Executive Dysfunction Immediately after Mild Stroke

2011 ◽  
Vol 31 (1_suppl) ◽  
pp. S23-S29 ◽  
Author(s):  
Timothy J. Wolf ◽  
Amy R. Barbee ◽  
Desiree White
2020 ◽  
Vol 87 (5) ◽  
pp. 372-381
Author(s):  
Ginger L. Carroll ◽  
Mary Radomski ◽  
Jerry Halsten ◽  
Amy Meyers ◽  
Stacey Rabusch ◽  
...  

Background. Performance-based multitasking assessments may be more sensitive than cognitive screens to detect executive dysfunction after a mild stroke. Purpose. This cross-sectional study examined inter-rater reliability and preliminary convergent and discriminant validity of the Front Desk Duty Test (FDDT). Method. Adults with mild stroke ( n = 35) and community controls ( n = 33) were administered the FDDT and other measures of executive functions. Findings. Inter-rater reliability of the FDDT subscores were high (ICC 0.971–0.999). There were weak but statistically significant correlations between participants’ scores on some of the executive function tests and some FDDT subscores. Participants with mild stroke and community controls had statistically significant different FDDT scores (performance accuracy p = .006; performance time, p = .033), with rank order FDDT score patterns across community controls, participants with mild stroke who passed the executive function screen, and participants with mild stroke who failed the executive function screen. Implications. Preliminary validation results suggest that the FDDT warrants further study.


2012 ◽  
Vol 93 (10) ◽  
pp. e11 ◽  
Author(s):  
Timothy Wolf ◽  
Amy Barbee ◽  
Desiree White

2020 ◽  
Author(s):  
Victoria Kordovski ◽  
Savanna M. Tierney ◽  
Samina Rahman ◽  
Luis D. Medina ◽  
Michelle A. Babicz ◽  
...  

Objective: Searching the Internet for health-related information is a complex and dynamic goal-oriented process that places demands on executive functions, which are higher-order cognitive abilities that are known to deteriorate with older age. This study aimed to examine the effects of older age on electronic health (eHealth) search behavior, and to determine whether executive functions played a mediating role in that regard. Method: Fifty younger adults (≤ 35 years) and 41 older adults (≥50 years) completed naturalistic eHealth search tasks involving fact-finding (Fact Search) and symptom diagnosis (Symptom Search), a neurocognitive battery, and a series of questionnaires. Results: Multiple regression models with relevant covariates revealed that older adults were slower and less accurate than younger adults on the eHealth Fact Search task, but not on the eHealth Symptom Search task. Nevertheless, executive functions mediated the relationship between older age and eHealth Fact Search and Symptom Search accuracy. Conclusions: Older adults can experience difficulty searching the Internet for some health-related information, which is at least partly attributable to executive dysfunction. Future studies are needed to determine the benefits of training in the organizational and strategic aspects of Internet search for older adults and whether these findings are applicable to clinical populations with executive dysfunction.


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