Executive Functioning Performance Test EFPT Executive Function Dorsolateral

Executive Functioning Performance Test EFPT

Executive Function Dorsolateral prefrontal cortex • Initiation • Execution • Organization • Sequencing • Judgment & Safety • Completion

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

Tasks • Simple cooking • Telephone use • Medication management • Bill payment ? y Wh

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 1 2 3 4 5 No Cues Indirect verbal guidance Gestural guidance Direct verbal assistance Physical assistance Do the step for client

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 1. Use the checklist of items in the test manual to set up the box. 2. Use the Pre-Test Checklist to make sure everything is in place prior to each use. 3. Must personalize the following each time: q Medication label q Envelopes containing the bills q Two of the checks in the check book q 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.