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      Development and preliminary reliability of a multitasking assessment for executive functioning after concussion.

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          OBJECTIVES. Executive functioning deficits may result from concussion. The Charge of Quarters (CQ) Duty Task is a multitask assessment designed to assess executive functioning in servicemembers after concussion. In this article, we discuss the rationale and process used in the development of the CQ Duty Task and present pilot data from the preliminary evaluation of interrater reliability (IRR). METHOD. Three evaluators observed as 12 healthy participants performed the CQ Duty Task and measured performance using various metrics. Intraclass correlation coefficient (ICC) quantified IRR. RESULTS. The ICC for task completion was .94. ICCs for other assessment metrics were variable. CONCLUSION. Preliminary IRR data for the CQ Duty Task are encouraging, but further investigation is needed to improve IRR in some domains. Lessons learned in the development of the CQ Duty Task could benefit future test development efforts with populations other than the military.

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          Author and article information

          Am J Occup Ther
          The American journal of occupational therapy : official publication of the American Occupational Therapy Association
          AOTA Press
          July 10 2014
          : 68
          : 4
          [1 ] Laurel B. Smith, MS, OTR/L, is Captain, U.S. Army, and Research Occupational Therapist, U.S. Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760; laurel.b.smith.mil@mail.mil.
          [2 ] Mary Vining Radomski, PhD, OTR/L, is Clinical Scientist, Courage Kenny Research Center, Minneapolis, MN.
          [3 ] Leslie Freeman Davidson, PhD, OTR/L, is Director and Associate Professor of Occupational Therapy, Shenandoah University, Winchester, VA.
          [4 ] Marsha Finkelstein, MS, is Senior Scientific Advisor, Courage Kenny Research Center, Minneapolis, MN.
          [5 ] Margaret M. Weightman, PhD, PT, is Clinical Scientist/Physical Therapist, Courage Kenny Research Center, Minneapolis, MN.
          [6 ] Karen L. McCulloch, PhD, PT, NCS, is Professor, Division of Physical Therapy, University of North Carolina at Chapel Hill.
          [7 ] Matthew R. Scherer, PhD, PT, is NCS Major, U.S. Army, and Chief of Physical Therapy, Andrew Rader U.S. Army Health Clinic, Fort Myer, VA.


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