Standardized Assessments: A quick Guide

SCATBI (Complex), WAB-R Bedside, BTHI, CLQT, ALFAPresented by Rachel Glass

Why Use Standardized Assessments?PROS:

-More tailored to the individual (diagnosis and level of impairment)

-Standardized normative sample

-Easy to track change/improvement

-Being standardized

CONS:

-Take more time to administer

-More materials required

-May not be appropriate for all patient profiles

-Being unfamiliar with administering assessment

Scales of Cognitive Ability for Traumatic Brain Injury (Higher Functioning Composite)

Cognitive Assessment: perception, discrimination, organization (lower functioning composite), recall of information, and problem solving skills (higher functioning composite)

Higher Functioning Composite: Combination of “Recall” and “Reasoning” subtests

Ideal Patient: High Level Cognitive Patient

Standardization Sample: The standardization sample consisted primarily of patients with closed-head injuries

WHAT YOU NEED TO ADMINISTER:

Client Profile For SCATBI (Higher Functioning Composite)

CASE EXAMPLE:

53 yo F w/Closed Head Injury

Onset: 12/4/15

d/c from rehab: 1/19/16

D/C summary from Rehab: Recommended addressing higher level attention, problem-solving, executive function and pragmatics.

Higher Functioning Composite completed in: 45 minutes

Based on results of assessment, higher level memory, attention and problem solving goals were selected.

Western Aphasia Battery-Revised Bedside ScreenerIdeal Patient: Adult with Left CVA

Will yield a Bedside Aphasia Score & Bedside Language Score

Scores can be converted into an Aphasia Classification based on Criterion Scores for individual items: Spontaneous Speech: Content & Fluency, Auditory Verbal Comprehension, Sequential Commands, Repetition, Object Naming, Reading, Writing

WHAT YOU NEED TO ADMINISTER: Picture (for picture description), magazine or reading passage, paper, pencil, 20 items in room, coin, paper, & pen

WAB-R BedsideCASE EXAMPLE:

65 yo F w/Basal Ganglia CVA

Onset Date: 3/15/16

Ax Date in Inpatient Rehab: 4/3/16

WAB Bedside Administered in approximately 15 minutes.

Pt identified w/Anomic Aphasia

Goals selected included word finding goals secondary to WAB-R assessment findings.

Brief Test of HEad Injury (BTHI)Areas Assessed: Orientation, Following Commands, Linguistic Organization, Reading Comprehension, Naming, Memory, Visual-Spatial Skills

Strengths: quick to administer, sensitive to small changes, ideal to be used after a coma, good for identifying treatment objectives

WHAT YOU NEED TO ADMINISTER: BTHI Record Form, BTHI Stimulus items, pen, 3 pennies, 1 nickel, 2 dimes, 1 quarter (included in binder in OP)

Scoring the BTHI

Sample from 33 yo F w/Closed Head Injury

Cognitive-LInguistic Quick Test (CLQT)quickly assess strengths and weaknesses in five cognitive domains (Attention, Memory, Executive Functions, Language, and Visuospatial Skills).

Scoring: Criterion Referenced

-5/10 test items have minimal language demands

-Very useful “Clinicians Notes” located on scoring forms

WHAT YOU NEED TO ADMINISTER: CLQT Record Form, CLQT Patient Record book, CLQT Stimulus Items

Sample Patient for CLQT

49 yo F w/RCVAOnset Date:7/2/15

D/C from inpatient Rehab:12/3/15 Rehab Goals: Orientation, Attention,

Problem SolvingAssessment completed in 60 minutes

(including pt interview)

Assessment of Language Related Functional Activities (ALFA)

WHAT IT TESTS: Functional Daily Activities: Subtests include: telling time, counting money, addressing mail, solving daily math problems, writing checks, understanding medicine labels, using a calculator for reading instructions, using a telephone, writing a message

WHO IS IT APPROPRIATE FOR: The ALFA’s subtests require use of all language modalities: auditory comprehension, verbal expression, reading and writing, as well as cognitive and motor skills. Also, the test allows you to observe multiple cognitive processes, which can sometimes eliminate the need to administer specialized tests for the assessment of certain areas.

WHAT YOU NEED TO ADMINISTER: ALFA stimulus book, ALFA Record Form, ALFA Stimulus Items (inside box with ax)

ALFACan be given as a supplement to shorter assessments (like the WAB-R)

Useful for assessment of medication management and other functional targets (ex:daily math, managing finances, telling time)

Sample Item: Writing a Check