Preliminary Psychometrics for the Executive Function Challenge Task: A Novel, "Hot" Flexibility, and Planning Task for Youth.
Preliminary Psychometrics for the Executive Function Challenge Task: A Novel, "Hot" Flexibility, and Planning Task for Youth.
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执行功能挑战任务的初步心理计量学：小说，“热”灵活性和针对青年的计划任务。
DOI：
10.1017/s135561772000017x
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发表时间：
2020-08
期刊：
影响因子：
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通讯作者：
Anthony LG
中科院分区：
文献类型：
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作者：
Kenworthy L;Freeman A;Ratto A;Dudley K;Powell KK;Pugliese CE;Strang JF;Verbalis A;Anthony LG
执行职能推动健康和教育成果，因此日益成为常见的治疗目标。大多数治疗试验依靠问卷调查来捕捉有意义的变化，因为缺乏生态学上有效的、基于儿科表现的EF任务。执行功能挑战任务（EFCT）是一种标准化的、治疗敏感的、客观的测量方法，用于评估挑衅社会互动背景下的灵活性和计划性，使其成为一个“热门”的EF任务。我们研究了青少年自闭症（自闭症谱系障碍，n = 129），或注意缺陷多动障碍，灵活性问题（n = 93），和典型发展（TD, n = 52）青年的EFCT的结构，信度和效度。EFCT可以可靠地编码，具有双因素结构（灵活性和计划性），并且具有足够的内部一致性和跨形式一致性。与传统的基于表现的EF任务（语言流畅性）不同，它显示出与父母报告的EF显著相关，表明生态效度。EFCT的表现将有EF问题的青少年与TD青少年区分开来，并且与自闭症儿童的视觉模式识别或社会沟通/理解没有显著关系。EFCT显示了足够的信度和效度，可以为青少年的“热”EF提供发育适宜、治疗敏感和生态有效的评估。它可以由屏蔽管理员在受控设置中进行管理。
Executive functions (EF) drive health and educational outcomes and therefore are increasingly common treatment targets. Most treatment trials rely on questionnaires to capture meaningful change because ecologically valid, pediatric performance-based EF tasks are lacking. The Executive Function Challenge Task (EFCT) is a standardized, treatment-sensitive, objective measure which assesses flexibility and planning in the context of provocative social interactions, making it a “hot” EF task. We investigate the structure, reliability, and validity of the EFCT in youth with autism (Autism Spectrum Disorder; n = 129), or attention deficit hyperactivity disorder with flexibility problems (n = 93), and typically developing (TD; n = 52) youth. The EFCT can be coded reliably, has a two-factor structure (flexibility and planning), and adequate internal consistency and consistency across forms. Unlike a traditional performance-based EF task (verbal fluency), it shows significant correlations with parent-reported EF, indicating ecological validity. EFCT performance distinguishes youth with known EF problems from TD youth and is not significantly related to visual pattern recognition, or social communication/understanding in autistic children. The EFCT demonstrates adequate reliability and validity and may provide developmentally appropriate, treatment-sensitive, and ecologically valid assessment of “hot” EF in youth. It can be administered in controlled settings by masked administrators.