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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loewensstein In order to complete the three tasks successfully, the person must pay attention to the verbal instructions and demonstration, understand and use sensory signals from the materials leather, lace, and needlesand effectively use feedback from the motor actions during practice with the lacing materials. In order to do this study, the first 50 subjects beginning treatment with the service were recruited.

Brain Structural and Functional Connectivity. The LOTCA kit contains testing materials card decks, coloured blocks, pegboard set, and other materials and a manual that includes definitions of the cognitive coognitive assessed, instructions for administration, and specific scoring guidelines. Administration time is approximately 10 minutes. Such deficits can represent preaddiction conditions and, therefore, vulnerabilities to developing the addiction, or effects deriving from the consumption of substances due to either the specific biochemical effects or the associated stress or restriction of stimulation or even a combination of both [ 8 ].

Gloria Rojo-Mota, Eduardo J. Finally, there are newer versions of LOTCA than the one used which could provide all-new data not contemplated by this initial version. 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. 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.

A confirmatory factor analysis was done on the theoretical structure of the survey using the unweighted least squares method since ordinal categorical items were used and normality was not expected in the distribution of the data. The results are conclusive: Participants and Procedures The sample was obtained from a specific urban, public, and free center that treats people with substance addictions in the cgnitive of Madrid: Substance addiction is a health problem that affects all areas of individual functioning and their relation with environment.


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. This review found a critical deficit occupationao the availability of occupational assessment instruments, which have been validated in the field of addictions.

A comprehensive review found that certain cognitive deficits represent common addictive processes elements deficits in episodic memory, emotional processing, and the executive components of updating and decision-makingwhile others are specifically associated with each substance psychostimulants and alcohol use with impulsive action and cognitive flexibility, alcohol and MDMA with spatial processing, perceptual speed and selective attention, cannabis and methamphetamine on prospective memory deficits, and cannabis and MDMA on processing speed and complex planning [ 9 ].

It provides an assessment of basic cognitive skills required for everyday function, including orientation, visual perceptual and psychomotor abilities, problem-solving skills, and thinking operations.

Loewenstein Occupational Therapy Cognitive Assessment to Evaluate People with Addictions

Correspondence should be addressed to Gloria Rojo-Mota ; se. The participants were informed of the two objectives of the assessment: Gloria Rojo-Mota is the principal investigator.

However, there is one significant difficulty in designing individual occupational treatments: 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 ].

Terapia Ocupacional Galicia [online journal], vol. All of the participants signed an informed consent form prior to the testing.

Occupational Therapy International

The indicators provided by the AMOS 18 program were used to study the adequacy of the theoretical model to the data: The objective of this work is to apply LOTCA to a sample of people receiving treatment for substance addiction ocupational to explore its convergent validity with other occupational and neuropsychological tests used occypational estimate cognitive deficits.

No work has been found which uses LOTCA in a population of people with substance addiction undergoing treatment. Indexed in Science Citation Index Expanded. Proof of this lies in the mean obtained by the sample studied being therpay close to the maximum possible 7. The LOTCA seems to be a reliable and valid test for preliminary screening of function in certain cognitive areas, easy, and quick to use around 30 minutes.


You can manage this and all other alerts in My Account. The battery takes 30 to 45 minutes to administer.

An incident, small-size sample. There were no significant differences between the scores obtained by men and women on the LOTCA scales 0.

This work explored the existence of a relationship between both types of tests. However, the difference in the time used by men and women to complete the test was significant: To this extent and with the precautions indicated in mind, its inclusion in the battery of tests administered by therapists participating in the treatment of people with addictions is recommended.

By continuing to use our website, you assessmnet agreeing to our privacy policy. It has also been used cotnitive a tool for measuring the effectiveness of treatments of stroke patients [ 23 — 26 ], in healthy individuals [ 27 ] and schoolchildren asdessment 28 ], among many other people [ 29 ].

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.

To explore the convergent validity of LOTCA with neuropsychological tests that assess related cerebral functional areas.

Just to mention a few of the most recent, it has been used in the geriatric population [ 20 ], for brain damage loewentsein 21 ] and cases of schizophrenia [ 22 ], among others. The sample was obtained from a specific urban, public, and free center that treats people with substance addictions in the city of Madrid: Spearman correlations between the LOTCA scale scores and scale scores obtained with the neuropsychology battery of tests.

Previous studies have shown that neuropsychological alterations are associated with reduced level of involvement and participation of drug dependent individuals fherapy treatment programs and with a higher rate of dropping out of these programs [ 12 ], 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 activities, and to make everyday decisions [ 13 ].