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자료유형
학술저널
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대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제37권 제1호
발행연도
2013.1
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57 - 65 (9page)

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Objective To develop and evaluate the psychometric properties of a modified Naturalistic Action Test (m-NAT) for Korean patients with impaired cognition. The NAT was originally designed to assess everyday action impairment associated with higher cortical dysfunction.Methods We developed the m-NAT by adapting the NAT for the Korean cultural background. The m-NAT was modeled as closely as possible on the original version in terms of rules and scoring. Thirty patients receiving neurorehabilitation (twenty-three stroke patients, five traumatic brain injury patients, and two dementia patients) and twenty healthy matched controls were included. Inter-rater reliability was assessed between two raters. Validity was evaluated by comparing the m-NAT score with various measures of attention, executive functions, and daily life.Results Performance on the m-NAT in terms of the total score was significantly different between patients and controls (p<0.01). Patients made significantly more total errors than controls (p<0.01). Omissions error was the most frequent type of error in patient group. Intraclass correlation coefficients for total m-NAT score was 0.95 (95% confidence interval [CI], 0.92 to 0.97; p<0.001); total error was 0.91 (95% CI, 0.89 to 0.92; p<0.001). Total m-NAT score showed moderate to strong correlations with Stroop test interference score & index, Trail Making Test parts A and B, Sustained Attention to Response Task commission error, Functional Independence Measure, Korean instrumental activities of daily living, Korean version of the Cognitive Failures Questionnaire, and Executive Behavior Scale (p<0.05).Conclusion The m-NAT showed very good inter-rater reliability and adequate validity. The m-NAT adjusted to Korean cultural background can be useful in performance-based assessment of naturalistic action for clinical and research purposes.
#Cognition #Executive function #Rehabilitation

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참고문헌 (22)

참고문헌 신청
Anderson CV. / 1995 / Frontal lobe lesions, diffuse damage, and neuropsychological functioning in traumatic brain-injured patients / J Clin Exp Neuropsychol 17 : 900 ~ 908 google schola Burgess PW. / 2006 / The case for the development and use of"ecologically valid"measures of executive function in experimental and clinical neuropsychology / J Int Neuropsych google schola Chan RC. / 2008 / Assessment of executive functions : review of instruments and identification of critical issues / Arch Clin Neuropsychol 23 : 201 ~ 216 google schola Dawson DR. / 2009 / Further development of the Multiple Errands Test: standardized scoring, reliability, and ecological validity for the Baycrest version / Arch Phys Med Reh google schola Deneman M. / 1980 / Individual differences in working memory and reading / J Verbal Learning Verbal Behav 19 : 450 ~ 466 google schola

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