Title of Assessment
Executive Function Performance Test (EFPT)
Author(s)
Carolyn Baum, PhD, OTR
Year of Publication/Publisher
2013 Washington University School of Medicine
Identify Type of Assessment
Observation-based, standardized, criterion-referenced, performance-based
Cost & How to Access Assessment
Free
EFPT-Executive-Function-Performance-Test.pdf (therapistsforarmenia.org)
Population
Adults with stroke, multiple sclerosis, brain injury, mental health diagnoses and schizophrenia
Appropriate Settings
Rehabilitation hospital
Acute care
Nursing home
Community-based settings
Purpose of Assessment & Function(s)/Area(s) Assessed
EFPT examines executive cognitive functioning in four independent living tasks: preparing or heating light meal (oatmeal), managing medications, using the telephone, and paying bills.
This looks at ADLs, coordination, executive functioning, behavior, functional mobility, cognition, and quality of life, initiation of task, organization, sequencing, safety and judgment, and completion.
Administration
10-40 minutes
There are 5 levels of cueing: 0= no cueing, 1= verbal guidance, 2= gestural guidance, 3= direct verbal assistance, 4= physical assistance, and 5= do for the participation.
User Qualifications
Occupational Therapist
Materials Required
32 designated household items and several distracter items in a box (Hand soap in dispenser (as one would find in a home), Paper Towels (if you use cloth they will need to be washed after each use), Pan (with handle that gets hot and requires a pot holder), Pot holder, Measuring cup (glass) – 1 cup, Dry measuring cups, Spoon for stirring, Rubber spatula, Old‐fashioned Oats, Bowl, Spoon for eating, Salt shaker, Timer – a timer with a dial rather than a digital timer, Pencil, Paper, Phone book, Magnifying Glass, Medicine bottle with instructions with the person’s name on it – filled with sugar‐free candy, Medicine bottle with instructions with another person’s name on it filled with sugar‐free candy, Crackers, Claritin (or other over the counter ) bottle (non‐prescription) as a distracter – filled with sugar‐free candy, Drinking cups, Two bills (one cable (due in 30 days), one phone (due immediately) with pre‐addressed envelopes) mixed with 5 other pieces of mail (letter from credit card company, postcard, flier, letter in a plain white envelope, mail order catalog.) in a Ziploc bag, Checkbook with person’s name on the check, Balance sheet (i.e., account book) with a balance $5.00 less than the bills total, Pen, Calculator, Other distracter items, Tongs, Pepper shaker, Restaurant / apartment guide, Catalog, An enlarged direction sheet for the cooking task exactly as on the oatmeal box ( they may not be able to read it in small print). A stopwatch (or you may use your phone as a timer) Prepare a response card for the pre‐test questions. Scissors Put Bills and distracter mail in a gallon plastic bag Put medications in a quart plastic bag An enlarged direction sheet for the cooking task as on the oatmeal box (they may not be able to read it in small print). o EXCEPTION: Instruct them to cook for 2 minutes (so there is time for them to use the timer and be cued if necessary). Prepare a response card for the pre‐test questions. 0= by yourself 1= with guidance 2= with assistance 3=I won’t be able to do this task Test forms, scoring sheet, an electric burner plate (if there is no stove) Stopwatch (or you may use your phone as a timer)
Scoring Procedure
Scores range from 0-25, 25 points per task.
The higher the score, the more cueing that was required.
Psychometrics/Standardization
Interrater reliability= .91, with subtest ranging from .79-.94
Construct validity showed differences, but criterion validity was supported.
Strengths & Weaknesses of Assessment
Strengths
Examines what a client CAN do rather than what they cannot
Determines which executive functions are impaired
Capacity for independence
Weaknesses
Many materials required
Can take a long time
References
Asher, I. E. (2014). Asher’s occupational therapy assessment tools: An annotated index. American Occupational Therapy Association.
EFPT-alternate-alternate-forms-of-the-executive-function. https://therapistsforarmenia.org/wp-content/uploads/2021/03/EFPT-Alternate-Alternate-Forms-of-the-Executive-Function-Performance-Test-Booklet.pdf