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Cited by 600

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Bedside Assessment of Executive Cognitive Impairment: The Executive Interview

Royall, Donald R., Mahurin, Roderick K., Gray, Kevin F.·1992·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.1992.tb03646.x
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Abstract

Objective : This study is a pilot validation of the Executive Interview (EXIT), a novel instrument designed to assess executive cognitive function (ECF) at the bedside. Objective : Inter‐rater reliability testing and validation using inter‐group comparisons across levels of care and measures of cognition and behavior. Participants : Forty elderly subjects randomly selected across four levels of care. Setting : Settings ranged from independent living apartments to designated Alzheimer's Special Care units in a single 537‐bed retirement community. Measurements : The EXIT: a 10‐minute, 25‐item interview scored from 0–50 (higher scores = greater executive dyscontrol) was administered by a physician. Subjects were also administered the Mini‐Mental State Exam (MMSE) and traditional tests of “frontal” executive function by a neuropsychologist, and the Nursing Home Behavior Problem Scale (NHBPS) by Licensed Vocational Nurses. Results : Interrater reliability was high ( r = .90). EXIT scores correlated well with other measures of ECF. The interview discriminated among residents at each level of care. In contrast, the MMSE did not discriminate apartment‐dwelling from residential care residents, or residential care from nursing home residents. The EXIT was highly correlated with disruptive behaviors as measured by the NHBPS ( r = .79). Conclusions : These preliminary findings suggest that the EXIT is a valid and reliable instrument for the assessment of executive impairment at the bedside. It correlates well with level of care and problem behavior. It discriminates residents at earlier stages of cognitive impairment than the MMSE. J Am Geriatr Soc 40:1221–1226, 1992

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Metadata

Authors
Royall, D. R., Mahurin, R. K., & Gray, K. F.
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
1992-12
Volume
40
Issue
12
Pages
1221-1226
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.1992.tb03646.x
OpenAlex
W1977238326
Cited by
600
References
2
FWCI
5.12
Type
journal article
Language
en
Open access
closed

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