Category Archives: Assessments

Explore therapeutic and educational assessments designed to evaluate a wide range of skills, including motor, cognitive, sensory, social-emotional, and developmental functioning. These tools help professionals tailor treatment plans for individuals of all ages and abilities.

An Overview of the Cognitive Performance Test

What Is the Cognitive Performance Test?

The Cognitive Performance Test (CPT) is a standardized, performance-based assessment that evaluates how cognitive impairments affect a person’s ability to complete everyday tasks. Widely used by occupational therapists, the CPT provides valuable insight into functional cognition, helping guide treatment planning and care recommendations.

Who Benefits from the Cognitive Performance Test?

The CPT is ideal for use in skilled nursing, rehabilitation, and community-based settings. It’s especially useful for evaluating individuals with:

  • Dementia or Alzheimer’s disease
  • Traumatic brain injury (TBI)
  • Stroke or neurological conditions
  • Psychiatric disorders affecting cognition

This tool helps clinicians make informed decisions about discharge planning, level of supervision, and rehabilitation potential.

Quck Facts

Age Range: Adult/Geriatric

Test Type: Standardized & performance-based

Administration Time: 45 minutes

Publication Year: Manual revision 2018

Author: Developed by author and researcher Theresa Burns, OTR

Administration Time: Individual

Scoring: Range from intact performance (level 6 or 5) to profound disability (level 2)

Subtest

Each subtest repeatedly measures working memory and executive functions at progressively more complex levels. The specific task is less important than the way in which the client responds to gradually increasing task demands and task complexity. The seven subtests are:

Cognitive Performance Test
Cognitive Performance Test
Cognitive Performance Test
Cognitive Performance Test
  • Medbox
  • Phone
  • Travel
  • Shop
  • Wash
  • Toast
  • Dress

Scoring

Each subtask is rated with a performance level score (e.g. 6.0;5.0; 4.5 etc.). Subtest scores are then averaged, providing a total score.  Scores are based on average performance over time.

Profiles & Performance Patterns

The CPT profiles identify corresponding issues of IADL concern.  A half-level profile system is used  (5.6;5.0;4.5;4.0;3.5;3.0;2.5;1)

Burns, Thereasa (2018). Cognitive Performance Test (CPT) Revised Manual 2018 Maddak.

Collaborative Blog Project: Handwriting Evaluations

January 23 celebrated National Handwriting Day.  In honor of a holiday near and dear to many occupational therapists’ hearts, we tasked you all with sending us your best ideas, tips, tricks, and opinions on all things handwriting.  We then compiled these comments into Therapro’s first-ever series of collaborative blog posts.  Our first topic, handwriting evaluations! Here is what you all had to say:

Favorite & Most Helpful Handwriting Assessment or Evaluation Methods

Evaluation Tool of Children's Handwriting

By far most therapists surveyed relied on non standardized measures and skilled observations to collect information about a students handwriting.    When it came down to standardized measures the most popular were The Print Tool, The Evaluation of Children’s Handwriting (ETCH), and the Test of Handwriting Skills Revised.

Handwriting Evaluations: Pros & Cons

The Print tool

When discussing the pros and cons of each of these measures a few common themes emerged:

  • The Print Tool provides detailed information about a student’s physical approach to handwriting, but it can be time-consuming to administer and score.
  • Non-standardized measures can be quick and easy, but don’t provide needed normative data.
  • It is difficult to gain reliable information when a student does not yet know the alphabet. 

Other Factors to Consider When Evaluating Handwriting

Visual Perceptual Skills-4

Therapists surveyed indicated that evaluating a student’s motor performance as well as visual perceptual skills was a critical aspect of the handwriting assessment process.  Sensory, environmental, and psychosocial factors were also identified as areas to include when assessing a student’s handwriting.

Helpful Hints & Suggestions for Evaluating Handwriting

  • Include both a near-point and far-point copy task.
  • Include observations of the student performing both preferred and nonpreferred tasks.
  • When observing a child writing, position yourself for an optimal view of the student’s writing hand.
  • Eliminate distraction.
  • Have grips, different seating options, adaptive paper, and a variety of writing tools available to try.
  • Have letter strips available for visual reference.
  • Choose a topic that is of interest to the student to write about.
Handwriting Tools
Adaptive Paper

Thank you to all of the therapists who shared their knowledge and expertise!

Feifer Assessment of Writing

Feifer Assessment of Writing logo

The Feifer Assessment of Writing (FAW) goes beyond standard handwriting measures to help practitioners truly understand the factors contributing to handwriting difficulty. The FAW allows practitioners to answer the “why”!   By understanding the factors contributing to handwriting difficulty, practitioners are better equipped to develop treatment plans that are efficient and that adequately address the underlying cause of difficulty.

Feifer Assessment of Writing: What’s Measured?

The FAW is comprised of ten subtests (and two additional, optional, subtests) designed to identify and differentiate among the three subtypes of dysgraphia.  The subsets are: (*indicates subtest used in the Feifer Assessment of Writing Screening Form (FAW-SF))

  • Alphabet Tracing Fluency*
  • Motor Sequencing*
  • Copying Speed
  • Motor Planning
  • Executive Working Memory*
  • Isolated Spelling*
  • Retrieval Fluency
  • Sentence Scaffolding
  • Homophone Spelling
  • Expository Writing
  • Copy Editing (optional)
  • Story Mapping (optional)

FAW vs. FAW-SF

FWFAW-SF
PurposeA diagnostic achievement test used to examine the underlying processes that support written language skills in order to identify the presence of a written language disorder and to identify the specific subtype of dysgraphia.Identify children at risk for developmental dysgraphia Can be used as progress monitoring tool
Key Areas of FocusThree subtypes of written language disorder: Graphomotor dysgraphiaDyslexia dysgraphiaExecutive dysgraphiaK-1st grade: Graphomotor demands of the writing process  Grade 2 & above: Cognitive-linguistic demands of the writing process
Age RangePre-K- CollegeGrades kindergarten through college 
TimePre-Kindergarten: 15 minutesGrades K- 1: 20 minutes Grades 2+: 55-65 minutes K-1st grade:15-20 minuteGrades 2 and above: 20 minutes
Scores YieldedProvides an overall Total Index & three target index scoresGraphomotor IndexDyslexic IndexExecutive IndexProves a single index score that indicates the risk for dysgraphia or a written language learning disability and the need for further assessment.