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Updated: May 8, 2026

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Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Using the virtual action planning-supermarket for evaluating executive functions in people with stroke
Naomi Josman1, Rachel Kizony2, Esther Hof3
1Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Summary
The Virtual Action Planning-Supermarket (VAP-S) tool effectively measures cognitive executive functions in stroke survivors, correlating well with daily living activities and aiding rehabilitation. This supports its use in stroke recovery programs.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Cognitive Psychology
Background:
- Stroke survivors often experience executive function deficits impacting daily living.
- Assessing these deficits requires valid and reliable tools for effective rehabilitation.
Purpose of the Study:
- To establish construct and concurrent validity of the Virtual Action Planning-Supermarket (VAP-S).
- To assess the ecological validity of VAP-S by correlating performance with Instrumental Activities of Daily Living (IADL).
- To identify predictors of IADL performance in stroke patients.
Main Methods:
- Compared VAP-S performance between 24 stroke patients and 24 healthy controls.
- Administered Behavioral Assessment of the Dysexecutive Syndrome (BADS) for executive functions (EFs).
- Assessed Instrumental Activities of Daily Living (IADL) using Observed Tasks of Daily Living-Revised (OTDL-R).
Main Results:
- VAP-S showed significant differences between stroke patients and controls in 2 measures.
- VAP-S performance correlated moderately with BADS subtests assessing EFs (r = .47–.52).
- VAP-S and BADS scores predicted 56.2% of OTDL-R performance in stroke patients.
Conclusions:
- The VAP-S demonstrates adequate validity for assessing cognitive functions post-stroke.
- VAP-S performance is a significant predictor of Instrumental Activities of Daily Living.
- The VAP-S is a valuable tool for cognitive stroke rehabilitation planning.
