screen (CHEFS): An off-road tool to predict fitness to drive.
Mental processes responsible for goal-oriented behavior - executive functioning (EF) - include working memory, flexible thinking, and cognitive control. A reliable and valid assessment of EF can inform appropriate interventions and decisions to drive. We investigated the feasibility and validity of a short, iPad-administered EF screening tool in a non-clinical sample: the Coffs Harbour Executive Functioning Screen (CHEFS). Participants (N = 55) completed the CHEFS alongside a neuropsychological assessment of EF used to assess fitness to drive. Discriminant function analysis (DFA) showed that the CHEFS correctly classified 87% of participants to normative clinical ranges on the Verbal Fluency Test. The results suggest that CHEFS is a novel, easily administered tool for assessing EF in a non-clinical sample. DFA is an appropriate within-tool analysis to support the widespread administration of a screening tool to determine fitness to drive and classify patient referral needs. Further assessment is required to determine CHEFS reliability and validity with a broader range of participants varying in neuropsychological functioning, age, ethnicity, test experience, and compared to on-road driving performance.
期刊介绍：
pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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