title: Performance-based testing in mild stroke: identification of unmet opportunity for occupational therapy.
abstract: Age at first stroke is decreasing, and most strokes are mild to moderate in severity. Executive function (EF) deficits are increasingly recognized in the stroke population, but occupational therapists have not altered their evaluation methods to fully accommodate changing patient needs. We present a hierarchical performance-based testing (PBT) pathway using data to illustrate how PBT could identify patients with mild stroke-related EF deficits in need of occupational therapy intervention. Data suggest that a substantial number of patients with EF deficits after mild stroke could benefit from occupational therapy services.
authors.affiliation: M. Tracy Morrison, OTD, is Manager of Clinical Programs and Services, Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN; Clinical Scientist, Courage Kenny Research Center, Minneapolis, MN; and Adjunct Assistant Professor, Department of Occupational Therapy, University of Kansas Medical Center, Kansas City, KS; mary.morrison2@allina.com.
authors.forename: M Tracy
authors.initials: MT
authors.lastname: Morrison
authors.affiliation: Dorothy F. Edwards, PhD, is Professor, Department of Kinesiology-Occupational Therapy, University of Wisconsin-Madison.
authors.forename: Dorothy F
authors.initials: DF
authors.lastname: Edwards
authors.affiliation: Gordon Muir Giles, PhD, OTR/L, FAOTA, is Professor, Samuel Merritt University, Oakland, CA, and Director of Neurobehavioral Services, Crestwood Behavioral Health, Inc., Sacramento, CA.
authors.forename: Gordon Muir
authors.initials: GM
authors.lastname: Giles
mesh_terms: D000203:Activities of Daily Living / Q000145:classification*; D004185:Disability Evaluation; D056344:Executive Function; D006301:Health Services Needs and Demand; D006801:Humans; D009788:Occupational Therapy / Q000379:methods*; D020521:Stroke / Q000175:diagnosis; D000071939:Stroke Rehabilitation