Traumatic Brain Injury-2Accuracy of Self-Reported Questions for Assessment of TBI History

Bailie, Jason M.; Babakhanyan, Ida; Jolly, Matthew; Sargent, Paul; Duckworth, Jane C.; Ekanayke, V; Ekanayake, Vindhya

doi:10.1093/arclin/acx075.14

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We opted for a comprehensive interview to assess TBI history, which has been shown to elicit superior recall compared with questionnaires. 54 Second, the current study focused on mild TBI, and, although mild TBI is the most prevalent form of TBI, longitudinal studies of patients with moderate-to-severe TBI may better reveal the association of TBI with neurodegeneration over time. Furthermore, although we did not adjust for multiple tests across the various measurement domains, the results are consistent and demonstrate different manifestations of the same pathological process.…”

Section: Discussionmentioning

confidence: 99%

“…Ideally, medical records could be used to corroborate head injury events; however, records review is not always possible or satisfactory, and many TBI events, particularly mild ones, were not treated medically. We opted for a comprehensive interview to assess TBI history, which has been shown to elicit superior recall compared with questionnaires . Second, the current study focused on mild TBI, and, although mild TBI is the most prevalent form of TBI, longitudinal studies of patients with moderate-to-severe TBI may better reveal the association of TBI with neurodegeneration over time.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association of Optical Coherence Tomography With Longitudinal Neurodegeneration in Veterans With Chronic Mild Traumatic Brain Injury

et al. 2020

View full text Add to dashboard Cite

Key Points Question Do veterans with a history of mild traumatic brain injury show greater neurodegeneration over time compared with control veterans with no history of head injury? Findings In this longitudinal cohort study of 139 veterans with and without a history of mild traumatic brain injury, mild traumatic brain injury was associated with significantly greater thinning of the retinal nerve fiber layer over time. Meaning These findings suggest that structural neural loss in the visual system, as evidenced by thinning of the retinal nerve fiber layer, may be a useful biomarker of neurodegeneration following chronic mild traumatic brain injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of Optical Coherence Tomography With Longitudinal Neurodegeneration in Veterans With Chronic Mild Traumatic Brain Injury

et al. 2020

View full text Add to dashboard Cite

show abstract

“…We also relied on self-reported history of TBI. Other studies have shown that, while many individuals under-report TBI (especially mild TBI), 'false positives' are rare [1,3]. However, characterizing loss of consciousness and confusion/PTA is less valid via self-report [24].…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Rasch Analysis of the Behavioral Assessment Screening Tool (BAST) in Chronic Traumatic Brain Injury

Juengst

Grattan

Wright

et al. 2021

J. Psychosoc. Rehabil. Ment. Health

View full text Add to dashboard Cite

The Behavioral Assessment Screening Tool (BAST) measures neurobehavioral symptoms in adults with traumatic brain injury (TBI). Exploratory Factor Analyses established five subscales: Negative Affect, Fatigue, Executive Function, Impulsivity, and Substance Abuse. In the current study, we assessed all the subscales except Substance Abuse using Rasch analysis following the Rasch Reporting Guidelines in Rehabilitation Research (RULER) framework. RULER identifies unidimensionality and fit statistics, item hierarchies, targeting, and symptom severity strata as areas of interest for Rasch analysis. The BAST displayed good unidimensionality with only one item from the Impulsivity scale exhibiting potential item misfit (MnSQ 1.40). However, removing this item resulted in a lower average domain measure (1.42 to -1.49) and higher standard error (0.34 to 0.43) so the item was retained. Items for each of the four subscales also ranged in difficulty (i.e. endorsement of symptom frequency) with more severe symptoms being endorsed in the Fatigue subscale and more mild symptoms being endorsed in the Impulsivity subscale. Though Negative Affect and Executive Function displayed appropriate targeting, the Fatigue and Impulsivity Subscales had larger average domain values (1.35 and -1.42) meaning that more items may need to be added to these subscales to capture differences across a wider range of symptom severity. The BAST displayed excellent reliability via item and person separation indices and distinct strata for each of the four subscales. Future work should use Rasch analysis in a larger, more representative sample, include more items for the Fatigue and Impulsivity subscale, and include the Substance Abuse subscale.

show abstract

Traumatic Brain Injury-2Accuracy of Self-Reported Questions for Assessment of TBI History

Cited by 2 publications

References 0 publications

Association of Optical Coherence Tomography With Longitudinal Neurodegeneration in Veterans With Chronic Mild Traumatic Brain Injury

Association of Optical Coherence Tomography With Longitudinal Neurodegeneration in Veterans With Chronic Mild Traumatic Brain Injury

Rasch Analysis of the Behavioral Assessment Screening Tool (BAST) in Chronic Traumatic Brain Injury

Contact Info

Product

Resources

About