六要素测试与D-KEFS: "生态有效性"告诉我们什么?
Yana Suchy1, Michelle Gereau Mora1, Stacey Lipio Brothers1
1Department of Psychology, University of Utah, Salt Lake City, UT, USA.
概括
传统的执行功能 (EF) 测试,如Delis-Kaplan执行功能系统 (D-KEFS),比老年人修改的六要素测试 (MSET) 更好地预测日常生活活动.
科学领域:
- 老年学是指老年学的学科.
- 神经心理学 神经心理学
- 认知科学 认知科学
背景情况:
- 执行功能 (EF) 测试预测日常生活中的仪器活动 (IADL),但生态有效性令人担忧.
- 修改六元测试 (MSET) 的设计是为了在评估日常功能时获得更好的生态有效性.
- 关于MSET预测现实世界的功能能力的先前发现是不一致的.
研究的目的:
- 将MSET的预测能力与IADL的传统EF测量进行比较.
- 以三种方式评估IADL:基于实验室的自我报告,基于实验室的绩效和基于家庭的评估.
- 确定MSET是否提供超越传统EF测试的独特预测价值.
主要方法:
- 93名年龄在60-85岁之间的成年人参与了这项研究.
- 参与者完成了MSET,Delis-Kaplan执行功能系统 (D-KEFS) 和基于实验室的IADL评估.
- 基于家庭的IADL被跟踪了三个星期,使用每日独立生活和执行技能评估 (DAILIES) 协议.
主要成果:
- MSET仅预测了基于家庭的IADL.
- 在所有三个评估模式中,D-KEFS预测了IADL.
- D-KEFS独立于MSET预测了家庭IADL,但MSET没有在D-KEFS之外增加预测价值.
结论:
- 传统的EF测试 (D-KEFS) 比MSET更有效地预测社区老年人的IADL.
- 结果表明,在认知健康的老年人中,传统的EF测量仍然优于评估功能独立性.
- 在这个人群中,MSET可能不是已建立的EF测试的合适替代品.
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