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Examining the construct validity of the Cognitive Competency Test for occupational therapy practice
Briana M Zur1, Debbie Laliberte Rudman, Andrew M Johnson
1Graduate Program in Health and Rehabilitation Sciences, University of Western Ontario, London, Canada. briana.zur@outlook.com
The Cognitive Competency Test (CCT) shows validity in assessing cognitive competence for occupational therapy. Its scores enhance predictions of occupational competence in older adults with cognitive impairment.
Area of Science:
- Occupational Therapy
- Neuropsychology
- Gerontology
Background:
- Occupational therapy practice relies on valid assessment tools.
- Cognitive competence assessment informs judgments of occupational competence in older adults with cognitive impairment.
Purpose of the Study:
- To evaluate the validity of the Cognitive Competency Test (CCT), a common measure in Canada.
- To address the lack of published evidence on the CCT's validity.
Main Methods:
- Retrospective chart review of 107 CCT reports for clients with cognitive impairment.
- Exploratory factor analyses to examine the CCT's factor structure.
- Comparison of CCT with clinical variables of cognitive and occupational competence.
Main Results:
- The CCT appears to measure a single, unitary construct.
- Evidence suggests the CCT has predictive capacity for occupational competence.
Conclusions:
- CCT scores offer incremental validity when used alongside cognitive screens like the Mini Mental State Exam.
- The CCT can aid in evaluating occupational competence in cognitively impaired older adults.
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