4.3 Article

Performance-Based Measure of Executive Function: Comparison of Community and At-Risk Youth

Journal

AMERICAN JOURNAL OF OCCUPATIONAL THERAPY
Volume 67, Issue 5, Pages 515-523

Publisher

AMER OCCUPATIONAL THERAPY ASSOC, INC
DOI: 10.5014/ajot.2013.008482

Keywords

activities of daily living; adolescent behavior; executive function; mental processes; risk reduction behavior; task performance and analysis

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OBJECTIVE. We compared abilities and strategy use of at-risk youth aged 16-21 yr with those of a community sample of high school students using a performance measure of executive function, the Weekly Calendar Planning Activity (WCPA). METHOD. We recruited students from an alternative school for at-risk youth (n = 113) and from community high schools in the same region (n = 49). We collected demographic information from and administered the WCPA to both groups. RESULTS. The at-risk group made more errors, used fewer strategies, and broke more rules than the community group; however, the groups were similar in average time for planning and task completion. Moderate relationships were found between WCPA and academic performance in the at-risk group. CONCLUSION. Comparison of at-risk and community youth provides support for discriminant validity of the WCPA and indicates that the WCPA is useful in identifying adolescents who are at risk for occupational performance deficits.

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