A systematic review of a functional assessment Tool: UCSD Performance-based skill assessment (UPSA)

Becattini-Oliveira, Ana Claudia; Dutra, Douglas de Farias; Campos, Bárbara Spenciere de Oliveira; Araujo, Verônica C.; Charchat‐Fichman, Helenice

doi:10.1016/j.psychres.2018.05.005

Cited by 13 publications

(18 citation statements)

References 63 publications

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“…In schizophrenia, FC is a well-studied concept that has been measured objectively most often with the UCSD Performance Skills Assessment (UPSA) (Patterson, Goldman, McKibbin, Hughs, & Jeste, 2001). The UPSA has good psychometric properties, even in various versions such as the UPSA-Brief (Becattini-Oliveira, de Farias Dutra, de Oliveira Campos, de Araujo, & Charchat-Fichman, 2018). Clearly, FC abilities have been shown to be very deficient in schizophrenia patients (Bowie, Reichenberg, Patterson, Heaton, & Harvey, 2006).…”

Section: Introductionmentioning

confidence: 99%

Virtual reality assessment of functional capacity in the early course of schizophrenia: Associations with cognitive performance and daily functioning

Ventura

Welikson

Ered

et al. 2019

Early Intervention Psych

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Aim: Computer-based virtual reality assessments of functional capacity have shown promise as a reliable and valid way to assess individuals with multi-episode schizophrenia. However, there has been little research utilizing this innovative approach with young patients who are in the early phase of schizophrenia. Methods: Outpatients in the early course of schizophrenia (n = 42) were compared to controls (n = 13) at cross-sectional study points. Patients were within 2 years of their first psychotic episode, were an average of 22.2 years old and had an average of 12.3 years of education. We used the Virtual Reality Functional Capacity Assessment Tool (VRFCAT) and the University of California, San Diego (UCSD) Performance-Based Skills Assessment-2 (UPSA-2) to assess functional capacity. The MATRICS Consensus Cognitive Battery (MCCB) and the Cognitive Assessment Interview (CAI) were the measures of cognitive functioning. The Global Functioning Scale: Role (GFS-R) and Social (GFS-S), and the Role Functioning Scale (RFS) were the measures of daily functioning. Results: Early course patients vs controls were slower (patient M = 830.41 seconds vs control M = 716.84 seconds; t = 3.0, P < .01) and committed more errors (patient M = 3.2 vs control M = 1.7 seconds, t = 2.9, P < .01) on the VRFCAT. Total time was significantly correlated with the UPSA (r = −0.66, P < .01), MCCB (r = −0.70, P < .01), CAI (r = −0.51, P < .01), and GFS role (r = −0.52, P <. 01) and social functioning (r = −0.43, P = .03). Conclusions: We extend previous findings to patients with first-episode schizophrenia. Virtual-reality-based performance was correlated with a standard test of functional capacity, indicating VRFCAT validity. Furthermore, correlations with cognitive functioning and occupational/school and social functioning indicate promise as a coprimary measure to track changes in response to treatment. K E Y W O R D S assessment neurocognition, cognitive assessment, daily functioning, first episode, functional capacity, MATRICS, schizophrenia, virtual reality

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Section: Introductionmentioning

confidence: 99%

Virtual reality assessment of functional capacity in the early course of schizophrenia: Associations with cognitive performance and daily functioning

Ventura

Welikson

Ered

et al. 2019

Early Intervention Psych

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“…This approach provides significant advantages, as increased ecological validity and objectivity, and the flexibility of adaptation to different cultural contexts, while maintaining task and scoring integrity. For this reason, performance-based assessment has been an important approach to the evaluation of the functional capacity in patients suffering with all kinds of impairing diseases, like Dementia, Mild Cognitive Impairment, Bipolar Disorder and Schizophrenia and Schizoaffective disorders (Becattini-Oliveira, Dutra, Spenciere de Oliveira Campos, de Araujo, & Charchat-Fichman, 2018;Garcia-Portilla et al, 2013;Mausbach et al, 2016).…”

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confidence: 99%

“…Among the existing measures, the USCD Performance-based Skill Assessment (UPSA) has been developed specifically for schizophrenia and translated and adapted to several languages and cultural backgrounds and is a cost-effective instrument that is easily administered and made accessible to many health professionals worldwide (Becattini-Oliveira et al, 2018;Patterson et al, 2001). This assessment is carried out in 5 different domains that reflect common areas of functioning in everyday life of western and eastern societies (organization/planning, finances, communication, transportation and household tasks), with tasks that can easily be adapted to the local specificities, such as local currency, local transportation systems and/or organization and planning of leisure activities, while maintaining the execution routines, task difficulty and scoring procedures.…”

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confidence: 99%

“…The USCD Performance-based Skill Assessment (UPSA) was first developed by Patterson and colleagues (2001) and has different versions (UPSA 1, UPSA 2, and brief versions) available for paper-and-pencil, computer or mobile administration. In a recent systematic review (Becattini-Oliveira et al, 2018), the UPSA tests have been found to be translated to 8 languages and is administered in 17 countries, while maintaining the original properties after cultural adaptation. Overall findings indicate its good psychometric properties (internal consistency, concurrent validity with cognitive ability and other functional measures, sensibility and specificity) and utility discriminating patients from controls across several culturally-adapted versions of the UPSA.…”

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confidence: 99%

“…Overall findings indicate its good psychometric properties (internal consistency, concurrent validity with cognitive ability and other functional measures, sensibility and specificity) and utility discriminating patients from controls across several culturally-adapted versions of the UPSA. However, few studies have analyzed the UPSA's specificity and sensitivity, and cutoff points established across different countries tend to vary and may not be generalized (Becattini-Oliveira et al, 2018).…”

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confidence: 99%

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Construct validity, sensitivity and specificity of the USCD Performance-based Skill Assessment 2 in a mixed Portuguese sample

Motta¹,

Carvalho²,

Castilho³

et al. 2019

Preprint

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This study explores the psychometric properties of the Portuguese USCD Performance-based Skill Assessment 2 (UPSA-2-PT) in a mixed sample or Portuguese participants. Inter-rater Reliability and internal consistency, convergent validity with community integration are described. A Receiver Operating Curve analysis establishes the sensitivity and specificity of scores, and an optimal cutoff value of functional capacity was established for the Portuguese population. These findings show an excellent the UPSA-2-PT integrity when compared to with previous studies carried out in Western countries. Thus, this is a useful tool for research and clinical purposes to practitioners in several fields that rely on functional assessment.<br>

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Construct validity, sensitivity and specificity of the USCD Performance‐based Skill Assessment 2 in a mixed Portuguese sample

Motta

Castilho

Pato

et al. 2020

Human Psychopharmacology

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Background: Assessment batteries of functional capacity provide robust indicators of real-world functioning in major psychiatric illnesses and important information on individual's ability to live autonomously and pursue relevant psychosocial goals. Objectives: The current study explores the psychometric properties of the Portuguese USCD Performance-based Skill Assessment 2 (UPSA-2-PT) in a mixed sample or Portuguese participants. Method: A sample of 110 participants, consisting of 37 patients diagnosed with schizophrenia, 27 first-degree relatives of patients and 46 controls were administered the UPSA-2-PT and self-report questionnaires. The UPSA-2-PT reliability was assessed through Inter-rater Reliability and internal consistency, convergent validity with community integration and a Receiver Operating Curve analysis was conducted to establish sensitivity and specificity of scores, and Youden's index was used to determine an optimal cutoff value of functional capacity. Results: Findings show an excellent inter-rater reliability, good internal consistency and construct validity, consistent with previous studies in several Western countries. The UPSA-2-PT also showed good discriminant ability between patients and controls, and an overall percentage of correct classification of 86.7% for the 81.75 cutoff point. Discussion: Findings are congruous with previous versions, strengthening the body of evidence supporting the construct validity and providing a useful tool for research and clinical purposes to practitioners of several fields.

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A systematic review of a functional assessment Tool: UCSD Performance-based skill assessment (UPSA)

Cited by 13 publications

References 63 publications

Virtual reality assessment of functional capacity in the early course of schizophrenia: Associations with cognitive performance and daily functioning

Virtual reality assessment of functional capacity in the early course of schizophrenia: Associations with cognitive performance and daily functioning

Construct validity, sensitivity and specificity of the USCD Performance-based Skill Assessment 2 in a mixed Portuguese sample

Construct validity, sensitivity and specificity of the USCD Performance‐based Skill Assessment 2 in a mixed Portuguese sample

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