65:(UCSD) Performance-Based Skills Assessment (UPSA) to provide clinicians with a standardized set of tasks to assess a participant's real-world abilities. During an UPSA evaluation, participants perform every day activities under a clinician's direction. As a performance-based assessment, the UPSA has been found to be less vulnerable to error than self-report by the participant as it doesn't rely on the participant's level of awareness of their own abilities. The UPSA has been shown to be predictive of outcomes such as employment status, independence, and
273:
A computer-based version of the UPSA that requires either a laptop or a desktop computer for test administration. It was created to meet the demand of a more portable and less material-heavy everyday functioning assessment. Validation studies found that the UPSA and C-UPSA scores were significantly
170:
The participant is given a disconnected push-button phone and asked to βdo everything you would normally do when using a telephone.β (S)he is then asked to make phone calls, such as calling for help in an emergency or for directory assistance. Points are awarded for correct responses. For instance:
248:
A shorter version of the UPSA-2 that uses only the financial skills and communication skills subscales (i.e. counting change, telephone calls, and paying bills). This version of the UPSA takes approximately 15 minutes to complete and has been shown to be an accurate predictor of patient ability to
282:
An iOS tablet-based mobile application version of the UPSA, successive of the C-UPSA. Advantages of the UPSA-M include standardized instructions, audio recording of the subject's responses, easier administration, and the option to administer the entire UPSA or the UPSA-B through the same program.
57:
or observations by a clinician have been the most common instruments used to assess everyday functioning, but these methods have weaknesses. For example, when using the self-report method, interference by the subject's psychopathy in the perception of their abilities can cause results to be
853:
Twamley, E.W.; Doshi, R.R.; Nayak, G.V.; Palmer, B.W.; Golshan, S.; Heaton, R.K.; Patterson, T.L.; Jeste, D.V (December 2002). "Generalized
Cognitive Impairments, Ability to Perform Everyday Tasks, and Level of Independence in Community Living Situations of Older Patients With Psychosis".
817:
Gomar, J.J.; Harvey, P.D.; Bobes-Bascaran, M.T.; Davies, P.; Goldberg, T.E. (November 2011). "Development and cross-validation of the UPSA short form for the performance-based functional assessment of patients with mild cognitive impairment and
Alzheimer disease".
85:
test in which participants are asked to utilize props to demonstrate how well they perform everyday activities. Depending on the version, the UPSA is a paper-and-pen or electronic cognitive assessment that evaluates up to 6 domains of everyday functioning:
249:
live independently, as compared to the full version of the UPSA. When used outside of the United States, the check-writing portion of the UPSA -B is replaced with a verbal response portion for populations with little to no familiarity with check writing.
897:
Bowie, C.R.; Reichenberg, A.; Patterson, T.L.; Heaton, R.K.; Harvey, P.D. (March 2006). "Determinants of Real-World
Functional Performance in Schizophrenia Subjects: Correlations With Cognition, Functional Capacity, and Symptoms".
199:
Using a bus schedule, the participant will be asked which bus (s)he would take to ride from their origin to their intended destination. (S)he must identify the correct departure and arrival times, as well as the cost of a ticket.
58:
distorted, and in the case of cliniciansβ ratings, patients are typically only observed for a short duration, so clinicians may not be capable of comprehensively evaluating the patient's ability to perform daily tasks.
239:
A general version that allows for nationwide use in the United States. It uses all subscales, including
Medication Management, and is intended for use in both small studies, and large multi-site clinical trials.
211:
The participant is shown a scenario for participating in a recreational activity. (S)he is asked to plan how they will get to the activity, what to bring, and what to do once arrived at the destination.
387:
Atkinson, M.; Zibin, S.; Chuang, H. (January 1997). "Characterizing quality of life among patients with chronic mental illness: a critical examination of the self-report methodology".
185:
1.The participant is provided with "play money" in the form of bills and coins. (S)he is asked to count specific amounts and then to calculate the correct change for a transaction.
159:
The participant is provided with a recipe and asked to create a shopping list. (S)he must exclude the already present items shown in a mock pantry and include needed ingredients.
299:, mild cognitive impairment (MCI), psychosis, and others. Translated and localized versions of the UPSA-2, UPSA-2-VIM, UPSA-2ER and UPSA-B are available for international use.
672:"The Ξ±7 Nicotinic Agonist ABT-126 in the Treatment of Cognitive Impairment Associated with Schizophrenia in Nonsmokers: Results from a Randomized Controlled Phase 2b Study"
43:
While everyday functioning has long been known to be affected in those with schizophrenia, the focus of testing and treatment had traditionally been on the symptoms of
274:
correlated and that the C-UPSA provided increased benefits to the users, including a decreased administration time and minimization of examiner impact on performance.
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Velligan, D.I.; Rubin, M.; Fredrick, M.M.; Mintz, J.; Nuechterlein, K.H.; Schooler, N.R.; Jaeger, J.; Peters, N.M.; Buller, R.; Marder, S.R.; Dube, S. (May 2012).
933:
Bowie, C.R.; Depp, C.; McGrath, J.A.; Wlyniec, P.; Mausbach, B.T.; Thornquist, M.H.; Luke, J.; Patterson, T.L.; Harvey, P.D.; Pulver, A.E. (September 2010).
291:
Various versions of the UPSA have been used in multiple phase 2 and 3 clinical trials, as well as academic studies in populations with schizophrenia,
187:
2.The participant is handed a utility bill and asked to write a check to pay this bill using the correct due date, amount, and description.
721:"Initial validation of a computerized version of the UCSD Performance-Based Skills Assessment (C-UPSA) for assessing functioning in schizophrenia"
424:"Usefulness of the UCSD performance-based skills assessment (UPSA) for predicting residential independence in patients with chronic schizophrenia"
62:
621:
Keefe, Richard S.E; Davis, Vicki G; Atkins, Alexandra S; Vaughan, Adam; Patterson, Tom; Narasimhan, Meera; Harvey, Philip D (2016).
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domain consists of two tasks. Depending on the version used, the assessment will encompass all or some of the following sub tests:
341:"UCSD Performance-Based Skills Assessment: development of a new measure of everyday functioning for severely mentally ill adults"
935:"Prediction of Real-World Functional Disability in Chronic Mental Disorders: A Comparison of Schizophrenia and Bipolar Disorder"
768:
Moore, R.C.; Fazeli, P.L.; Patterson, T.L.; Depp, C.A.; Moore, D.J.; Granholm, E.; Jeste, D.V.; Mausbach, B.T. (May 2015).
223:
The participant is asked to manage a medication schedule, using four different medications to be taken throughout the day.
27:) was created by Dr. Thomas L. Patterson to provide a more reliable measure of every day functioning in patients with
265:
A full version of the UPSA-2, containing additional questions to increase the level of difficulty for each subscale.
422:
Mausbach, B.T.; Bowie, C.R.; Harvey, P.D.; Twamley, E.W.; Goldman, S.R.; Jeste, D.V.; Patterson, T.L. (March 2008).
171:
the phone receiver was picked up first, the correct number was dialed, and the receiver was hung up appropriately.
770:"UPSA-M: Feasibility and initial validity of a mobile application of the UCSD Performance-Based Skills Assessment"
999:
340:
719:
Moore, R.C; Harmell, A.L.; Ho, J.; Patterson, T.L.; Eyler, L.T.; Jeste, D.V.; Mausbach, B.T. (March 2013).
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522:"Development of a brief scale of everyday functioning in persons with serious mental illness"
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574:"The Cultural Adaptability of Intermediate Measures of Functional Outcome in Schizophrenia"
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Mausbach, B.T.; Harvey, P.D.; Goldman, S.R.; Jeste, D.V.; Patterson, T.L. (November 2007).
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than the previously utilized methods such as self-report, clinician ratings or direct
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Patterson, T.L.; Goldman, S.; McKibbin, C.L.; Hughs, T.; Jeste, D.V. (2001).
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473:"Everyday functional ability across different phases of bipolar disorder"
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A full version of the UPSA-2, excluding the medication management task.
21:
University of
California, San Diego Performance-Based Skills Assessment
314:
308:
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Additionally, the tablet touch-screen design mimics real-life.
47:. As everyday functioning is fundamental for patients with
623:"Validation of a Computerized test of Functional Capacity"
670:
Haig, G.; Wang, D.; Othman, A.A.; Zhao, J. (June 2016).
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Henry, B.L.; Minassian, A.; Perry, W. (December 2013).
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Measure of functional capacity for basic living skills
317:(Virtual Reality Functional Capacity Assessment Tool)
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Demonstrate ability to follow mock medication regimen
253:UPSA-2-VIM (Validation of Intermediate Measures)
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820:American Journal of Geriatric Psychiatry
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311:(Schizophrenia Cognition Rating Scale)
132:domains consist of one task each. The
69:, and shows a strong correlation with
358:10.1093/oxfordjournals.schbul.a006870
7:
61:Dr. Thomas L. Patterson created the
118:Household Management, Communication
63:University of California, San Diego
939:The American Journal of Psychiatry
900:The American Journal of Psychiatry
856:The American Journal of Psychiatry
389:The American Journal of Psychiatry
14:
440:10.1016/j.jpsychires.2006.12.008
303:Other cognitive assessment tools
428:Journal of Psychiatric Research
951:10.1176/appi.ajp.2010.09101406
489:10.1016/j.psychres.2013.04.006
1:
208:Plan Recreational Activities
868:10.1176/appi.ajp.159.12.2013
832:10.1097/JGP.0b013e3182011846
786:10.1016/j.schres.2015.02.014
737:10.1016/j.schres.2012.12.028
639:10.1016/j.schres.2016.03.038
1016:
912:10.1176/appi.ajp.163.3.418
261:UPSA-2-ER (Extended Range)
205:Comprehension and Planning
126:Comprehension and Planning
676:Neuropsychopharmacology
774:Schizophrenia Research
725:Schizophrenia Research
627:Schizophrenia Research
578:Schizophrenia Bulletin
526:Schizophrenia Bulletin
345:Schizophrenia Magazine
104:Comprehension/Planning
590:10.1093/schbul/sbq136
538:10.1093/schbul/sbm014
269:C-UPSA (Computerized)
217:Medication Management
130:Medication Management
107:Medication Management
688:10.1038/npp.2016.101
401:10.1176/ajp.154.1.99
167:Make Telephone Calls
156:Create Shopping List
153:Household Management
91:Household Management
49:cognitive impairment
477:Psychiatry Research
297:Alzheimer's disease
196:Use Public Transit
71:neuropsychological
862:(12): 2013β2020.
682:(12): 2893β2902.
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372:20 December
77:Description
33:observation
322:References
148:Execution
73:deficits.
83:role-play
45:psychosis
994:Category
969:20478878
920:16513862
884:20708272
876:12450950
840:22024615
804:25790903
755:23375625
706:27319970
657:27091656
608:21134973
556:17341468
507:23643188
458:17303168
367:11354591
230:Versions
960:3694770
795:4409538
746:3572290
697:5061881
648:4958510
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547:2779885
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39:History
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405:PMID
374:2016
363:PMID
145:Task
128:and
116:The
25:UPSA
19:The
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828:doi
790:PMC
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353:doi
287:Use
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