Abstract
Current functional capacity (FC) measures for patients with schizophrenia typically involve informant assessments or are in paper and pencil format, requiring in-person administration by a skilled assessor. This approach presents logistic problems and limits the possibilities for remote assessment, an important issue for these patients. This study evaluated the feasibility of using a computer-based assessment battery, including simulations of everyday activities. The battery was compared to in-person standard assessments of cognition and FC with respect to baseline convergence and sensitivity to group differences. The battery, administered on a touch screen computer, included measures of critical everyday activities, including: ATM Banking/Financial Management, Prescriptions Refill via Telephone/Voice Menu System, and Forms Completion (simulating a clinic and patient history form). The sample included 77 older adult patients with schizophrenia and 24 older adult healthy controls that were administered the battery at two time points. The results indicated that the battery was sensitive to group differences in FC. Performance on the battery was also moderately correlated with standard measures of cognitive abilities and showed convergence with standard measures of FC, while demonstrating good test-retest reliability. Our results show that it is feasible to use technology-based assessment protocols with older adults and patients with schizophrenia. The battery overcomes logistic constraints associated with current FC assessment protocols as the battery is computer-based, can be delivered remotely and does not require a healthcare professional for administration.
| Original language | English (US) |
|---|---|
| Journal | Schizophrenia Research |
| DOIs | |
| State | Accepted/In press - Jul 15 2016 |
Fingerprint
Keywords
- Computerized assessment battery
- Functional capacity
- Simulations
ASJC Scopus subject areas
- Psychiatry and Mental health
- Biological Psychiatry
Cite this
Assessing functional performance using computer-based simulations of everyday activities. / Czaja, Sara J; Loewenstein, David; Lee, Chin Chin; Fu, Shih Hua; Harvey, Philip D.
In: Schizophrenia Research, 15.07.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Assessing functional performance using computer-based simulations of everyday activities
AU - Czaja, Sara J
AU - Loewenstein, David
AU - Lee, Chin Chin
AU - Fu, Shih Hua
AU - Harvey, Philip D
PY - 2016/7/15
Y1 - 2016/7/15
N2 - Current functional capacity (FC) measures for patients with schizophrenia typically involve informant assessments or are in paper and pencil format, requiring in-person administration by a skilled assessor. This approach presents logistic problems and limits the possibilities for remote assessment, an important issue for these patients. This study evaluated the feasibility of using a computer-based assessment battery, including simulations of everyday activities. The battery was compared to in-person standard assessments of cognition and FC with respect to baseline convergence and sensitivity to group differences. The battery, administered on a touch screen computer, included measures of critical everyday activities, including: ATM Banking/Financial Management, Prescriptions Refill via Telephone/Voice Menu System, and Forms Completion (simulating a clinic and patient history form). The sample included 77 older adult patients with schizophrenia and 24 older adult healthy controls that were administered the battery at two time points. The results indicated that the battery was sensitive to group differences in FC. Performance on the battery was also moderately correlated with standard measures of cognitive abilities and showed convergence with standard measures of FC, while demonstrating good test-retest reliability. Our results show that it is feasible to use technology-based assessment protocols with older adults and patients with schizophrenia. The battery overcomes logistic constraints associated with current FC assessment protocols as the battery is computer-based, can be delivered remotely and does not require a healthcare professional for administration.
AB - Current functional capacity (FC) measures for patients with schizophrenia typically involve informant assessments or are in paper and pencil format, requiring in-person administration by a skilled assessor. This approach presents logistic problems and limits the possibilities for remote assessment, an important issue for these patients. This study evaluated the feasibility of using a computer-based assessment battery, including simulations of everyday activities. The battery was compared to in-person standard assessments of cognition and FC with respect to baseline convergence and sensitivity to group differences. The battery, administered on a touch screen computer, included measures of critical everyday activities, including: ATM Banking/Financial Management, Prescriptions Refill via Telephone/Voice Menu System, and Forms Completion (simulating a clinic and patient history form). The sample included 77 older adult patients with schizophrenia and 24 older adult healthy controls that were administered the battery at two time points. The results indicated that the battery was sensitive to group differences in FC. Performance on the battery was also moderately correlated with standard measures of cognitive abilities and showed convergence with standard measures of FC, while demonstrating good test-retest reliability. Our results show that it is feasible to use technology-based assessment protocols with older adults and patients with schizophrenia. The battery overcomes logistic constraints associated with current FC assessment protocols as the battery is computer-based, can be delivered remotely and does not require a healthcare professional for administration.
KW - Computerized assessment battery
KW - Functional capacity
KW - Simulations
UR - http://www.scopus.com/inward/record.url?scp=85007453973&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85007453973&partnerID=8YFLogxK
U2 - 10.1016/j.schres.2016.11.014
DO - 10.1016/j.schres.2016.11.014
M3 - Article
C2 - 27913159
AN - SCOPUS:85007453973
JO - Schizophrenia Research
JF - Schizophrenia Research
SN - 0920-9964
ER -