Validity of the Functional Loewenstein Occupational Therapy Cognitive Assessment (FLOTCA)

Yifat Schwartz; Sara Averbuch; Noomi Katz; Aliza Sagiv

doi:10.5014/ajot.2016.016451

Validity of the Functional Loewenstein Occupational Therapy Cognitive Assessment (FLOTCA)

Am J Occup Ther. 2016 Jan-Feb;70(1):7001290010p1-7. doi: 10.5014/ajot.2016.016451.

Authors

Yifat Schwartz¹, Sara Averbuch², Noomi Katz³, Aliza Sagiv⁴

Affiliations

¹ Yifat Schwartz, MSc, OT, is Director Occupational Therapy Department, Lowenstein Rehabilitation Hospital, Raanana, Israel.
² Sara Averbuch, MSc, OT, is Director Emeritus, Occupational Therapy Department, Lowenstein Rehabilitation Hospital, Raanana, Israel.
³ Aliza Sagiv, MSc, OT, is Deputy Director, Occupational Therapy Department, Lowenstein Rehabilitation Hospital, Raanana, Israel.
⁴ Noomi Katz, PhD, OTR, is Director, Research Institute for Health and Medical Professions, Ono Academic College, Kiryat Ono, Israel; noomi.katz@ono.ac.il.

PMID: 26709431
DOI: 10.5014/ajot.2016.016451

Abstract

The Functional Loewenstein Occupational Therapy Cognitive Assessment (FLOTCA) was developed to assess integrative higher cognitive abilities in people with traumatic brain injury (TBI). The FLOTCA measures performance on three tasks: navigating on a map, organizing a toolbox, and planning a daily schedule. This study assessed the psychometric properties of the FLOTCA with a sample of 25 participants with TBI ages 18-49 and 25 matched healthy participants. The FLOTCA showed high interrater reliability (intraclass correlation = .996) and internal consistency reliability for the total score (α = .82). Construct validity was supported for the total score, t (48) = -5.48, d = 1.52, and the separate tasks. Moderate ecological validity was obtained with the combined FIM™ and Functional Assessment Measure, r (19) = .44, p < .05. The results indicate that the FLOTCA can be used to assess higher cognitive abilities in functioning and can serve as the basis for intervention planning.