Assessment Of Executive Functions In Children And Adolescents With Acquired Brain Injury (Abi) Using A Novel Complex Multi-Tasking Computerised Task: The Jansari Assessment Of Executive Functions For Children (Jef-C (C))

Objectives: The Jansari assessment of Executive Functions for Children (JEF-C (c)) is a new non-immersive computerised assessment of executive functions. The objectives of the study were to test the feasibility and validity of JEF-C (c) in children and adolescents with acquired brain injury (ABI). Methods: Twenty-nine patients with ABI aged 10-18 years and 30 age-and gender-matched controls were tested. Participants performed JEF-C (c), Wechsler Abbreviated Scale of Intelligence (WASI) and the Behavioural Assessment of the Dysexecutive Syndrome for Children (BADS-C), while parents completed the Behaviour Rating Inventory of Executive Function (BRIEF) questionnaire. Results: The JEF-C (c) task proved feasible in patients with ABI. The internal consistency was medium (Cronbach's alpha = 0.62 and significant intercorrelations between individual JEF-C (c) constructs). Patients performed significantly worse than controls on most of the JEF-C (c) subscales and total score, with 41.4% of participants with ABI classified as having severe executive dysfunction. No significant correlations were found between JEF-C (c) total score, the BRIEF indices, and the BADS-C. Significant correlations were found between JEF-C (c) and demographic characteristics of the sample and intellectual ability, but not with severity/medical variables. Conclusion: JEF-C (c) is a playful complex task that appears to be a sensitive and ecologically valid assessment tool, especially for relatively high-functioning individuals.