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Advanced Neurology Cognitive assessment using performance-based tests

Table 3. (Continued)
Assessment Study QuADS Description Sample size Mean age (SD) Cognitive Approach/model
relevant Rating and TBI of the TBI domains
iv
to the TBI (x/39) subgroup subgroup assessed
population
Systematic behavioural 64 20 Multi-step cooking N=27 49.1 (18.5) Attention, Informed by
observation of executive tasks (preparing TBI=10 initiation, the WHO/
65
performance 64 brownies and planning, ICF model
making a hot drink cognitive shifting, for assessments
simultaneously); impulsivity, in structured,
microwave used for error correction, natural
brownies and time environments
management
Test of functional 19 20 Information N=340 25.71 (6.65) Cognitive Based on the
executive abilities 19 gathering task: using TBI (mild to linguistic EFRT 37
a phone, phone book, moderately abilities, staying
and map to find a severe) = 340 on task, and time
hotel’s address management;
executive
functioning
using a dynamic
approach
University of 67 15 Brief version of the N=50 31.76 (7.27) Executive No approach/
California San Diego assessment battery TBI (mild to functioning, model
performance-based includes calling to moderate) = 50 auditory documented
skills assessment brief source information comprehension,
(UPSA-B) 66 for an outing and and recall,
reschedule an planning,
appointment; money memory, and
management and bill functional math
payment tasks using abilities
checks
Note: Personal activities of daily living; Instrumental activities of daily living; Post-traumatic amnesia; Quality assessment with diverse studies.
iii
iv
ii
i
author. Resources required ranged from simple items, such participants (not TBI), with stroke the predominant
as access to a phone, to more specific resources, such as diagnosis within ABI subgroups. Two assessments, the
a particular shaped table or access to a full bathroom or menu task and the weekly calendar planning activity, had
kitchenette, which may be difficult for clinicians in acute published data with healthy community-dwelling adults.
care. The AMPS and the PRPP assessments required formal These seven assessments with emerging potential for use
training. Kit-based assessments also had associated costs with TBI populations are described in Table 5.
ranging from US$140 for the weekly calendar planning
task to US$650 for the University of San Diego California 5. Discussion and implications
performance-based skills assessment brief (UPSA-B). With regard to the first research question (i.e., what
From the 120 full text articles reviewed, seven of the performance-based cognitive assessments are available
assessments did not have published articles with TBI for occupational therapists to use in an acute care setting
participants, and these were excluded from the final with patients following TBI?), 18 assessments were
scoping review. Further information was sought and gained identified and described. The results of this review are
from their authors on the suitability for use with patients consistent with findings from the systematic review by
with TBI. Authors confirmed that these assessments were Wesson et al. of functional cognition assessments suitable
7
developed for future use with patients with TBI. These for older adults. The current scoping review relied on
were the: kettle test; menu task; weekly calendar planning specific inclusion and exclusion criteria to determine
activity; ManageMed screen; performance assessment performance-based assessments with potential suitability
of self-care skills; complex task performance assessment, for patients following TBI in acute care settings. Articles
and the pillbox test. Five of these assessments had ABI with published data on TBI participants generally had

Volume 4 Issue 1 (2025) 61 doi: 10.36922/an.4508