周历活动规划中文版在社区中老年人执行功能评测中的信度和效度

doi:10.3969/j.issn.1006-9771.2021.06.017

Abstract

Abstract: Objective

To examine the reliability and validity of a performance-based executive function assessment, the Chinese Version of Weekly Calendar Planning Activity (WCPA-C), in community-dwelling middle-aged and elderly adults.

Methods

From July to August, 2020, 55 community-dwelling adults aged 41 to 89 years participated in this study. A total of 30 participants were evaluated with the WCPA-C version A. After two weeks and four weeks, they were retested with version B and version A, respectively. The intraclass correlation coefficient (ICC) was calculated. All the participants were divided into the mild cognitive impairment (MCI) group (n = 37) and normal cognition (NC) group (n = 18) according to the scores of the Montreal Cognitive Assessment (MoCA). The results of WCPA-C between two groups were compared.

Results

There were four participants lost, and 26 participants completed all three tests. Except the planning time, the ICCs were 0.43~0.78 between the first and the second tests, and were 0.50~0.80 between the second and the third tests. WCPA-C results were significant different between two groups (Z > 1.288, P < 0.05), except the total time and the planning time (Z < 1.641, P > 0.05).

Conclusion

WCPA-C demonstrats satisfactory test-retest reliability and discriminative validity in community-dwelling middle-aged and elderly adults.

Key words: Weekly Calendar Planning Activity, executive function, reliability, validity

CLC Number:

R592

Zhao-wen ZHOU,Cui WANG,Zhen HUANG. Reliability and Validity of the Chinese Version of Weekly Calendar Planning Activity for Executive Function Assessment in Community-dwelling Middle-aged and Elderly Adults[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 737-744.

Figures/Tables 4

References 36

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项目	第1次	第2次	第3次
安排填写数	15.00 (16.00, 14.00)	15.00 (16.00, 13.00)	16.00 (16.00, 13.00)
准确数	6.00 (9.00, 4.75)	5.50 (11.00, 4.00)	7.50 (10.50, 5.00)
总时间(s)	1281.50 (1704.75, 1016.75)	1184.00 (1622.50, 867.75)	1147.00 (1397.50, 905.75)
计划时间(s)	32.00 (82.50 , 17.25)	47.50 (80.50, 27.25)	27.00 (50.25, 13.50)
策略使用数	4.00 (5.00, 2.75)	3.00 (5.00, 2.00)	3.50 (5.00, 2.75)
遵守规则数^a	3.00 (4.00, 2.00)	4.00 (4.25, 3.00)	4.00 (5.00, 3.00)

项目	第1、2次评估		第2、3次评估
项目	ICC值	95%CI	ICC值	95%CI
安排填写数	0.43^a	0.06~0.70	0.54^a	0.20~0.76
准确数	0.77^a	0.56~0.89	0.75^a	0.51~0.88
总时间(s)	0.78^a	0.57~0.90	0.50^a	0.15~0.74
计划时间(s)	-0.08	-0.45~0.31	0.00	-0.38~0.38
策略使用数	0.70^a	0.44~0.85	0.80^a	0.60~0.91
遵守规则数	0.52^a	0.17~0.75	0.65^a	0.36~0.83

项目	MCI组(n = 37)	NC组(n = 18)	Z值	P值
安排填写数	14.00 (16.00~12.00)	15.00 (16.00~15.00)	2.098	0.036
准确数	5.00 (7.00~3.00)	10.00 (13.00~7.00)	4.054	< 0.001
总时间(s)	1294.00 (1707.50~1036.00)	1081.50 (1453.50~878.25)	-1.614	0.106
计划时间(s)	43.00 (90.00~15.50)	30.00 (41.50~17.00)	-1.288	0.198
策略使用数	3.00 (3.00~2.00)	4.00 (5.00~3.00)	2.324	0.020
遵守规则数	3.00 (4.00~2.00)	4.00 (5.00~3.00)	2.737	0.006

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Reliability and Validity of the Chinese Version of Weekly Calendar Planning Activity for Executive Function Assessment in Community-dwelling Middle-aged and Elderly Adults

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