1. Assessment of higher level cognitive-communication functions in adolescents with ABI: Standardization of the student version of the functional assessment of verbal reasoning and executive strategies (S-FAVRES).
- Author
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MacDonald, Sheila
- Subjects
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BRAIN injury diagnosis , *CLINICS , *COGNITION in adolescence , *COMMUNICATIVE competence , *STATISTICAL correlation , *TEST validity , *EXPERIMENTAL design , *HOSPITALS , *INTERVIEWING , *NEUROPSYCHOLOGICAL tests , *RESEARCH methodology , *MEDICAL cooperation , *PROBABILITY theory , *PROBLEM solving , *QUESTIONNAIRES , *REHABILITATION centers , *RESEARCH , *SCALE analysis (Psychology) , *SCHOOLS , *SELF-management (Psychology) , *SPEECH evaluation , *STATISTICAL hypothesis testing , *STATISTICS , *STUDENTS , *LOGISTIC regression analysis , *PILOT projects , *DATA analysis , *STATISTICAL reliability , *TASK performance , *PREDICTIVE validity , *INTER-observer reliability , *MULTITRAIT multimethod techniques , *SEVERITY of illness index , *RECEIVER operating characteristic curves , *RESEARCH methodology evaluation , *EXECUTIVE function , *FUNCTIONAL assessment , *DESCRIPTIVE statistics , *GLASGOW Coma Scale , *INTRACLASS correlation , *ADOLESCENCE ,RESEARCH evaluation - Abstract
Background: Childhood acquired brain injuries can disrupt communication functions needed for success in school, work and social interaction. Cognitive-communication difficulties may not be apparent until adolescence, when academic, environmental and social-emotional demands increase. Objective: The Functional Assessment of Verbal Reasoning and Executive Strategies for Students (S-FAVRES) is a new activity-level measure of cognitive-communication skills in complex, contextual and integrative tasks that simulate real world communication challenges. It is hypothesized that S-FAVRES performance would differentiate adolescents with and without acquired brain injury (ABI) on scores for Accuracy, Rationale, Reasoning Subskills and Time. Methods: S-FAVRES was administered to 182 typically-developing (TD) and 57 adolescents with mild-to-severe ABI aged 12–19. Group differences, internal consistency, sensitivity, specificity, reliability and contributing factors to performance (age, gender, brain injury) were examined statistically. Results: Those with ABI attained statistically lower Accuracy, Rationale and Reasoning sub-skills scores than their TD peers. Time scores were not significantly different. Performance trends were consistent across tasks, administrations, gender and age groups. Inter-rater reliability for scoring was acceptable. Conclusion: The S-FAVRES provides a reliable, functional and quantifiable measure of subtle cognitive-communication difficulties in adolescents that can assist speech-language pathologists in planning treatment and integration to school and real world communication. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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