Performance of American and Israeli individuals with CVA on the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA). Am J Occup Ther. Background. The LOTCA (Loewenstein Occupational Therapy Cognitive Assessment) battery is a cognitive screening test which is widely used. The purpose of this study was to determine the reliability and validity of the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery.

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Spearman correlations between the LOTCA scale scores and scale scores obtained with the neuropsychology battery of tests. Furthermore, factor analysis provided initial construct validation for three areas of the battery: The sample was obtained from a specific urban, public, and free center that treats people with substance addictions in the city of Madrid: Their detection by cognitive assessment allows designing rehabilitation programs that are aimed to better use of other therapeutic resources available, such as cognitive therapy or therapy relapse prevention [ 14 ].

Loewenstein Occupational Therapy Cognitive Assessment to Evaluate People with Addictions

New studies are needed to contribute more information on its potential and on the rest of the tests which must be used to supplement its use in order to provide a full occupational assessment that is adequate for people in rehabilitation processes for their addictive behaviors. Brain Structural and Functional Connectivity. The people access this service directly and are assessed using diagnostic interviews by a multidisciplinary team doctors, nurses, psychologists, social workers, and occupational therapists.

Implementation of a Computerized Video Coding System. The test consists of three visual motor learning tasks stitching leather with increased complexity in the activities. There are many ways to view addiction: There is a lack of research applying test of occupational aasessment to populations of patients treated by addictive behaviors.

Occupational Therapy International

Gloria Rojo-Mota is the principal investigator. An incident, small-size sample. This review found a critical deficit in the availability of occupational assessment instruments, which have been aesessment in the field of addictions. Substance addiction is a health problem loewensteln affects all areas of individual functioning and their relation with environment.


It has also been used as a tool for measuring the effectiveness of treatments of stroke patients [ 23 — 26 ], in healthy individuals [ 27 ] and schoolchildren [ 28 ], among many other people [ 29 ].

The same occurs with the BCSE, which also explores these abilities, among others, although it is more aimed at the establishment of clinical cut-off points than differentiated estimation of the various abilities. However, there is one significant difficulty in designing individual occupational treatments: All of the participants signed an informed consent form prior to the testing. Measurement and Management of Cognitive DisabilitiesC.

In a second phase, it requires recent memory and maintaining copied sketches in the memory in addition to the motor skills. The occupational therap were administered simultaneously by two occupational therapists principal and observant evaluator and the neuropsychological tests by three neuropsychologists each patient was assigned to one of them. The Wilcoxon two-sample test showed that all subtests differentiated at the.

Previous studies have shown that neuropsychological alterations are associated with reduced level of involvement and participation of drug dependent individuals in treatment programs and with a higher rate of dropping out of these programs [ 12 coghitive, to the extent that individuals with addictive behaviors may have considerable difficulty in becoming aware of their own deficit, to understand and reason complex instructions, to inhibit impulsive responses, to plan their daily occuupational, and to make everyday decisions [ 13 ].

The criteria for exclusion were having previously suffered any type of brain damagepresenting some type of psychotic process in an active phase at the time of the initial assessmentor presenting any condition that would prevent the proper comprehension of the instructions used to complete the tests such as language issues, illiteracy, and a state of confusion.

Literature Review According to a recent review, occupational therapists have been participating in teams treating people with addictions for decades although their scientific production is quite scarce [ 15 ].

Study Objectives The objective of this work is to apply LOTCA to a sample of people receiving treatment for substance addiction and to explore its convergent validity with other occupational and neuropsychological tests used to estimate cognitive deficits. The higher the scores were, the better the performance was. Subscribe to Table of Contents Alerts. There are also significant correlations with attention span tests as concerns both numbers and other types of symbols.


As a screening test of function areas, the results must show correlation with more demanding and systematic tests used in the field of neuropsychology. Am J Occup Ther ;43 3: Specifically, LOTCA does not seem to measure something related to executive functions given that it barely shows convergence in measurements with the 5-Digit Test. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

In conclusion, LOTCA is a cognitive screening test that allows for an approximation of some areas of cognitive function yet not all meaning that it must be supplemented with other tests that measure executive function and memory.

To explore the convergent validity of LOTCA with neuropsychological tests that assess related cerebral functional areas. The statistical package SPSS 19 was used for these analyses. The main limitation is the sample size, which is not sufficient enough to absolutely affirm the relationships observed. Correspondence should be addressed to Gloria Rojo-Mota ; se. The test has been used in a large number of studies and its psychometric properties have proven satisfactory in many research projects and in very diverse populations and geographic cognitivve.

There were no significant differences between the scores obtained by men and women on the LOTCA scales 0. You can manage this and all other alerts in My Account.