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The Key Behaviors Change Inventory and executive functioning in an elderly clinic sample
Heather G Belanger1, Lisa M Brown, Timothy A Crowell
1James A. Haley VA Medical Center, Tampa, FL, USA.
The Clinical Neuropsychologist
|February 28, 2003
Summary
The Key Behaviors Change Inventory (KBCI) effectively assesses executive and behavioral changes after brain injury. Its validity is supported for tracking recovery in neurological disorders.
Area of Science:
- Neuropsychology
- Clinical Psychology
- Rehabilitation Medicine
Background:
- Executive, behavioral, and emotional functioning are critical post-brain injury.
- Tracking recovery requires valid assessment tools.
- The Key Behaviors Change Inventory (KBCI) was developed for this purpose.
Purpose of the Study:
- To evaluate the convergent and discriminant validity of the KBCI.
- To examine KBCI scale relationships with executive functioning measures in elderly memory clinic patients.
Main Methods:
- Caregivers of 97 patients at a memory disorders clinic completed the KBCI.
- KBCI scales were correlated with cognitive measures of executive functioning, memory, visuospatial abilities, and global cognition.
Main Results:
- KBCI scales for Inattention, Apathy, Unawareness of Problems, and Communication Problems showed significant correlations with executive functioning measures.
- These scales did not correlate with memory, visuospatial, or global cognitive measures.
- KBCI scales for Impulsivity, Interpersonal Difficulties, Somatic Difficulties, and Emotional Adjustment lacked significant cognitive correlations.
Conclusions:
- The KBCI demonstrates convergent and discriminant validity for assessing executive and behavioral sequelae.
- The KBCI is a potentially valuable tool for monitoring recovery in patients with neurological disorders.