Development and Psychometric Characteristics of the TBI-QOL Communication Item Bank

Cohen, Matthew; Kisala, Pamela A.; Boulton, Aaron J.; Carlozzi, Noelle E.; Cook, Christine V; Tulsky, David S.

doi:10.1097/htr.0000000000000528

Cited by 10 publications

(4 citation statements)

References 55 publications

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“…Item banks selected for bookmarking were of high quality, psychometrically constructed using item response theory (IRT), and relevant to adults with acquired cognitive/ language disorders, for example, disorders caused by stroke, traumatic brain injury (TBI), or Parkinson's disease (PD). These item banks were the Communication Participation Item Bank (CPIB; Baylor et al, 2013), Neuro-QOL Cognitive Function (Cella et al, 2012;Gershon et al, 2012), Neuro-QOL Ability to Participate in Social Roles and Activities (Cella et al, 2012;Gershon et al, 2012), Aphasia Communication Outcome Measure (ACOM; Hula et al, 2015), and TBI-QOL Communication item bank (Cohen et al, 2019). Study activities were approved by the institutional review boards at the University of Delaware and The Ohio State University.…”

Section: Methodsmentioning

confidence: 99%

Adapting a Patient–Reported Outcome Bookmarking Task to be Accessible to Adults With Cognitive and Language Disorders

Cohen

Harnish

Lanzi

et al. 2021

J Speech Lang Hear Res

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Background Patient-reported outcome (PRO) measures produce scores that do not always have obvious clinical meaning. The PRO-bookmarking procedure is a new and promising way to make PRO measures more meaningful and interpretable. However, the materials and procedures of the task may benefit from adaptations to be more accessible to individuals with cognitive and language disorders. Aims This study aims to provide an overview of the iterative refinement process used to modify the materials and procedures of the PRO-bookmarking task so that they are more accessible to adults with acquired cognitive and language impairments. Method and Procedures Our team of health psychologists, neuropsychologists, and speech-language pathologists (SLPs) conducted two focus groups with SLPs and care partners of people with aphasia using the same PRO-bookmarking materials and procedures as previous reports. These PRO-bookmarking materials and procedures were then refined iteratively based on discussion with those who participated in focus groups and among the research team, and three more times in the course of 16 additional focus groups of different stakeholders: people with Parkinson's disease, aphasia, or traumatic brain injury; care partners of people with those conditions; and SLPs who have experience with those, and other adult-acquired conditions. Outcomes and Results The PRO-bookmarking materials and procedures underwent four iterations to make them clearer, simpler, and more accessible. For example, the materials included more structured text and graphic supports where appropriate and the procedures were clustered into smaller discrete tasks and displayed graphically when possible and appropriate. Conclusions PRO-bookmarking materials and procedures were made simpler and more structured to increase their accessibility to adults with cognitive and language impairments. In fact, these adaptations made the tasks simpler and clearer for all types of stakeholders.

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Section: Methodsmentioning

confidence: 99%

Adapting a Patient–Reported Outcome Bookmarking Task to be Accessible to Adults With Cognitive and Language Disorders

Cohen

Harnish

Lanzi

et al. 2021

J Speech Lang Hear Res

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“…9 The TBI-QoL system is composed of 22 item banks and scales specific to adults with TBI that can also be interpreted as composite scores. 16 Most relevant to adults with cognitive and language disorders receiving speech/language services, the TBI-QoL system includes item banks that assess functional communication, 17,18 cognitive function generally and executive function specifically, 19 emotional and behavioral dyscontrol, ability to participate in social roles and activities, and satisfaction with social roles and activities. 20 PROMs that comprise these measurement systems (PROMIS, Neuro-QoL, and TBI-QoL) were developed using similar methods and standards and were calibrated using the same item-response theory (IRT) models, which confer several measurement advantages.…”

Section: Abstract: Patient-reported Outcome Measures Speechlanguage Pathology Evidence-based Practice Communication Disordersmentioning

confidence: 99%

“…Interested readers are referred to several papers by Cohen et al that are expected to be in press in 2021 and will report how the PRO-bookmarking materials and procedures were adapted for adults with neurogenic communication disorders, as well as the resulting cut points for the ACOM, CPIB, Neuro-QoL v2.0 Cognitive Functioning, Neuro-QoL v1.0 Ability to Participate in Social Roles and Activities, and the TBI-QoL Communication Item Bank. 17,18,39 PATIENT ACCEPTABLE SYMPTOM STATE The patient acceptable symptom state (PASS) estimate is a score associated with most clients feeling satisfied with their health in that domain. It is established after asking several people with the condition to answer an anchor question after completing a given PROM.…”

Section: Pro-bookmarkingmentioning

confidence: 99%

Clinical Use of PROMIS, Neuro-QoL, TBI-QoL, and Other Patient-Reported Outcome Measures for Individual Adult Clients with Cognitive and Language Disorders

2021

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Patient-reported outcome measures (PROMs) assess health outcomes from the patient's perspective. The National Institutes of Health has invested in the creation of numerous PROMs that comprise the PROMIS, Neuro-QoL, and TBI-QoL measurement systems. Some of these PROMs are potentially useful as primary or secondary outcome measures, or as contextual variables for the treatment of adults with cognitive/language disorders. These PROMs were primarily created for clinical research and interpretation of group means. They also have potential for use with individual clients; however, at present there is only sparse evidence and direction for this application of PROMs. Previous research by Cohen and Hula (2020) described how PROMs could support evidence-based practices in speech-language pathology. This companion article extends upon that work to present clinicians with implementation information about obtaining, administering, scoring, and interpreting PROMs for individual clients with cognitive/language disorders. This includes considerations of the type and extent of communication support that is appropriate, implications of the relatively large measurement error that accompanies individual scores and pairs of scores, and recommendations for applying minimal detectable change values depending on the clinician's desired level of measurement precision. However, more research is needed to guide the interpretation of PROM scores for an individual client.

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“…The TBI-QOL includes 20 item banks across physical, emotional, social, and cognitive domains . All TBI-QOL item banks have been calibrated using item response theory (IRT) and are available as computer adaptive tests (CATs) that can rapidly evaluate and monitor individuals following TBI (Tulsky et al, 2016bCapo-Lugo et al, 2019;Carlozzi et al, 2019Carlozzi et al, , 2020Cohen et al, 2019;Kisala et al, 2019Kisala et al, , 2020Heinemann et al, 2020;Sherer et al, 2020). Composite scores for each of the four domains and for global QOL are also available (Tyner et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Responsiveness of the Traumatic Brain Injury Quality of Life Cognition Banks in Recent Brain Injury

Tyner

Kisala

Boulton

et al. 2022

Front. Hum. Neurosci.

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Patient report of functioning is one component of the neurocognitive exam following traumatic brain injury, and standardized patient-reported outcomes measures are useful to track outcomes during rehabilitation. The Traumatic Brain Injury Quality of Life measurement system (TBI-QOL) is a TBI-specific extension of the PROMIS and Neuro-QoL measurement systems that includes 20 item banks across physical, emotional, social, and cognitive domains. Previous research has evaluated the responsiveness of the TBI-QOL measures in community-dwelling individuals and found clinically important change over a 6-month assessment interval in a sample of individuals who were on average 5 years post-injury. In the present study, we report on the responsiveness of the TBI-QOL Cognition–General Concerns and Executive Function item bank scores and the Cognitive Health Composite scores in a recently injured sample over a 1-year study period. Data from 128 participants with complicated mild, moderate, or severe TBI within the previous 6 months were evaluated. The majority of the sample was male, white, and non-Hispanic. The participants were 18–92 years of age and were first evaluated from 0 to 5 months post-injury. Eighty participants completed the 1-year follow-up assessment. Results show acceptable standard response mean values (0.47–0.51) for all measures and minimal detectable change values ranging from 8.2 to 8.8 T-score points for Cognition–General Concerns and Executive Functioning measures. Anchor rating analysis revealed that changes in scores on the Executive Function item bank and the Cognitive Health Composite were meaningfully associated with participant-reported changes in the areas of attention, multitasking, and memory. Evaluation of change score differences by a variety of clinical indicators demonstrated a small but significant difference in the three TBI-QOL change scores by TBI injury severity grouping. These results support the responsiveness of the TBI-QOL cognition measures in newly injured individuals and provides information on the minimal important differences for the TBI-QOL cognition measures, which can be used for score interpretation by clinicians and researchers seeking patient-reported outcome measures of self-reported cognitive QOL after TBI.

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Development and Psychometric Characteristics of the TBI-QOL Communication Item Bank

Cited by 10 publications

References 55 publications

Adapting a Patient–Reported Outcome Bookmarking Task to be Accessible to Adults With Cognitive and Language Disorders

Adapting a Patient–Reported Outcome Bookmarking Task to be Accessible to Adults With Cognitive and Language Disorders

Clinical Use of PROMIS, Neuro-QoL, TBI-QoL, and Other Patient-Reported Outcome Measures for Individual Adult Clients with Cognitive and Language Disorders

Responsiveness of the Traumatic Brain Injury Quality of Life Cognition Banks in Recent Brain Injury

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