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Harnessing Daily Routines for Early Detection of Cool Executive Delays: Validating the EFORTS Questionnaire.
Carmit Frisch1, Sara Rosenblum1
1The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel.
Children (Basel, Switzerland)
|November 27, 2024
Summary
The Executive Functions and Occupational Routines Scale (EFORTS) reliably identifies executive function (EF) delays in children, assessing both "hot" and "cool" EF domains through parental reports for early intervention.
Area of Science:
- Developmental Psychology
- Child Psychology
- Educational Psychology
Background:
- Early identification of executive function (EF) delays is crucial.
- Parental reports on children's daily executive control are vital.
- Distinguishing between
- cool
- and
- hot
- executive functions is important.
Purpose of the Study:
- Revalidate the reliability and validity of the Executive Functions and Occupational Routines Scale (EFORS).
- Examine if EFORS captures both
- hot
- and
- cool
- executive functions.
- Assess EFORS as a tool for early detection of executive delays.
Main Methods:
- Parents (N=971) of children aged 3-11 years completed the EFORS and Behavior Rating Inventory of Executive Functions/Preschool version (BRIEF/P).
- Exploratory and confirmatory factor analysis were used to re-establish EFORS.
- Internal consistency and correlations between scales were analyzed.
Main Results:
- EFORS demonstrated high internal consistency (0.82-0.93) for daily functional routines.
- Significant correlations were found between EFORS subscales and BRIEF/P "hot" and "cool" executive scales.
- Age-related differences in executive functions were observed across three age groups.
Conclusions:
- EFORS is a reliable tool for assessing children's executive control in daily functions.
- The scale effectively captures both "cool" and "hot" executive functions.
- EFORS aids in the early detection of executive delays before formal schooling.

