Draw-A-Man Test

Overview

The Draw-A-Man Test has rarely been used with patients with stroke in the right hemisphere to determine USN. For the purposes of this review, we conducted a literature search to identify all relevant publications on the psychometric properties of the Draw-A-Man Test as a measure of USN.

Reliability

Internal consistency: 
No evidence.

Test-retest:
Chen-Sea (1995, reported in Chen-Sea, 2000) administered the Draw-A-Man Test to 19 patients with stroke in a pilot study, and found that the test showed adequate test-retest reliability (r = 0.50).

Gordon et al. (1984) also reported an adequate test-retest reliability for the Draw-A-Man Test (r = 0.62) in patients with right brain damage.

Inter-rater:
Chen-Sea (1995, reported in Chen-Sea, 2000) administered the Draw-A-Man Test to 19 patients with stroke in a pilot study, and found that the test showed excellent inter-rater reliability (r = 0.96).

Chen-Sea (2000) administered the Draw-A-Man Test to 51 patients with stroke and 110 age-matched controls without brain injury. The test had a high inter-rater reliability, as two blinded raters had 96% agreement for the patients with neglect and 100% for those without neglect.

Validity

Construct:
Chen-Sea (2000) reported significant correlations of the Draw-A-Man Test with activities of daily living (ADL) performance measured by the Klein-Bell ADL Scale (Klein & Bell, 1979). Subjects with personal neglect had lower scores in five areas of ADL as compared to those without personal neglect.

Known groups: 
Chen-Sea (2000) administered the Draw-A-Man Test to 51 patients with stroke and 110 age-matched controls without brain injury and found that all of the controls were correctly classified as normal, and 13 of the 51 stroke patients were categorized as having USN. The results of this study demonstrate the ability of the Draw-A-Man Test to discriminate patients with personal neglect from those without personal neglect.

Criterion:
No evidence.

Responsiveness

No evidence.

References
  • Chen-Sea, M-J. (1995a). Test-retest reliability of Draw-A-Man Test. Unpublished manuscript, National Cheng Kung University, Tainan, Taiwan.
  • Chen-Sea, M-J. (1995b). Performance of normal and right CVA patients on Draw-A-Man Test. Unpublished manuscript, National Cheng Kung University, Tainan, Taiwan.
  • Chen-Sea, MJ. (2000). Validating the Draw-A-Man Test as a personal neglect test. Am J Occup Therap, 54, 391-397.
  • Goodenough, F. L. (1926). The measurement of intelligence by drawing. New York: World Books.
  • Gordon, W. A., Ruckdeschel-Hibbard, M., Egelko, S., Diller, L., Simmens, S., Langer, K. (1984). Single Letter Cancellation Test in Evaluation of the Deficits Associated with Right Brain Damage: Normative Data on the Institute of Rehabilitation Medicine Test Battery. New York: New York University Medical Center.
  • Klein, R. M., Bell, B. J. (1979). Klein-Bell Activity of Daily Living Scale: Manual. Seattle: Division of Occupational Therapy, University of Washington.