Effective serial measurement of cognitive orientation in rehabilitation: The orientation log

doi:10.1016/S0003-9993(98)90051-X

Archives of Physical Medicine and Rehabilitation

Volume 79, Issue 6, June 1998, Pages 718-721

https://doi.org/10.1016/S0003-9993(98)90051-X Get rights and content

Abstract

Objective: To introduce a brief quantitative measure of cognitive orientation (to place, time, and situation) developed for daily use at bedside with rehabilitation inpatients. The Orientation Log (O-Log) is a 10-item scale that allows for partial credit based on responsiveness to logical, multiple-choice, or phonemic cueing. It is formatted for rapid visual analysis of orientation trends that can be used to evaluate pharmacologic and cognitive-behavioral interventions.

Design: Descriptive study of the O-Log's reliability (interrater and internal consistency).

Setting: Inpatient rehabilitation center affiliated with a large university medical school.

Patients: Fifteen neurorehabilitation inpatients.

Results: For individual items, Spearman rho interrater reliability coefficients ranged from .851 to 1.00. The interrater reliability of the total score was .993. O-Log internal consistency (coefficient alpha) was .922.

Conclusions: The O-Log is a reliable and easily administered scale that promises to be a useful tool in monitoring cognitive recovery during rehabilitation.

References (3)

HS Levin et al.
The Galveston Orientation and Amnesia Test: a practical scale to assess cognition after head injury
J Nerv Ment Dis
(1979)

There are more references available in the full text version of this article.

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^☆: Supported in part by NIH grant T32 HD 07420, entitled “Rehabilitation Research Training: Central Nervous System Outcomes,” under the auspices of the National Center for Medical Rehabilitation Research.

^☆☆: Presented in part at the 15th Annual Meeting of the National Academy of Neuropsychology, San Francisco, CA, November 1995.

^★: No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

¹: Warren T. Jackson, PhD, is now affiliated with the Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham.

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Brief reportEffective serial measurement of cognitive orientation in rehabilitation: The orientation log☆,☆☆,★

Abstract

The Galveston Orientation and Amnesia Test: a practical scale to assess cognition after head injury

J Nerv Ment Dis

Brief report
Effective serial measurement of cognitive orientation in rehabilitation: The orientation log☆,☆☆,★