Cited by 75Developmental and Educational NeuropsychologyHistorical and Modern Theater StudiesNeural and Behavioral Psychology Studies

The assessment of executive functioning in children

Open access
Henry, Lucy A., Bettenay, Caroline·2010·Child and Adolescent Mental Health

Abstract

Background: Executive functioning is increasingly seen as incorporating several component sub‐skills and clinical assessments should reflect this complexity. Method: Tools for assessing executive functioning in children are reviewed within five key areas, across verbal and visuospatial abilities, with emphasis on batteries of tests. Results: There are many appropriate tests for children, although the choice is more limited for those under the age of 8 years. Conclusions: Whilst there are several batteries of executive functioning suitable for children, clinicians may prefer to cherry‐pick from a broader range of measures that assess specific components of executive functioning.

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TL;DR

This review surveys instruments for assessing executive functioning in children across five subdomains and verbal/visuospatial domains, focusing on standardised batteries. It concludes that no single battery covers all areas comprehensively, so clinicians often need to combine batteries with stand-alone tests, especially for children under 8.

Key findings

  • Many suitable tests exist, but choice is more limited for children under 8 years; the D-KEFS and BADS-C begin at age 8, and NEPSY II coverage for younger children is patchy.
  • The D-KEFS comes closest to comprehensive coverage and verbal/visuospatial comparison; it was standardised on 1750 US children aged 8–15, though some switching measures have weaker reliability.
  • The TEA-Ch has generally consistent reliability (normative data from 293 UK children; test-retest .65–.85) but mainly measures inhibition; CANTAB is nonverbal/computerised and suitable from 4 years but expensive and lacks child reliability data; BADS-C offers ecological planning tasks but variable reliability; NEPSY II is broad but lengthy with restrictive age ranges.
  • No battery assesses all five executive functioning areas comprehensively, and combining measures is recommended for thorough assessment.

Methods

  • Narrative review of standardised batteries and additional measures for school-age children, organised by five executive functioning areas: executive-loaded working memory, fluency/reconstitution, inhibition, set shifting/switching, and planning/problem-solving; verbal and visuospatial domains are distinguished.
  • Examines D-KEFS, CANTAB, TEA-Ch, BADS-C, and NEPSY II plus other tests, reporting psychometric properties and clinical suitability from manuals and published studies.
  • No systematic search, inclusion criteria, or meta-analysis is described.

Limitations

  • Stated: low reliability may be unavoidable because executive functioning tests depend on novelty; tests are limited under 8 years; no single battery is comprehensive; some child reliability data are unavailable (e.g., CANTAB, WCST-64); BADS-C reliabilities are variable and some are based on small samples (e.g., 25); TEA-Ch lacks baseline speed/accuracy measures and some tasks are not pure domain measures.
  • Evident: the review is narrative without a systematic search or quantitative synthesis, and reliance on test manuals and selected studies may introduce selection bias; the summary table in the provided text is incomplete, limiting cross-battery comparison.

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Registry

Crossref · 10.1111/j.1475-3588.2010.00557.x

Cites

68 of 68 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

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  • Findingnone given
    § Verbal domain

    Test-retest reliabilities for NEPSY-II Word Generation (13-16 years) were acceptable (.60 letter, .77 category).

    “Test-retest reliabilities (13-16 years) were acceptable (.60 letter, .77category).”
    Quote in the paperNot a substantial claim
  • Findingnone given
    § Verbal domain

    Test-retest reliabilities for NEPSY-II Auditory Attention and Response Set are moderate to good (.55 to .85, 7-12 years).

    “Test-retest reliabilities are moderate to good (.55 to .85,7-12 years).”
    Quote in the paperNot a substantial claim
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    § Visuospatial domain

    Test-retest reliability for NEPSY-II Design Fluency was at best moderate (.44 to .63).

    “test-retest reliability was at best moderate (.44 to .63).”
    Quote in the paperNot a substantial claim
  • Findingnone given
    § Visuospatial domain

    Test-retest reliabilities for NEPSY-II Statue were good (.82 3/4-year-olds; .88 5/6 year-olds).

    “Nevertheless, test-retest reliabilities were good (.82 3/4-year-olds; .885/6year-olds).”
    Quote in the paperNot a substantial claim
  • Findingcitation
    § Visuospatial domain

    Reaction time and error rate measures for the Animal-Stroop have moderate to high reliabilities (.56 to .93).

    “Reaction time and error rate measures have moderate to high reliabilities (.56 to .93)”
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    Findingnone given
    § Visuospatial domain

    Many NEPSY II subtests do not yield pure measures of either verbal or visuospatial abilities (Design Fluency and Word Generation excepted).

    “More generally, many subtests do not yield pure measures of either verbal or visuospatial abilities (Design Fluency and Word Generation excepted)”
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    Findingnone given
    § Verbal domain

    There is a 'switching' part to NEPSY-II Inhibition (7-16-years), which has good reliability (.73-.90).

    “There is also a 'switching' part to this test (7-16-years), which has good reliability (.73-.90).”
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    Findingcitation
    § Visuospatial domain

    Although the Animal-Stroop is not a standardised test, the authors include comparison data on 155 healthy children in seven age bands.

    “although this is not a standardised test, the authors include comparison data on 155 healthy children in seven age bands.”
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    • cites Wright et al., 2003

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    Findingnone given
    § Visuospatial domain

    The 'odd one out' task is easy to administer/score, suitable from around 5 years and enjoyable.

    “This task is easy to administer/score, suitable from around 5 years and enjoyable”
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    Findingnone given
    § Visuospatial domain

    No standardised version of the 'odd one out' task is available.

    “but no standardised version is available.”
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    Findingnone given
    § Interpreting tests of executive functioning

    Tests are more limited for children under 8 years; two batteries do not cover this age range (D-KEFS, BADS-C) and coverage in a third is patchy (NEPSY II).

    “Tests are more limited for children under 8 years; two batteries do not cover this age range (D-KEFS, BADS-C) and coverage in a third is patchy (NEPSY II).”
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    Findingnone given
    § Visuospatial domain

    The full NEPSY II test is lengthy to administer (2/3 hours) and there are delayed subtests that require careful time management.

    “However, the full test is lengthy to administer (2/3 hours) and there are delayed subtests that require careful time management.”
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    Findingnone given
    § Visuospatial domain

    There are fewer measures of executive functioning for children under 7 years in NEPSY II.

    “and there are fewer measures of executive functioning for children under 7 years.”
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    Findingnone given
    § Interpreting tests of executive functioning

    The NEPSY-II quotes better reliabilities than some of the other batteries.

    “The NEPSY-II quotes better reliabilities than some of the other batteries”
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    Findingnone given
    § Visuospatial domain

    NEPSY-II Clocks has less face validity than others, but reasonably good test-retest reliabilities (.64-.82).

    “This task has less face validity than others, but reasonably good rest-retest reliabilities (.64-.82).”
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    Findingcitation
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    Test-retest reliability for the WCST-64 is reasonably good (.74) for adults (child data not available) and the WCST-64 correlates highly with the full test (.9).

    “Test-retest reliability is reasonably good (.74) for adults (child data not available) and the WCST-64 correlates highly with the full test (.9).”
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    • cites Kongs et al., 2000

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    Findingnone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    Although WCST test presentation is straightforward, accurate recording is crucial and requires practice.

    “Although test presentation is straightforward, accurate recording is crucial and requires practice.”
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    Findingnone given
    § Summary

    CANTAB Reliability Study was satisfactory (.70 for errors, .63 for strategy use); but data are unavailable for children.

    “Figure: ( CANTAB Reliability Study) was satisfactory (.70 for errors, .63 for strategy use); but data are unavailable for children.”
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    Findingcitation
    § Summary

    The Stop Signal Task is straightforward and easy to administer, but there are no data available on reliability in children or adults, as it is new to the battery.

    “The test is straightforward and easy to administer, but there are no data available on reliability in children or adults, as it is new to the battery (see Williams, et al., 1999, for reference norms).”
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    • cites Williams, et al., 1999

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    Findingnone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    Maze measures are readily available within working memory or IQ batteries, assess planning in the visuospatial domain and have UK based norms and reasonably good reliabilities (e.g. WMTB-C Mazes task, test-retest reliability .68).

    “However, maze measures are readily available within working memory or IQ batteries, assess planning in the visuospatial domain and have UKbased norms and reasonably good reliabilities (e.g.WMTB-C Mazes task, test-retest reliability .68).”
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    Findingnone given
    § Summary

    Test-retest reliability for Stockings of Cambridge was moderately good (.64), again based on adult data.

    “Test-retest reliability for this test was moderately good (.64), again based on adult data.”
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    Findingnone given
    § Summary

    One weakness of the IED shift task is that it can be rather lengthy for younger participants.

    “One weakness of this test is that it can be rather lengthy for younger participants.”
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    Findingcitation
    § Additional information

    The WMTB-C includes a separate measure of backward digit span with moderate to adequate test-retest reliability (.53 to .71), as well as a forward digit span measure.

    “The WMTB-C includes a separate measure of backward digit span with moderate to adequate test-retest reliability (.53 to .71), as well as a forward digit span measure.”
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    • cites Pickering & Gathercole, 2001

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    Findingnone given
    § Additional information

    Although test-retest reliabilities for Listening Recall are variable (.83 5-7 years, .38 9-11 years), Listening Recall is easy to administer and score, with clear procedures for continuing testing when threshold span is exceeded.

    “Although test-retest reliabilities are variable (.83 5-7 years, .38 9-11 years), Listening Recall is easy to administer and score, with clear procedures for continuing testing when threshold span is exceeded.”
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    Findingnone given
    § Additional information

    Counting span is easy to administer/score, with moderate to adequate test-retest reliabilities (.48 to .74).

    “It is easy to administer/score, with moderate to adequate testretest reliabilities (.48. to 74).”
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  • Classified as probably not a substantial claim.

    Premisecitation
    § Abstract

    Miyake et al. argued that three key aspects of adult executive functioning-inhibition, updating and shifting-are separable but moderately correlated constructs.

    “Miyake et al. (2000) argued that three key aspects of executive functioning in adults (inhibition, updating and shifting) were 'separable but moderately correlated constructs ' (p. 87).”
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    • cites Miyake et al., 2000

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    Premisecitation
    § Abstract

    Pennington and Ozonoff divided executive functioning into discrete sub-skills including planning, working memory/updating, problem-solving, self-monitoring, mental flexibility, generativity/fluency, and inhibition of prepotent responses.

    “Pennington and Ozonoff (1996) divided executive functioning into discrete sub-skills that included planning, working memory/updating, problemsolving, self-monitoring, mental flexibility, generativity/fluency, and inhibition of prepotent responses.”
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    • cites Pennington and Ozonoff, 1996

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    Premisecitation
    § Abstract

    Executive control is a prominent component of the multicomponent working memory model and involves focusing, dividing and switching attention.

    “Executive control is a prominent part of the influential multicomponent model of working memory (Baddeley & Hitch, 1974;Baddeley, 1986Baddeley, , 2000Baddeley, , 2007) ) and involves focusing, dividing and switching attention.”
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    • cites Baddeley & Hitch, 1974

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    • cites Baddeley, 1986

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    • cites Baddeley, 2007

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    Premisecitation
    § Abstract

    Executive abilities are increasingly viewed as divided into separate subcomponents that are nevertheless loosely related to one another.

    “Executive abilities are increasingly regarded as at least partly 'fractionated' or divided (e.g.Lehto, 1996) into separate subcomponents that are, nevertheless, loosely related to each other (Anderson, 2002;Fisk & Sharp, 2004;Garon, Bryson, & Smith, 2008;Huizinga, Dolan, & van der Molen, 2006;Lehto et al., 2003;Miyake et al., 2000).”
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    • cites Lehto, 1996

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    • cites Anderson, 2002

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    • cites Miyake et al., 2000

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    Premisecitation
    § Abstract

    Executive control is not used for routine automatised tasks but is used for demanding novel tasks.

    “Executive control is not used during routine (automatised) tasks (Shallice, 1990), but for demanding tasks that involve novelty.”
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    • cites Shallice, 1990

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    Premisecitation
    § Why measure executive functioning in children?

    Planning and set shifting are impaired in autism.

    “For example, planning and set shifting are impaired in autism (Hill, 2004;Liss et al., 2001), whereas inhibition appears to be a primary deficit in attention deficit hyperactivity disorder (Barkley, 1997).”
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    • cites Hill, 2004

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    • cites Liss et al., 2001

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    Premisecitation
    § Verbal domain

    D-KEFS verbal fluency includes letter, category, and switching measures; they are quick and straightforward to administer with modest to good internal consistency (.37-.80) and slightly better test-retest reliability (.53-.70).

    “Verbal fluency (e.g.Thurstone Word Fluency Test, Thurstone, 1938;Milner, 1964) in the D-KEFS includes letter, category (e.g.generate animal names) and switching (between categories) measures of fluency; they are quick and straightforward to administer with modest to good internal consistency (.37-.80) and slightly better testretest reliability (.53-.70).”
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    • cites Thurstone, 1938

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    • cites Milner, 1964

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    Premisecitation
    § Abstract

    Executive functions develop slowly from infancy through early childhood and adolescence, and may still improve into young adulthood.

    “Executive functions develop slowly from infancy (e.g.Diamond & Goldman-Rakic, 1989) through early childhood and adolescence, and may still improve into young adulthood (e.g.Anderson, 2002;Garon et al., 2008;Levin et al., 1991;Huizinga et al., 2006;Welsh, Pennington, & Groisser, 1991).”
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    • cites Diamond & Goldman-Rakic, 1989

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    • cites Anderson, 2002

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    • cites Garon et al., 2008

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    Study design and conductcitation
    § The Delis-Kaplan Executive Function System

    D-KEFS information on reliability and validity is thorough, with adequate to good test-retest reliabilities and internal consistency coefficients for most measures, with some exceptions (some switching measures).

    “Information on reliability and validity is thorough; with adequate to good test-retest reliabilities and internal consistency coefficients for most measures (although the complexity of executive function measures may increase performance variability and measurement error, such that high values cannot be expected, Delis et al., 2004), with some exceptions (some switching measures).”
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    • cites Delis et al., 2004

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    Premisecitation
    § Verbal domain

    D-KEFS Sorting Test internal consistency (.55-.80) and test-retest reliabilities (.49-.67) demonstrate moderate to relatively good reliability.

    “Internal consistency values (.55-.80) and test-retest reliabilities (.49-.67) demonstrate moderate to relatively good reliability.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Abstract

    Executive functioning is a key cognitive skill underpinning successful goal-directed behaviour and is linked to educational attainment in English, maths and science.

    “Executive functioning is a key cognitive skill underpinning successful goal-directed behaviour, and is linked to educational attainment in English, maths and science (St. Clair-Thompson & Gathercole, 2006).”
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    • cites St. Clair-Thompson & Gathercole, 2006

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    Premisecitation
    § Abstract

    Further studies broadly support these conclusions in adults and children, although uncertainties remain about the precise nature and specification of executive abilities.

    “Further studies have broadly supported these conclusions in adults and children (Anderson, 2002;Fisk & Sharp, 2004;Garon et al., 2008;Lehto et al., 2003), although there are still uncertainties regarding the precise nature and specification of executive abilities.”
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    • cites Fisk & Sharp, 2004

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    Premisecitation
    § Why measure executive functioning in children?

    The D-KEFS is a comprehensive test of executive functioning for children from 8 years, with the Proverbs Test suitable only for adults, and is reasonably straightforward to administer.

    “The D-KEFS is a comprehensive test of executive functioning in children from 8 years (Proverbs Test suitable only for adults), which is reasonably straightforward to administer.”
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    • cites Delis, Kaplan, & Kramer, 2001

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    Premisecitation
    § Why measure executive functioning in children?

    There is mounting evidence that many children with developmental disorders have particular profiles of executive impairment, which may help practitioners develop treatment programmes.

    “There is mounting evidence that many children with developmental disorders have particular profiles of executive impairment, which may help practitioners develop treatment programmes.”
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    • cites Hill, 2004

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    • cites Barkley, 1997

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    Premisecitation
    § Jones

    Correlations between different measures of executive functioning are not expected to be high because these measures are believed to be only loosely related.

    “Note that we would not expect correlations to be high between different measures of executive functioning; as these measures are believed to be only loosely related (e.g.Miyake et al., 2000).”
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    • cites Miyake et al., 2000

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    Premisecitation
    § Jones

    The D-KEFS Twenty Questions test has a test-retest reliability value for overall achievement that is virtually zero (.06), so caution should be exercised in interpreting this test.

    “One such standardised measure is available in the D-KEFS, but the test-retest reliability value for 'overall achievement' on the test is virtually zero (.06) so caution should be exercised in interpreting this test (although the 'initial abstraction score' test-retest reliability coefficient was higher, .62).”
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    • cites Delis et al., 2001

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    Premisecitation
    § Why measure executive functioning in children?

    Of the nine D-KEFS subtests, seven are based on traditional executive functioning measures, which the authors argue add to its validity.

    “Of the nine subtests, seven are based on traditional executive functioning measures, which the authors argue add to its validity.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Verbal domain

    The D-KEFS Sorting Test is one of the few planning tasks with a verbal element, yielding measures of organisational skill in verbal and visuospatial domains.

    “The Sorting Test from the D-KEFS is one of the few planning tasks available that includes a verbal element, yielding measures of organisational skill in verbal and visuospatial domains.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Verbal domain

    The D-KEFS Design Fluency task is more constrained than previous measures because the sets of dots provide a structure for drawings, and it includes a switching condition between filled and empty dots.

    “This task is more constrained than previous measures, because the sets of dots provide a structure for drawings; a switching condition is also included (between filled and empty dots).”
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    • cites Delis et al., 2001

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    Premisecitation
    § Jones

    The CANTAB is a computerised assessment covering executive functioning, working memory and planning.

    “The Cambridge Neuropsychological Test Automated Battery (CANTAB) (Cambridge Cognition Ltd, 2006a).This computerised assessment covers executive functioning, working memory and planning.”
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    • cites Cambridge Cognition Ltd, 2006a

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    Premisecitation
    § Jones

    Together with verbal fluency, the D-KEFS provides assessments of fluency/switching within both verbal and visuospatial domains.

    “Together with verbal fluency, the D-KEFS provides assessments of fluency/switching within both verbal and visuospatial domains.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Jones

    D-KEFS Design Fluency internal consistency data are not available, but test-retest reliability was moderate in the child sample (.43-.66).

    “Internal consistency data are not available, but test-retest reliability was moderate in the child sample (.43-.66).”
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    • cites Delis et al., 2001

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    Premisecitation
    § Jones

    Tower tests are commonly used measures of problem-solving, developed to minimise the contributions of perceptual and motor abilities, short-term memory and sustained attention.

    “Tower tests (e.g.Tower of London, Tower of Hanoi) are commonly used measures of problem-solving, developed to minimise the contributions of perceptual and motor abilities, short-term memory and sustained attention.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Verbal domain

    D-KEFS Trail Making has moderate to good internal consistency (.57-.79) but variable test-retest reliability (.20-.82), with the lowest figure representing switching.

    “Moderate to good internal consistency (.57-.79) contrasts with rather variable test-retest reliability (.20-.82) across the five conditions but, unfortunately, the lowest figure represents the measure of greatest interest, switching.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Why measure executive functioning in children?

    The D-KEFS includes good controls for component skills in several tasks, good information on reliability and validity, and many separate scores for verbal and perceptual domains.

    “It includes good controls for component skills in several tasks, good information on reliability and validity; and many instances of separate scores for verbal and perceptual domains.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Verbal domain

    The D-KEFS Stroop version has good control conditions to vary out relevant component skills (colour naming speed, word reading speed), so it is suitable for individuals in whom speed of word naming and reading may be compromised.

    “The D-KEFS version has good control conditions to vary out relevant component skills (colour naming speed, word reading speed), so would be suitable for individuals in whom speed of word naming and reading may be compromised.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Verbal domain

    The D-KEFS Trail Making version includes control conditions (speed of visual scanning, number sequencing, letter sequencing, motor speed), making it suitable for individuals with motor difficulties.

    “The D-KEFS version includes impressive control conditions (speed of visual scanning, number sequencing; letter sequencing; motor speed), making it suitable for individuals who have motor difficulties.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Why measure executive functioning in children?

    Many D-KEFS measures are divisible into verbal and visuospatial domains, either through parallel analogous tests or separate measurement, which is useful for evaluating individuals with suspected differences between verbal and visuospatial abilities.

    “Many measures are clearly divisible into verbal and visual spatial domains, either because there are parallel analogous tests, or because these aspects are measured separately.This is useful for evaluating individuals in whom there are suspected differences between verbal and visuospatial abilities.”
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    • cites Delis et al., 2001

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    Premisecitation
    § Verbal domain

    Category and letter fluency have been linked to different brain areas, implying different mechanisms may underlie performance.

    “Note that category and letter fluency have been linked to different brain areas (Martin et al., 1994;Schwartz et al., 2003), implying that different mechanisms may underlie performance.”
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    • cites Martin et al., 1994

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    • cites Schwartz et al., 2003

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    Study design and conductcitation
    § The Delis-Kaplan Executive Function System

    D-KEFS standardisation involved 1750 nationally representative American children (75 to 100 at each age level 8-15 years) and adults.

    “Standardisation involved 1750 nationally representative American children (75 to 100 at each age level 8-15 years) and adults.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Delis et al., 2001

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Verbal domain

    The D-KEFS includes an adapted version of the Design Fluency Test, which requires participants to invent different nonsense drawings by connecting sets of identically placed dots differently each time using four lines.

    “Gotman and Milner (1977) developed a Design Fluency Test, requiring participants to invent different 'nonsense' drawings; the D-KEFS includes an adapted version of this test.Sets of identically placed dots must be connected, differently each time using four-lines, to produce different diagrams (like the same mini 'dot to dot' puzzle, without the numbers, completed over and over again).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jones-Gotman and Milner, 1977

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    Premisecitation
    § Verbal domain

    The Trail Making Test is a measure of set shifting/switching and also assesses aspects of speed of visual search, attention, and visuo-motor function.

    “The Trail Making Test (Reitan & Wolfson, 1992), a measure of set shifting/switching, also assesses aspects of speed of visual search, attention, and visuo-motor function.”
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    • cites Reitan & Wolfson, 1992

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    Premisecitation
    § Jones

    CANTAB normative data are available from 4 years, so it is suitable for young children.

    “Normative data are available from 4 years, so this test is suitable for young children.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Cambridge Cognition Ltd, 2006a

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    Premisecitation
    § Verbal domain

    D-KEFS Stroop internal consistency is moderate to reasonably high (.62-.79), with good to high test-retest reliabilities for children and adolescents (.77-.90).

    “Internal consistency is moderate to reasonably high (.62-.79), with good to high test-retest reliabilities for children and adolescents (.77-.90).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Delis et al., 2001

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    Premisecitation
    § Jones

    The D-KEFS Tower Test has modest to good internal consistency (.43-.84) and moderate test-retest reliability (.51).

    “A standardised Tower Test is available in the D-KEFS, with modest to good internal consistency (based on correlating two 'half' tests, .43-.84) and moderate test-retest reliability (.51).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Delis et al., 2001

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Visuospatial domain

    TEA-Ch age-scaled scores and percentiles are available for boys and girls across 6 age bands (6-16 years).

    “Age-scaled scores and percentiles are available for boys and girls across 6 age bands (6-16 years).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 1999

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    Premisecitation
    § Jones

    Construct and discriminant validity of the CANTAB in child populations has been demonstrated in research studies using clinical and non-clinical samples for over 15 years, although questions have arisen about the Stockings test's ability to discriminate levels of ability in high functioning individuals with autism over age 12.

    “Construct and discriminant validity of the CANTAB in child populations has been demonstrated in a range of research studies using clinical and non-clinical samples for over 15 years (e.g.Curtis, Lindeke, & Georgieff, 2002;Hughes, Plumet, & Leboyer, 1999;Luciana, 2003;Luciana & Nelson, 1998), although questions have arisen as to the ability of the Stockings test (similar to Tower tests described”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Curtis et al., 2002

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    • cites Luciana, 2003

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    • cites Ozonoff et al., 2004

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    Premisecitation
    § The Behavioural Assessment of the Dysexecutive Syndrome in Children

    The BADS-C's key feature is its claim to measure executive functioning in an ecologically valid manner.

    “The key feature of this battery is its claim to measure executive functioning in an ecologically valid manner.”
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    • cites Emslie et al., 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Jones

    The CANTAB testing format is suitable for children and adults if comparisons are needed, and administration can be carried out by a trained assistant.

    “The testing format is suitable for children and adults if such comparisons are needed, and administration can be carried out by a trained assistant.”
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    • cites Cambridge Cognition Ltd, 2006a

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  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    The BADS-C Zoo Map Test and Six Part Test require a complex combination of verbal and visuospatial skills, so they cannot be classified by processing domain.

    “Although there are two further planning tests in the BADS-C (the Zoo Map Test involves planning a route to visit six out of 12 locations in the zoo in accordance with a set of rules and the Six Part Test requires planning, task-scheduling and performance monitoring), both require a complex combination of verbal and visuospatial skills so cannot be classified by processing domain.”
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    • cites Emslie et al., 2003

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    Premisecitation
    § Visuospatial domain

    Most BADS-C measures load more heavily on non-verbal abilities, which may be an advantage when testing certain populations, although if verbal difficulties are suspected, this battery would be best used in combination with other verbal executive measures.

    “Most BADS-C measures load more heavily on non-verbal abilities, which may be an advantage when testing certain populations, although if verbal difficulties are suspected, this battery would be best used in combination with other verbal executive measures.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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    Premisecitation
    § Visuospatial domain

    BADS-C set shifting/switching is measured using the Playing Cards Test, which requires the child to respond according to one rule and then change strategy in accordance with a new rule, but its test-retest reliability was extremely poor (-.24).

    “Set shifting/switching is measured using the Playing Cards Test, which requires the child to respond according to one rule and then change strategy in accordance with a new rule, but its test-retest reliability was extremely poor (-.24).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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    Premisecitation
    § Visuospatial domain

    Information on BADS-C validity is limited, but the test manual notes low to minimal correlations between the BADS-C subtests and other measures of executive function (e.g., TEA-Ch).

    “Information on validity is limited, but the test manual notes low to minimal correlations between the BADS-C subtests and other measures of executive function (e.g.TEA-Ch).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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    Premisecitation
    § Visuospatial domain

    The ecological validity of the BADS-C is an advantage for clinicians wanting to examine everyday difficulties in executive functioning, although it is difficult to separate verbal and visuospatial skills in many tests.

    “The ecological validity of the BADS-C is an advantage for clinicians wanting to examine everyday difficulties in executive functioning, although it is difficult to separate verbal and visuospatial skills in many tests.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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    Premisecitation
    § Visuospatial and verbal domains

    Not all TEA-Ch subtests are scored in the same way and baseline measures of speed and accuracy are not recorded (unlike D-KEFS), which may be problematic in interpretation of scores.

    “Not all subtests are scored in the same way and baseline measures of speed and accuracy are not recorded (unlike D-KEFS), which may be problematic in interpretation of scores (Wilding, 2005).”
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    • cites Wilding, 2005

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    Premisecitation
    § Jones

    CANTAB reliability data are not available for children, but internal consistency coefficients were reported as high (.73-.95) in a sample of 4 to 12-year-old children.

    “Reliability data are not available for children, but internal consistency coefficients were reported as high (.73-.95) in a sample of 4 to 12-year-old children (Luciana, 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Luciana, 2003

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    Premisecitation
    § Jones

    Of the 23 CANTAB tests, most (21) are nonverbal in both presentation and response, making it valuable for participants with limited verbal abilities and potentially more culture-free than other tests.

    “Of the 23 tests in the CANTAB, most (21) are nonverbal both in terms of test presentation and participant response, so it is valuable for participants with limited verbal abilities and may be more 'culturefree' than other tests.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Cambridge Cognition Ltd, 2006a

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning
    § Visuospatial domain

    Thinking ahead in both the Water and Key tasks is essential, so they should reflect planning.

    “Thinking ahead in both tasks is essential, hence they should reflect planning.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial domain

    BADS-C test-retest reliabilities are highly variable, which the authors argue reflects the need to provide novel tasks assessing EF, but some variability could be accounted for by the small sample size (25).

    “Test-retest reliabilities are highly variable, which the authors argue is a reflection of the need to provide novel tasks assessing EF, but some variability could be accounted for by the small sample size (25).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial domain

    Luciana outlines potential weaknesses of the CANTAB: it is very expensive; certain populations may perform differently in computerised versus standard assessments; the purity of tasks and assessment format may reduce ecological validity; and the emphasis on nonverbal presentation/response means clinicians cannot comment on comparable verbal measures.

    “Although the CANTAB has many strengths and is attractive for children, Luciana (2003) outlines some potential weaknesses: it is very expensive to purchase; certain populations may perform differently in computerised versus standard assessments (e.g.children with autism may perform better with computerised tests); the purity of the tasks and assessment format may reduce their ecological validity;”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Luciana, 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § The Behavioural Assessment of the Dysexecutive Syndrome in Children

    The BADS-C is suitable for children and young people of 8-16 years.

    “It is suitable for children and young people of 8-16 years.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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    Premisecitation
    § Visuospatial domain

    BADS-C Water Test test-retest reliability is unavailable because all children reached ceiling on the second testing; for the Key Search Test, test-retest reliability was good (.81), albeit on a small sample (25).

    “Test-retest reliability is unavailable for the Water Test as all children reached ceiling on the second testing; for the Key Search Test, test-retest reliability was good (.81), albeit on a small sample (25).”
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    • cites Emslie et al., 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Visuospatial domain

    The BADS-C Key Test looks at how well children can plan an efficient and systematic search of a field in which they have lost their keys.

    “The Key Test looks at how well children can plan an efficient and systematic search of a 'field' in which they have lost their keys.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    TEA-Ch Walk Don't Walk has reasonably good test-retest reliability (.73) and is modestly related to Trails B (r=.3) and Matching Familiar Figures Test (r=.20), providing evidence for its validity.

    “This task has reasonably good test-retest reliability (.73), as well as being modestly related to two other measures of executive function (Trails B r=.3;Matching Familiar Figures Test,r=.20),providing evidence for its validity (Manly et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 2001

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    Premisecitation
    § Verbal domain

    TEA-Ch Opposite Worlds has excellent test-retest reliability (.92); evidence for validity comes from modest correlations with the Stroop test (.24) and the Matching Familiar Figures Test (.25).

    “Testretest reliability is excellent (.92); evidence for validity comes from modest correlations with the Stroop test (.24) and the Matching Familiar Figures Test (.25) (Manly et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 2001

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  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    TEA-Ch convergent validity indicates promising relationships between other measures of executive function and TEA-Ch subtests; discriminant validity evidence was provided as correlations were not present with IQ; and boys with ADHD performed poorly on the TEA-Ch, as would be expected.

    “Assessment of convergent validity indicates promising relationships between other measures of executive function and TEA-Ch subtests (see below); evidence for discriminant validity was provided as correlations were not present with IQ; and boys with ADHD performed poorly on the TEA-Ch, as would be expected.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Manly et al., 2001

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Visuospatial domain

    The TEA-Ch was developed primarily as a measure of attention, minimising the contributions of memory, reasoning, task comprehension, motor speed, verbal ability and perceptual acuity.

    “The Test of Everyday Attention for Children (TEA-Ch, Manly et al., 1999).This battery was developed primarily as a measure of attention, minimising the contributions of memory, reasoning, task comprehension, motor speed, verbal ability and perceptual acuity (Manly et al., 2001).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Manly et al., 1999

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    • cites Manly et al., 2001

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § The Behavioural Assessment of the Dysexecutive Syndrome in Children

    The BADS-C includes the Dysexecutive Questionnaire for Children (DEX-C), a 20-item measure of the types of problems commonly associated with dysexecutive syndrome.

    “The battery includes the Dysexecutive Questionnaire for Children (DEX-C), a 20-item measure of the types of problems commonly associated with dysexecutive syndrome.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • May combine two claims.

    Premisecitation
    § Visuospatial and verbal domains

    TEA-Ch Creature Counting has reasonably good test-retest reliability (.69 accuracy, .73 timing) and evidence for validity from modest positive correlations with the Stroop task (.31), Trails B (.21) and the Matching Familiar Figures Test (.35).

    “Creature Counting has reasonably good testretest reliability (.69 accuracy, .73timing) and evidence for validity is provided by modest but positive correlations with the Stroop task (.31), Trails B (.21) and the Matching Familiar Figures Test (.35) (Manly et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 2001

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  • May combine two claims.

    Premisecitation
    § Visuospatial and verbal domains

    TEA-Ch Sky Search Dual Task convergent validity was weak (scores were not related to the Stroop Test or the Trail Making Test), but test-retest reliability was good (.81).

    “Although convergent validity for this task was weak (scores were not related to the Stroop Test or the Trail Making Test), test-retest reliability was good (.81, Manly et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 2001

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  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    Lack of research makes the BADS-C Water and Key tests hard to compare with similar measures, but they are appealing to children and do appear to assess the visuospatial domain.

    “Lack of research makes these tests hard to compare with similar measures, but they are appealing to children and do appear to assess the visuospatial domain.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Jones

    CANTAB test presentation via touch screen may be advantageous for certain clinical groups (e.g., autism), and all responses are recorded and analysed automatically.

    “Test presentation is via a touch screen computer, which may be advantageous for certain clinical groups (e.g.those with autism, Luciana, 2003) and all responses are recorded and analysed automatically.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Luciana, 2003

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  • May combine two claims.

    Study design and conductcitation
    § The Behavioural Assessment of the Dysexecutive Syndrome in Children

    BADS-C normative data include 265 healthy UK children nationally representative of ability and socio-economic group, plus 114 children with developmental/neurological disorders, supplemented with a small sample (22) of healthy 7-year-olds in 2006.

    “Normative data (265 healthy UK children, nationally representative of ability and socio-economic group, plus 114 children with developmental/neurological disorders) were supplemented with a small sample (22) of healthy 7-year-olds in 2006.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial and verbal domains

    The TEA-Ch Sky Search Dual Task measures dual task interference by having children carry out a visual search while silently counting auditory tones, with scores reflecting the decrement produced by carrying out the two tasks simultaneously.

    “In the Sky Search Dual Task, children carry out a relatively realistic and interesting visual search task (searching for identical pairs of spacecraft on a large laminated sheet containing over 120 pairs of spacecraft, most of which are not identical pairs), while silently counting identical auditory tones over 10 trials, and relaying the total counts on each trial.Scores reflect the decrement”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 1999

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  • May combine two claims.

    Premisecitation
    § Visuospatial and verbal domains

    TEA-Ch subtests have been used in many research studies, although there have been reports of children with developmental disorders finding some subtests unpalatable (Walk Don't Walk subtest).

    “TEA-Ch subtests have been used in many research studies, although there have been reports of children with developmental disorders finding some subtests unpalatable (Bishop & Norbury, 2005b, Walk Don't Walk subtest).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bishop & Norbury, 2005b

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Visuospatial domain

    BADS-C planning is measured using several tests (Water, Key, Zoo Map, Six Part).

    “Planning is measured using several tests (Water, Key, Zoo Map, Six Part).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    Manly et al. report normative data on 293 healthy UK children and reasonable test-retest reliability in a random subgroup of 55 children (range .65-.85).

    “Manly et al. (2001) report normative data on 293 healthy UK children, and reasonable test-retest reliability in a random subgroup of 55 children (range .65-.85).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Manly et al., 2001

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial domain

    The BADS-C Water Test is argued to be an ecologically valid test of planning, requiring children to remove a cork from a tube using an array of physical objects and materials, with five correct interim steps needed to succeed.

    “The Water Test is argued to be an 'ecologically valid' test of planning, requiring children to remove a cork from a tube using an array of physical objects and materials (water, plastic tube, screw top, cork); five correct interim steps are needed to succeed.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

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  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    Stinnet et al. (2002) and Ahmad and Warriner (2001) both provide critiques of the NEPSY.

    “Stinnet et al. (2002) and Ahmad and Warriner (2001) both provide critiques of the NEPSY.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Stinnet et al. (2002)

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    • cites Ahmad and Warriner (2001)

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Visuospatial domain

    NEPSY-II Design Fluency is similar to the D-KEFS measure, but is slightly simpler and covers a lower age range (5-12 years).

    “Design Fluency is similar to the D-KEFS measure (see earlier), but is slightly simpler and covers a lower age range (5-12 years).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationnone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    The measure of interest in the WCST is success in switching from one matching dimension to another; poor executive skills result in perseveration.

    “The measure of interest is success in switching from one matching dimension to another; poor executive skills result in perseveration.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    The Animal-Stroop (Wright et al., 2003) is an engaging measure developed for children 3-16 years.

    “An engaging measure is the Animal-Stroop (Wright et al., 2003), developed for children 3-16 years.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wright et al., 2003

      Not checked in the free run.

  • May combine two claims.

    Premisenone given
    § Interpreting tests of executive functioning

    The CANTAB covers three executive areas, but only in the nonverbal domain.

    “The CANTAB covers three executive areas, but only in the nonverbal domain”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    Research using the original NEPSY to assess clinical groups indicated that, whilst the battery had clinical validity, findings were somewhat mixed.

    “Research using the original NEPSY to assess clinical groups (e.g.Riddle et al., 2005, with spina bifida;and Schmitt & Wodrich, 2004, with mixed neurological impairments) indicated that, whilst the battery had clinical validity, findings were somewhat mixed.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Riddle et al., 2005

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    • cites Schmitt & Wodrich, 2004

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    WCST cards contain different representations of shape, colour and numerosity and are matched to one of four 'base' cards that vary along the same dimensions.

    “Cards contain different representations of shape, colour and numerosity and are matched to one of four 'base' cards that vary along the same dimensions (e.g. one red triangle, two green stars, three yellow crosses, four blue circles).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Visuospatial domain

    The NEPSY II scoring software computes scaled scores and percentiles ranks by age and 'Behavioural Observations' supplement some subtests to provide helpful additional data.

    “The scoring software computes scaled scores and percentiles ranks by age and 'Behavioural Observations' supplement some subtests to provide helpful additional data.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Verbal domain

    NEPSY-II Word Generation includes category and letter fluency, like the D-KEFS.

    “It includes category and letter fluency, like the D-KEFS”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given
    § Interpreting tests of executive functioning

    The TEA-Ch is perhaps the most consistently reliable test, but it provides mainly measures of inhibition.

    “Perhaps the most consistently reliable test is the TEA-Ch, but it is provides mainly measures of inhibition.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given
    § Verbal domain

    NEPSY-II Animal Sorting is similar to the D-KEFS sorting task.

    “NEPSY-II Animal Sorting is similar to the D-KEFS sorting task.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning
    § Visuospatial domain

    With the developments and improvements claimed for the NEPSY II, more research is required.

    “Clearly, with the developments and improvements claimed for the NEPSY II, more research is required.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Verbal domain

    NEPSY-II Inhibition (ages 5-16) requires naming of squares as circles and circles as squares (or up arrows as down arrows etc), combining verbal and visuospatial skills.

    “Inhibition (ages 5-16) requires naming of squares as circles and circles as squares (or up arrows as down arrows etc), combining verbal and visuospatial skills”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Visuospatial domain

    The Animal-Stroop stimuli include black-and-white cartoon style images (cow, pig, sheep, duck).

    “Stimuli include black-and-white cartoon style images (cow, pig, sheep, duck).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wright et al., 2003

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Verbal domain

    Verbal fluency can be assessed in 5-16 year-olds using the NEPSY-II Word Generation subtest.

    “Verbal fluency can be assessed in 5-16 year-olds using the NEPSY-II Word Generation subtest.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    NEPSY II test-retest reliabilities were derived from a group of 165 children tested after 3 weeks and ranged from modest (.35) to very good (.94).

    “Test-retest reliabilities were derived from a group of 165 children tested after 3 weeks and ranged from modest (.35) to very good (.94).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Korkman, Kirk & Kemp, 2007

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    The WCST requires the matching of cards with very little instruction.

    “requires the matching of cards with very little instruction.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisereasoning
    § Verbal domain

    NEPSY-II Animal Sorting can be regarded as a measure of planning, suitable for children 7-16 years.

    “This can, therefore, be regarded as a measure of planning, suitable for children 7-16 years.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisereasoning
    § Verbal domain

    The NEPSY-II Auditory Attention and Response Set test loosely resembles a Stroop task, hence is more verbal than visuospatial.

    “The test loosely resembles a Stroop task, hence is more verbal than visuospatial (stimulus items are verbal, but responses are via pointing).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning
    § Summary

    A combination of batteries and stand-alone tests may offer maximum clinical flexibility.

    “a combination of batteries and stand-alone tests may offer maximum clinical flexibility”
    • Also stated in: § Interpreting tests of executive functioning · hedged
      “At present, to assess executive functioning thoroughly, a combination of tests will be necessary, possibly including both a test battery and some of the 'other' measures of executive functioning outlined earlier.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Thorough assessment of executive functioning requires covering all five areas and comparing verbal and visuospatial domains.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Verbal domain

    NEPSY-II Animal Sorting has no explicitly verbal sorts (e.g. no word sorts).

    “there are no explicitly verbal sorts (e.g.no word sorts).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Verbal domain

    NEPSY-II Auditory Attention and Response Set includes a standardised assessment of inhibition in 7-16-year-olds, although only using the 'response set' part of the task.

    “Auditory Attention and Response Set includes a standardised assessment of inhibition in 7-16-year-olds, although only using the 'response set' part of the task.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisereasoning
    § Verbal domain

    NEPSY-II Inhibition has the facility to record behavioural observations such as uncorrected versus self-corrected errors, which may give an indication of subtle deficits not available in other batteries.

    “but there is the facility to record behavioural observations such as uncorrected versus self-corrected errors, which may give an indication of subtle deficits not available in other batteries.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Visuospatial domain

    NEPSY-II Statue (3-6 years) requires the child to remain motionless in a proscribed standing position despite distractions (e.g. a cough from the tester).

    “Statue (3-6 years), which requires the child to remain motionless in a proscribed standing position despite distractions (e.g. a cough from the tester)”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Interpreting tests of executive functioning

    The BRIEF assesses EF in the home and school environments (5-to 18-year-olds) using parent and teacher questionnaires.

    “the BRIEF (Behavior Rating Inventory of Executive Function, Gioia et al., 2000), which assesses EF in the home and school environments (5-to 18-year-olds) using parent and teacher questionnaires”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gioia et al., 2000

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning
    § Interpreting tests of executive functioning

    It may be necessary to accept lower levels of reliability among these tests than is ideal.

    “Therefore, it may be necessary to accept lower levels of reliability among these tests than is ideal.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationnone given
    § Visuospatial domain

    The advantage of NEPSY II is its breadth, useful for examining a range of abilities including executive functioning.

    “The advantage of NEPSY II is its breadth, useful for examining a range of abilities including executive functioning.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Visuospatial domain

    Not all NEPSY II subtests cover the full age range.

    “However, not all subtests cover the full age range.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Korkman, Kirk & Kemp, 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given
    § Visuospatial domain

    Stroop-like interference in the Animal-Stroop is caused by the preferential processing of facial information, which must be inhibited.

    “Stroop-like interference is caused by the preferential processing of facial information, which must be inhibited.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning
    § Visuospatial domain

    The Animal-Stroop has a wide age range, but combines visuospatial and verbal skills, making domain specific comparisons difficult.

    “This test has a wide age range, but combines visuospatial and verbal skills, making domain specific comparisons difficult.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Verbal domain

    In NEPSY-II Animal Sorting, the child is not asked to articulate their sorting strategy.

    “the child is not asked to articulate their sorting strategy”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisereasoning
    § Visuospatial domain

    NEPSY-II Statue is a measure of 'motor persistence' and inhibition.

    “is a measure of 'motor persistence' and inhibition.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisenone given
    § Interpreting tests of executive functioning

    The BADS-C offers the clinician ecological validity for assessing planning (plus one test of set shifting).

    “The BADS-C offers the clinician ecological validity for assessing planning (plus one test of set shifting)”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Visuospatial domain

    NEPSY-II Clocks (7-16 years) tests planning and organisation, assessing a child's ability to tell the time both from traditional and digital clock faces, and to draw clock faces accurately.

    “Clocks (7-16 years) tests planning and organisation, assessing a child's ability to tell the time both from traditional and digital clock faces, and to draw clock faces accurately.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given
    § Interpreting tests of executive functioning

    Whilst the NEPSY-II is reasonably comprehensive on first sight, many individual subtests have restrictive age ranges.

    “whilst it is reasonably comprehensive on first sight, many individual subtests have restrictive age ranges.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given
    § Interpreting tests of executive functioning

    Many of the reliabilities of the BADS-C are perhaps worryingly low, even taking into account the point made above regarding reliabilities.

    “yet many of the reliabilities are perhaps worryingly low, even taking into account the point made above regarding reliabilities.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial domain

    In the congruent condition of the Animal-Stroop, animal images appear as normal and children name the body of the animal.

    “In the congruent condition, animal images appear as normal and children name the body of the animal.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wright et al., 2003

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    In the WCST, feedback is given as to whether each match is correct, and matching dimensions change throughout the task.

    “Feedback is given as to whether each match is correct, and matching dimensions change throughout the task.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Visuospatial domain

    Although there were significant correlations between five of the six BADS-C subtests and the DEX-C within a typical sample, correlations between subtests and other executive measures such as the TEA-Ch in clinical sample were largely non-significant or low.

    “Although there were significant correlations between five of the six BADS-C subtests and the DEX-C within a typical sample, correlations between subtests and other executive measures such as the TEA-Ch in clinical sample were largely non-significant or low.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Emslie et al., 2003

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial domain

    In the incongruent condition of the Animal-Stroop, animal heads and bodies are jumbled up, but children still name the body of the animal.

    “In the incongruent condition, animal heads and bodies are jumbled up, but children still name the body of the animal.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wright et al., 2003

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation
    § Visuospatial domain

    NEPSY II was standardised using 1200 healthy, representative US children (3-16 years) in 12 age bands, and assesses a wide range of functions (attention and executive functioning, language, social perception, visuospatial processing, memory and learning, sensorimotor).

    “Standardised using 1200 healthy, representative US children (3-16 years) in 12 age bands, NEPSY II assesses a wide range of functions (attention and executive functioning, language, social perception, visuospatial processing, memory and learning, sensorimotor).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Korkman, Kirk & Kemp, 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning
    § Visuospatial domain

    NEPSY-II Statue is the only executive measure suitable for younger children, but is not a typical measure of inhibition.

    “This is the only executive measure suitable for younger children, but is not a typical measure of inhibition.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Visuospatial domain

    The NEPSY II is a revision and extension of the original battery, designed for neuropsychological testing of children.

    “The NEPSY II (Korkman, Kirk & Kemp, 2007).This is a revision and extension of the original battery (Korkman, Kirk, & Kemp, 1998), designed for neuropsychological testing of children.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Korkman, Kirk & Kemp, 2007

      Not checked in the free run.

    • cites Korkman, Kirk, & Kemp, 1998

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Additional information

    In the 'odd one out' task, three similar visual items are displayed in a left to right array.

    “In the 'odd one out' task (Henry, 2001;Hitch & MacAuley, 1991;Russell, Jarrold, & Henry, 1996), three similar (and not readily named) visual items are displayed in a left to right array.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Henry, 2001

      Not checked in the free run.

    • cites Hitch & MacAuley, 1991

      Not checked in the free run.

    • cites Russell, Jarrold, & Henry, 1996

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    The WCST-64 (Kongs et al., 2000) is suitable for individuals from 6-89 years and includes half the original cards.

    “The WCST-64 (Kongs et al., 2000), suitable for individuals from 6-89 years, includes half the original cards.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kongs et al., 2000

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    Scoring difficulties among individuals with intellectual disabilities or developmental disorders can result from performance being confounded with fine motor skills, visual perception and speed of response (many maze tasks are timed).

    “Scoring difficulties among individuals with intellectual disabilities or developmental disorders can result from performance being confounded with fine motor skills, visual perception and speed of response (many maze tasks are timed).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    In maze tasks, the child makes a line along a maze route without encountering 'dead ends' or going outside lines, requiring forward planning to avoid poor decision-making.

    “the child makes a line along a maze route without encountering 'dead ends' or going outside lines, requiring forward planning to avoid poor decision-making.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Anderson, 1998

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisenone given
    § Summary

    Stockings of Cambridge is the CANTAB version of a 'Tower Test', suitable for children who prefer computer-based presentation.

    “Finally, Stockings of Cambridge is the CANTAB version of a 'Tower Test', suitable for children who prefer computer-based presentation.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Additional information

    The WMTB-C also includes counting span, which requires visuospatial and verbal skills (counting dots on a series of cards and recalling the totals).

    “The WMTB-C also includes counting span, which requires visuospatial and verbal skills (counting dots on a series of cards and recalling the totals).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Pickering & Gathercole, 2001

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given
    § Summary

    An excellent example of an easy to administer switching measure that is clearly in the visuospatial domain is the Intra-Extra Dimensional (IED) shift task, one of the only measures of nonverbal switching currently available.

    “An excellent example of an easy to administer switching measure that is clearly in the visuospatial domain is the Intra-Extra Dimensional (IED) shift task, one of the only measures of nonverbal switching currently available.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given
    § Summary

    The Stop Signal Task assesses inhibition.

    “The Stop Signal Task assesses inhibition”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given
    § Additional information

    Backward digit span is often regarded as a measure of executive-loaded working memory, is included in standard cognitive assessments, but rarely scored separately from forward digit span.

    “Backward digit span, often regarded as a measure of executive-loaded working memory, is included in standard cognitive assessments, but rarely scored separately from forward digit span.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Additional information

    The 'listening span task' measures executive-loaded working memory in the verbal domain.

    “The 'listening span task' measures executiveloaded working memory in the verbal domain (e.g.Siegel & Ryan, 1989;Leather & Henry, 1994).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Siegel & Ryan, 1989

      Not checked in the free run.

    • cites Leather & Henry, 1994

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given
    § Set shifting/switching. The Wisconsin Card Sorting Test (WCST)

    The WCST is broadly in the visuospatial domain, although numerosity judgements may involve verbal counting.

    “The WCST is broadly in the visuospatial domain, although numerosity judgements may involve verbal counting.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Additional information

    A UK-normed, standardised version is available in the Working Memory Test Battery for Children (WMTB-C, Pickering & Gathercole, 2001) with an age range of 5-15 years.

    “A UK-normed, standardised version is available in the Working Memory Test Battery for Children (WMTB-C, Pickering & Gathercole, 2001) with an age range of 5-15 years.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Pickering & Gathercole, 2001

      Not checked in the free run.

143 of 143
  • The paper relies on this without support.

    The five areas of executive functioning outlined at the beginning of the paper are the appropriate framework for assessing executive functioning comprehensively.

    “None of the test batteries described assess each of the five areas of executive functioning outlined at the beginning of the paper comprehensively”
  • The paper relies on this without support.

    Thorough assessment of executive functioning requires covering all five areas and comparing verbal and visuospatial domains.

    “At present, to assess executive functioning thoroughly, a combination of tests will be necessary”
  • The paper relies on this without support.

    The reliability and validity data reported in test manuals and studies are accurate and applicable to the populations described.

    “Test-retest reliabilities (13-16 years) were acceptable (.60 letter, .77category).”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Research works printed but not linked: 9

  1. Alloway T. P., 2007, Automated Working Memory Assessment (AWMA)
  2. Baddeley A.D., 1986, Working memory
  3. Cambridge Cognition Ltd, 2006, Cambridge Neuropsychological Test Automated Battery (CANTAB): Test‐Retest Reliability Characteristics
  4. Delis D.C., 2001, Delis‐Kaplan Executive Function System, Technical Manual (D‐KEFS)
  5. Kongs S.K., 2000, Wisconsin Card Sorting Test ‐ 64 Card Version (WCST‐64)
  6. Korkman M., 1998, NEPSY: A developmental neuropsychological assessment manual
  7. Korkman M., 2007, NEPSY II: A developmental neuropsychological assessment manual
  8. Manly T., 1999, The Test of Everyday Attention for Children (TEA‐Ch)
  9. Pickering S., 2001, Working Memory Test Battery for Children (WMTB‐C)

Cited by

Sorted by citations

Authors
Henry, L. A., & Bettenay, C.
Affiliations
London South Bank University (GB)
Corresponding author
  • Henry, Lucy A.
  • Bettenay, Caroline
Venue
Child and Adolescent Mental Health
Publisher
Wiley
Published
2010-04
Volume
15
Issue
2
Pages
110-119
ISSN
  • 1475-357X (ISSN-L)
  • 1475-3588
OpenAlex
W2146257053
Cited by
75
References
67
Citations by year
2026: 5 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 13 · 2013: 4 · 2012: 3
FWCI
4.41
Type
journal article
Language
en
Open access
Locations
  • Child and Adolescent Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • City Research Online (City University London) (submittedVersion)
Funders
Economic and Social Research Council (RES-062-23-, ES/E020259/1, RES-062-23-0535)
Topics
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
  • Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
executive function, children, assessment instruments, test battery, verbal ability, visuospatial ability, neuropsychological assessment

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