Website BRIEF A

Outcome Measure Behavior Rating Inventory of Executive Function ‐
Adult Version (BRIEF‐A)

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Population Adult
Domain Neuropsychological Impairment
Type of Measure Informant and/or Self‐ratings
ICF‐Code/s B1
Description The BRIEF‐A is a standardised measure that captures views of an adult's
executive functions or self‐regulation in his or her everyday environment.
Two formats are used: a Self‐report and an Informant report.
The Self‐report Form is completed by adults 18‐90 years of age, including

adults with a wide variety of developmental, systemic, neurological, and
psychiatric disorders such as attention disorders, learning disabilities,
autism spectrum disorders, traumatic brain injury, multiple sclerosis,
depression, mild cognitive impairment, dementias, and schizophrenia.
The BRIEF‐A can be completed by an informant who has good knowledge

of the person or as a self‐rating.
The BRIEF‐A is composed of 75 items within nine theoretically and

empirically derived clinical scales that measure various aspects of
executive functioning; Inhibit, Self‐Monitor, Plan/Organise, Shift, Initiate,,
Task Monitor, Emotional Control, Working Memory, Organisation of
Materials. The clinical scales form two broader indexes: Behavioral
Regulation (BRI) and Metacognition (MI), and these indexes form the
overall summary score, the Global Executive Composite (GEC). The BRIEF‐
A also includes three validity scales (Negativity, Inconsistency, and
Infrequency).
The BRIEF‐A takes approximately 10‐15 minutes to administer.
All 75 items are rated in terms of frequency on a 3‐point scale: 0 (never), 1

(sometimes), 2 (often). Raw scores for each scale are summed and T
scores (M = 50, SD = 10) are used to interpret the individual’s level of
executive functioning.
Properties The following information is reported in the manual:
Inter‐rater reliability: The correlation between Self‐Report and Informant

Report forms were moderate (.44‐.68). Approximately 50‐70% of
individuals and their informants reported t‐scores within one standard
deviation of each other. A number of individuals rated themselves as
having more difficulties than their informant (22.2% were between 1‐2 SD
higher, 6.7% were >2 SD higher), whereas only approximately 7% of
individuals reported lower T‐scores on the overall scale than their
informants.
Internal consistency: Cronbach’s alpha for the self‐report form was

moderate to high for the clinical scales (.73‐.90) and high for the indexes
and overall score (.93‐.96). For the Informant Report, internal consistency
was high, ranging from .80‐.98 for the clinical scales, indexes and overall
score.
Test‐retest reliability: Test re‐test correlations for the Self‐Report form

ranged from .82‐.94 for the clinical scales, indexes and overall score, with
an average interval of 4.22 weeks. For the Informant Report, correlations
ranged from .91‐.94 for the clinical scales and correlations for the indexes
and overall score were .96.
Construct validity: Adults with clinical diagnoses (n=18) and a subset of

informants (n=9) completed the BRIEF‐A and the FrSBe. Moderate to
strong correlations were obtained for the majority of scales and indexes.
Importantly, the BRIEF‐A indexes correlated significantly with the
executive dysfunction scale of the FrSBe for both the self‐report form (.63‐
.67) and informant‐report form (.68‐.74). 40 adults from a mixed
healthy/clinical population completed the BRIEF‐A and the DEX. Total
score on the DEX correlated significantly with BRI (.84), MI (.73) and GEC
(.84).
Factor analysis of Self‐Report Form data yielded a 2‐factor solution (i.e.,
Behavioral Regulation, Metacognition) for normative and mixed
clinical/healthy adult samples, accounting for 73% and 76% of the
variance, respectively. Factor analysis of Informant Report Form data also
yielded a similar 2‐factor solution for the normative and mixed
clinical/healthy adult samples, accounting for 81% and 78% of the
variance, respectively.
Concurrent validity: BRIEF‐A Self‐Report forms for 23 patients with TBI

(60% mild, 10% moderate, 30% severe) were compared to 23 healthy
individuals. Significant group differences were found for the GEC (η2 =
.19), BRI (η2 =.23) and MI (η2 = .08), as well as the individual scales Shift
(η2 =
.14), Initiate (η2 = .17), Working Memory (η2 = .26), Plan/Organise (η2
=.22), and Task Monitor (η2 = .22).
Advantages • Is a reasonably brief measure of self‐reported and informant‐
reported EF difficulties.
• Covers various aspects of EF and provides T scores for each scale.
• Strong psychometric properties for each scale, as well as indexes
and GEC.
• Reasonably well priced.
• Can be administered and scored by individuals who do not have
formal training.
Disadvantages • Must score by hand unless purchase computer scoring program.

• Validated in U.S. normative sample.
Additional
Information
Reviewers Skye McDonald
References
Roth, R. M., Isquith, P. K., & Gioia, G. A. (2005). BRIEF‐A: Behavior Rating Inventory of
Executive Function‐‐adult Version: Professional Manual: Psychological Assessment
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Outcome Measure Behavior Rating Inventory of Executive Function ‐

Adult Version (BRIEF‐A)

The Self‐report Form is completed by adults 18‐90 years of age, including

The BRIEF‐A can be completed by an informant who has good knowledge

The BRIEF‐A is composed of 75 items within nine theoretically and

The BRIEF‐A takes approximately 10‐15 minutes to administer.

All 75 items are rated in terms of frequency on a 3‐point scale: 0 (never), 1

Properties The following information is reported in the manual:

Inter‐rater reliability: The correlation between Self‐Report and Informant

Internal consistency: Cronbach’s alpha for the self‐report form was

Test‐retest reliability: Test re‐test correlations for the Self‐Report form

Construct validity: Adults with clinical diagnoses (n=18) and a subset of

Concurrent validity: BRIEF‐A Self‐Report forms for 23 patients with TBI

Disadvantages • Must score by hand unless purchase computer scoring program.

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