Cognitive Linguistic Quick Test (CLQT) By: Grace Castillo & - PowerPoint PPT Presentation

Cognitive Linguistic Quick Test (CLQT) By: Grace Castillo & Christine Truong

What Does This Assessment Test? The purpose of the CLQT is to quickly assess ● the relative status of 5 cognitive domains: ○ Attention ○ Memory ○ Language ○ Executive Function ○ Visuospatial Skills An individually administered test designed to ● gain information about cognitive-linguistic functioning Provides an overall measure of ● cognitive-linguistic function May be used to identify an individual’s ● cognitive strengths and weaknesses

What Does This Assessment Test? It yields information that can identify The results should lead to additional ● ● domain-specific strengths that may be used observation and/or the administration of to compensate for compromised areas of more in-depth formal & informal measures in cognition the specific areas in which the examinee had This information is essential both to difficulty ● identifying areas for direct treatment and the The CLQT is a quick “snapshot” of the ● everyday management of impaired skills individual’s skills in order to develop a plan of It can also indicate the need for more in-depth action, advise family members, and direct ● testing & assist in determining a differential care staff diagnosis ○ The CLQT was not developed as a comprehensive tool to determine differential diagnosis

What Target Population is it Appropriate For? Adults with known or suspected acquired ● neurological dysfunction ○ Stroke ○ TBI ○ Dementia Appropriate for English or Spanish speaking ● adults Adults between the ages of 18-89 ●

What Are the Different Sections of the Test? 5 Cognitive Domains: 10 CLQT Tasks: ● Attention ● Personal Facts* ● Symbol Cancellation* ● Memory ● Confrontation Naming* ● Clock Drawing ● Executive Function ● Story Retelling ● Symbol Trails ● Language ● Generative Naming ● Design Memory ● Visuospatial Skills ● Mazes ● Design Generation

10 CLQT Tasks 1. Personal Facts: designed to help assess 4. Clock Drawing: Designed to help obtain a episodic memory, orientation to place & year, quick gauge of spontaneous recovery, and the ability to communicate these facts progress during rehabilitation, or declines through language. caused by progressive disease. 2. Symbol Cancellation: Designed to help assess 5. Story Retelling: Designed to help assess the visual attention, scanning, discrimination, examinee’s working memory for facts inhibition, and response shifting within embedded in a story narrative and to assess quadrants of space. auditory processing and verbal production 3. Confrontation Naming: Designed to help skills. document anomia. 6. Symbol Trails: Designed to help assess the executive function of working memory and of planning and mental flexibility without placing demands on the language system.

10 CLQT Tasks Cont. 7. Generative Naming: Designed to help evaluate 9. Mazes: Designed to help assess executive the examinee’s ability to conduct a functions while placing minimal demands on systematic mental search for words the language system. according to specific semantic & 10. Design Generation: Designed to help assess phonological rules, as well as to employ their the examinee’s executive skills of productivity working memory skills to remember task and creativity, the ability to vary responses rules and words already named. rapidly, to self-monitor, to remember and 8. Design Memory: Designed to help assess the follow rules, and to develop and use effective examinee’s immediate/working visual strategies. memory with minimal language demands.

How Do You Give the Assessment? Test Supplies Needed: Administration Tips: ● CLQT Examiner’s Manual ● The test can be administered in 15-30 ● CLQT Stimulus Manual minutes ● CLQT Record Form ● It can be administered bedside or while ● CLQT Response Booklet seated at a table, though 5 out of 10 tasks ● CLQT Scoring Transparencies for Symbol require the examinee to manipulate a pen Cancellation and Symbol Trail tasks with the dominant or non-dominant hand ● Pen for the examinee’s use ● 4 of the tasks require only verbal responses ● Stopwatch or a watch that can measure ● Administer all tasks in the order they appear seconds in the Record Form ● Follow specific directions in the Record Form ● Read the dark blue instructions in the Record Form to the examinee

Testing Environment Schedule a testing time when the examinee is Sit across from the examinee or on their ● ● alert and rested unaffected side if he/she has hemiparesis, hemianopia or visual field neglect Make sure examinee has devices he/she ● typically uses (hearing aids, glasses, Position the examinee where he/she cannot ● dentures) see a clock or calendar Choose a quiet, well-lit room Keep Record Form away from examinee’s ● ● view Have a clear table or flat surface available ●

Cognitive Domains Evaluated

How Severity Ratings Are Determined

Scoring Each Task Personal Facts Symbol Cancellation ● ● ○ 1 point= correct response ○ Total correct-Total incorrect= symbol ○ 0 points= incorrect response cancellation score ○ Only verbal responses receive credit Confrontation Naming ● ○ Description: ○ 1 point= correct response ■ 5-second delay ○ Half point= at least half of phonemes or ■ Self-corrected syllables correctly ■ Probe needed ○ 0 points= less than half of phonemes or ■ Perseveration syllables correct ■ Unintelligible Clock Drawing ● ■ No response ○ Place check marks under corresponding responses ○ Numbered scores for correct/incorrect

Scoring Each Task Story Retelling Symbol Trails ● ● ○ Checkmark when the examinee recalls either ○ Scoring transparency page is used the element in boldface print or an acceptable ○ 1 point=each line that corresponds to the variation transparency Generative Naming ● ○ Record the examinee’s responses verbatim in each of the 15-second increments in the spaces provided on the record sheet Design Memory ● ○ 0= incorrect ○ NR= no response ○ SC= self corrected

Scoring Each Task Mazes ● ○ 4 points= correctly completing the maze ○ 3 points= if the examinee completes Maze 2 until the wall directly above the money ○ 0 points= look at scoring guidelines ○ Subtract 1 point each time a line goes half an inch out of the alley Design Generation ● ○ Count the total number of designs drawn by the examinee ○ The scoring guidelines will help determine the score

How Do You Score the Test? Overall Test Recording Summary Scores ● Criterion-referenced test with severity ratings ● Transfer the scores for each task to the for 2 age categories Cognitive Domain Score ● Severity ratings: mild, moderate, severe and ● Determine Criterion Cut Scores of Individual WNL are established for each of the 5 Tasks cognitive domains ● Transfer the Cognitive Domain Scores to the Severity Ratings Table to determine severity ● Determine the Composite Severity Rating ● Complete the Severity Ratings Summary

Record Form

Thank you! Questions?