Embedded Files
Author(s)
Author(s)
Allen, C., Austin, S., David, S., Earhart, C., McCraith, D., & Riska-Williams, L.
Year of Publication/Publisher
Year of Publication/Publisher
2007, ACLS and LACLS Committee
Type of Assessment
Type of Assessment
Standardized, screening tool
Cost & How to Access
Cost & How to Access
ACL Screen-5, 2nd. Ed. Complete Screening Assessment Cost: $249.99 - $274.99
https://allencognitive.com/product/a01-complete-screening-assessment/
Population
Population
adults, older adults, mental health, neurocognitive disorders, dementia, substance use disorders
Appropriate Settings
Appropriate Settings
acute, inpatient, mental health, outpatient, home health
Purpose of Assessment & Function(s)/Area(s) Assessed
Purpose of Assessment & Function(s)/Area(s) Assessed
Screening tool for measuring functional cognition that may impact performance in attention, sensorimotor skills, visual-motor, executive functioning, and problem solving in order to support making OT interventions based on their performance level in their plan of care.
Measures functional cognition through observation of motor performance in response to instructions.
Assesses attention, problem-solving, new learning, and ability to follow directions based on the Allen Cognitive Levels (0.0–6.0).
Administration
Administration
administered individually, duration is around 20 minutes
User Qualifications
User Qualifications
Occupational Therapists and other healthcare workers. Needs review of the manual, training on use of this assessment, and experience with working with cognitive disabilities.
Materials Required
Materials Required
Pre-punched leather rectangle (4x5")
Leather lace
Waxed linen thread
Blunt and locking sewing needles
ACLS-5 Manual
Scoring Procedure
Scoring Procedure
Involves 3 stitching tasks going from easiest to most complex (running, whipstitch, and single cordovan) using leather, lace, and tools. The administrator has to follow specific prompts and cues when giving directions and demonstrations for this assessment. The administrator must demonstrate the stitch while giving the verbal directions initially. The manual provides great detail about what to say, when to note the behaviors, and responses to errors.
Possible cues include, "Do your stitches look like mine?," "Please try to fix them, "Just do the best you can."
Scored based on ability to replicate stitches accurately and problem solving skills when making errors. The scores can range from 3.0 to 5.8 which corresponds with Allen's Cognitive Levels.
Psychometrics/Standardization (norms, reliability/ studies)
Psychometrics/Standardization (norms, reliability/ studies)
Good interrater reliability across ACLS and LACLS tests from the years 1978 to 2007.
Less reliable test-retest consistency due to fluctuating cognitive performance based on the client being tested.
Excellent construct validity with testing functional cognition associated with global cognition from the MMSE.
Strengths of Assessment
Strengths of Assessment
Highly reliable test that follows a detailed standardized testing manual to follow. Correlates with the Allen's Cognitive Disabilites FOR.
Weaknesses of Assessment
Weaknesses of Assessment
Looks overwhelming and there is a need to follow the exact procedure during testing. Need to be trained prior on how to complete the stitch. This test may not be reliable for someone who is an expert in stitching tast.
References
References
Allen, C., Austin, S., David, S., Earhart, C., McCraith, D., & Riska-Williams, L. (2022). Description of Manual for Version 5 of the Allen Cognitive Level Screen, 2nd Edition for use with the ACLS-5, LACLS-5, and Disposable LACLS-5. ACLS and LACLS Committee. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://allencognitive.com/wp-content/uploads/Description-of-Manual-for-Version-5-of-the-Allen-Cognitive-Level-Screen-2nd-Edition-4.2023-.pdf
Allen, C., Austin, S., David, S., Earhart, C., McCraith, D., & Riska-Williams, L. (2022). Manual for Version 5 of the Allen Cognitive Level Screen. (2nd Ed). ACLS and LACLS Committee.
Allen, C., Austin, S., David, S., Earhart, C., McCraith, D., & Riska-Williams, L. (2022). Allen Cognitive Level Screen-5 (ACLS-5) and Large Allen Cognitive Level Screen-5. ACLS and LACLS Committee.
Allen Cognitive Group. (n.d.) A01.1: Complete Screening Assessment, 2nd Ed. Allen Cognitive Group. https://allencognitive.com/product/a01-complete-screening-assessment/
Care Partners Pathway (2016). Allen cognitive levels screen. [PowerPoint slides]. Functional Pathways. https://www.functionalpathways.com/intranet-files/Care_Partners_Pathway_-_The_Allen_Cognitive_Level_Screen.pdf
McCraith, D. (2016). ACLS-5 and LACLS-5 Test: Psychometric Properties and Use of Scores for Evidence-Based Practice. Allen Cognitive Group.
Morin, A. (2024). Allen's cognitive disabilities framework. [PowerPoint slides]. Kodiak Western New England University.
Shirley Ryan AbilityLab. (2020, August 1). Allen Cognitive Level Screen. Shirley Ryan AbilityLab. https://www.sralab.org/rehabilitation-measures/allen-cognitive-level-screen
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