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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(11): 767-774
DOI: 10.1590/0004-282X20180127
Article

Executive Function Performance Test: transcultural adaptation, evaluation of psychometric properties in Brazil

Teste de Desempenho da Função Executiva: adaptação transcultural, avaliação das propriedades psicométricas no Brasil

Authors

  • Juliana Conti

    1   Universidade de São Paulo, Hospital das Clínicas, Divisão de Neurologia Clínica, São Paulo SP, Brasil.

  • Sonia Maria Dozzi Brucki

    1   Universidade de São Paulo, Hospital das Clínicas, Divisão de Neurologia Clínica, São Paulo SP, Brasil.
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ABSTRACT

Executive dysfunction occurs in 18.5% to 39% of patients who present with cognitive impairment. Occupational therapy aims to facilitate independence and autonomy, hence improving quality of life. The Executive Function Performance Test – Brazilian version (EFPT-BR) has been developed to assess the need for assistance in performing four basic daily tasks.

Objectives: The aims of this research were: (1) to offer cross-cultural adaptation in patients with stroke; (2) to assess the psychometric properties of the Brazilian version of the EFPT-BR in patients with stroke; (3) to assess the relationship between scores on the EFPT-BR in patients with stroke, and demographic variables, stroke location, symptoms of anxiety and depression.

Methods: The transcultural adaptation and validation were performed based on standard procedures, and psychometric properties were assessed in 86 Brazilian patients who suffered a stroke.

Results: The test has shown a good internal consistency (Cronbach's alpha: 0.819). The ICC for intra-rater reliability was 0.435 and for the inter-rater was 0.732. Significant correlations between scores in the EFPT-BR and executive measures (verbal fluency test, clock drawing test, digit span – forwards and backwards, zoo map test and Six Elements Test) were observed.

Conclusion: The EFPT-BR is a valid and reliable tool for occupational therapists to assess executive dysfunction in daily routine tasks in patients with stroke in Brazil.

RESUMO

Disfunção executiva ocorre em 18,5% a 39% dos pacientes que apresentam comprometimento cognitivo. A terapia ocupacional visa proporcionar independência e autonomia, de modo a melhorar a qualidade de vida. O Teste Desempenho da Função Executiva (TDFE) foi desenvolvido para avaliar a necessidade de assistência para realizar quatro tarefas diárias básicas.

Objetivos: Os objetivos desta pesquisa são: (1) realizar a adaptação transcultural em pacientes com AVC; (2) avaliar as propriedades psicométricas da TDFE em pacientes com AVC; (3) avaliar a relação entre TDFE em pacientes com AVC e variáveis demográficas, região afetada pelo acidente vascular cerebral, sintomas de ansiedade e depressão.

Métodos: A adaptação e validação transcultural foram realizadas com base em procedimentos padrão e as propriedades psicométricas foram avaliadas em 86 pacientes brasileiros que sofreram acidente vascular cerebral.

Resultados: O teste apresentou boa consistência interna (alfa de Cronbach: 0,819). A confiabilidade intra examinador foi de 0,435 e para o inter examinador foi de 0,855. Foram observadas correlações significativas entre a pontuação final do TDFE e os seguintes testes de função executiva: teste de fluência verbal, teste do desenho do relógio, Teste de Extensão dos Dígitos (diretos e inversos), subteste do mapa zoológico e subteste modificado dos seis elementos.

Conclusão: A TDFE é uma ferramenta válida e confiável para os terapeutas ocupacionais para avaliar a disfunção executiva nas tarefas de rotina diária em pacientes com AVC no Brasil.

Keywords:

stroke - executive function - occupational therapy - cognition - validation studies

Palavras-chave:

acidente vascular cerebral - função executiva - terapia ocupacional - cognição - estudos de validação


Publikationsverlauf

Eingereicht: 04. April 2018

Angenommen: 20. August 2018

Artikel online veröffentlicht:
22. August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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