Assessment of executive functioning in children after TBI with a naturalistic open-ended task: A pilot study
Abstract
Purpose Traumatic brain injury (TBI) often leads to executive functions (EF) deficits, resulting in severe longstanding disabilities in daily life activities. The sensitivity and ecological validity of neuropsychological tests have been questioned. The aim of this study was to pilot a novel open-ended naturalistic task and to compare it to other standardized assessments of EF in children post-TBI. Methods Ten children aged 8-14, with moderate-to-severe TBI, and 18 matched controls participated in the study. The clinical group was assessed using cognitive tests and parent-based questionnaires of EF. An interactive ecological cooking task was designed. Results Analyses indicated mild-to-moderate executive deficits in the cognitive tests in approximately half of the TBI group. For the experimental cooking task, all quantitative and qualitative variables were significantly impaired for the TBI group compared to the control group and failure in the cooking task was associated with lower scores in cognitive tests of EF. The task was able to discriminate the TBI children from the control group. Conclusion This pilot study highlights the role of naturalistic assessments, to complement standardized tests in assessing patients' dysexecutive impairments in complex activities of daily living post-childhood TBI.
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Provided definitions did not seem to serve as a conceptual framework for the study in all cases; specifically, Chevignard et al. (2009), whose explicit definition included the requirement to predict functional outcome, continued to refer to the test as ecologically valid despite having failed to find associations between the test and two different measures of daily functioning.
“Interestingly, provided definitions did not seem to serve as a conceptual framework for the study in all cases. Specifically, Chevignard et al. (2009), whose explicit definition included the requirement to predict functional outcome, continued to refer to the test in question as ecologically valid despite having failed to find associations between the test and two different measures of daily”
From Conceptualization of the term 'ecological validity' in neuropsychological research on executive function assessment: a systematic review and call to action (2024) · cites this paper as Chevignard et al., 2009
Chevignard et al. (2009) continued to describe the test in question as being ecologically valid despite their own empirical findings that contradicted the definition provided by the authors themselves.
“For example, as noted earlier, Chevignard et al. (2009) continued to describe the test in question as being ecologically valid, despite their own empirical findings that contradicted the definition provided by the authors themselves.”
From Conceptualization of the term 'ecological validity' in neuropsychological research on executive function assessment: a systematic review and call to action (2024) · cites this paper as Chevignard et al., 2009
Some studies in the present review that failed to find any associations between the test and functional outcome nevertheless continued to describe their tests as ecologically valid.
“Conversely, some studies in the present review that failed to find any associations between the test and functional outcome nevertheless continued to describe their tests as ecologically valid (Chevignard et al., 2009; Clark et al., 2017; Gilboa et al., 2019), contradicting the most prevalent conceptualizations of EV, at least as evidenced in the present review.”
From Conceptualization of the term 'ecological validity' in neuropsychological research on executive function assessment: a systematic review and call to action (2024) · cites this paper as Chevignard et al., 2009
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“The highly structured situation of office-based testing may serve as the child’s executive control and preclude assessment of the full spectrum of real-world executive dysfunction, such as the ability to multi-task [29, 31, 53, 62, 63].”
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Executive Function in the Real World: BRIEF Lessons From Mark Ylvisaker
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- Authors
- Chevignard, M. P., Servant, V., Mariller, A., Abada, G., Pradat-Diehl, P., & Laurent-Vannier, A.
- Affiliations
- Inserm (FR)
- Hôpitaux de Saint Maurice (FR)
- Corresponding author
- Chevignard, Mathilde P.
- Venue
- Developmental Neurorehabilitation
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 12
- Issue
- 2
- Pages
- 76-91
- ISSN
- 1363-8491 (ISSN-L)
- 1751-8423
- 1751-8431
- OpenAlex
- W2019671552
- Cited by
- 69
- References
- 13
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 6
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Developmental Neurorehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- traumatic brain injury, executive dysfunction, children, naturalistic assessment, cooking tasks, ecological validity, activities of daily living, neuropsychological assessment
- MeSH terms
- Activities of Daily Living, Adolescent, Brain Injuries, Child, Cognition, Cognition Disorders, Humans, Motor Skills, Neuropsychological Tests, Parents, Pilot Projects, Psychomotor Performance, Surveys and Questionnaires, Severity of Illness Index, Task Performance and Analysis, Case-Control Studies
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