Performance-Based Everyday Problem-Solving in Patients With TBI

Abstract Objective The present study examined whether the everyday problems test (EPT), a performance-based measure of problem-solving, can be considered useful in assessing functional independence patients with traumatic brain injury (TBI). relationship between EPT, cognitive abilities (i.e., selective attention, set switching, and working memory) self-rated measures functioning disability these was also assessed. Method In this case–control 25 postcomatose outpatients TBI (age M = 35.9, SD 14.21) from neurorehabilitation unit matched controls were enrolled. Participants administered EPT along neuropsychological tests switching memory, disability. Results Patients less accurate slower than EPT; two groups accurately classified based on completion time (likelihood ratio χ2 28.67, R2 0.72, p < .001). patient group education attention explained large portion variance accuracy (R2 0.53, .001), while only significant 0.24, .01). Self-rated did not significantly contribute to performance variance. Conclusion Including as multifactorial approach assessment for unraveling factors contributing TBI’s impact functioning. Since attentional processes seem play role determining performance, rehabilitation should target ability first.