今天讀的paper- Evaluation of Cognitive Function Associated With Chemotherapy，內容提到認知評估項目測到的功能應具廣度，也要有良好的敏感度(sensitivity，正確地辨識病人認知缺損的程度)和特異性(specificity，正確地檢驗病人無認知缺損) 。
然而，評估項目測的認知功能越廣，評估項目的長度也會隨之增加，施測的時間也會越長。評估時間太長對於某些病人(如.接受化療的癌症病人)無疑是個負擔， ，故簡短版的評估較適用於身心狀況較差的病人。
簡化的認知評估雖較省時、方便，但有兩項缺點：(1)難以偵測到程度小的認知缺損，(2)容易受到練習效果的影響。舉例來說，前者就如MMSE；後者則如HSCS。
如何調整評估項目的長度，介於全方面的測驗與簡短版的測驗之間，不失效度和信度，又不易受到練習效果等誤差的影響，的確是發展評估工具的困難之處。
Keep reading and thinking
標籤
Associates' Blogs
reading list(精讀過)
- 09/6/3- Lemay, S., Bedard, M. A., Rouleau, I., & Tremblay, P. L. (2004). Practice effect and test-retest reliability of attentional and executive tests in middle-aged to elderly subjects. Clin Neuropsychol, 18(2), 284-302
- 09/4/17-Miyake, A., Emerson, M. J., & Friedman, N. P. (2000). Assessment of executive functions in clinical settings: problems and recommendations. Semin Speech Lang, 21(2), 169-183.
- 09/4/6-Stuss, D. T., & Alexander, M. P. (2000). Executive functions and the frontal lobes: a conceptual view. Psychol Res, 63(3-4), 289-298.
- 09/3/25-Baum, C. M., Connor, L. T., Morrison, T., Hahn, M., Dromerick, A. W., & Edwards, D. F. (2008). Reliability, validity, and clinical utility of the Executive Function Performance Test: a measure of executive function in a sample of people with stroke. Am J Occup Ther, 62(4), 446-455.
- 09/3/11-Norman, DA and Shallice, T.(1986), Attention to action: Willed and automatic control of behaviour. In: R.J. Davidson, G.E. Schwartz and D. Shapiro, Editors, Consciousness and self-regulation: Advances in research and theory Vol. 4, Plenum, New York,1986, pp. 1–18.
reading list (略讀過)
- 09/2/24-Baum CM, Connor LT, Morrison T, Hahn M, Dromerick AW, Edwards DF. Reliability, validity, and clinical utility of the executive function performance test: A measure of executive function in a sample of people with stroke.
- 09/2/24-Bennett PC, Ong B, Ponsford J. Assessment of executive dysfunction following traumatic brain injury: Comparison of the bads with other clinical neuropsychological measures.
- 09/2/24-Kounti F, Tsolaki M, Kiosseoglou G. Functional cognitive assessment scale (fucas): A new scale to assess executive cognitive function in daily life activities in patients with dementia and mild cognitive impairment.
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