Measuring Self-Reported Physical Function in Individuals With TBI: Development of the TBI-QOL Mobility and Upper Extremity Item Banks and Short Forms.

Objectives: To describe the development and field testing of the patient-reported outcome measures of Mobility and Upper Extremity function from the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system, and to evaluate the use of computer adaptive testing. Setting: Five rehabilitation...

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Publicado en:Journal of Head Trauma Rehabilitation Vol. 34; no. 5; pp. 340 - 353
Autores principales: Capo-Lugo, Carmen E., Kisala, Pamela A., Boulton, Aaron J., Choi, Seung W., Heinemann, Allen W., Tulsky, David S.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Sep/Oct2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep/Oct2019
      vid: 34
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/HTR.0000000000000511
        138756077
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        atl: Measuring Self-Reported Physical Function in Individuals With TBI: Development of the TBI-QOL Mobility and Upper Extremity Item Banks and Short Forms.
      aug:
        au:
          Capo-Lugo, Carmen E.
          Kisala, Pamela A.
          Boulton, Aaron J.
          Choi, Seung W.
          Heinemann, Allen W.
          Tulsky, David S.
        affil: Department of Physical Therapy, University of Alabama at Birmingham
      sug:
        subj:
          Instrument Construction
          Clinical Assessment Tools
          Patient-Reported Outcomes
          Functional Assessment
          Brain Injuries Rehabilitation
          Computerized Adaptive Testing
          Human
          Item Analysis
          Factor Analysis
          Descriptive Statistics
          Quality of Life
          Adult
          Middle Age
          Male
          Female
          Self Report
          Movement
          Upper Extremity Physiology
          Psychometrics
          Record Review
          Confidence Intervals
          Item-Total Correlations
          Severity of Injury
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objectives: To describe the development and field testing of the patient-reported outcome measures of Mobility and Upper Extremity function from the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system, and to evaluate the use of computer adaptive testing. Setting: Five rehabilitation facilities funded as part of the TBI Model Systems network. Participants: Individuals with complicated mild, moderate, or severe traumatic brain injury (n = 590). Interventions: Not available. OutcomeMeasures: TBI-QOL Mobility and Upper Extremity item banks. Results: Item response theory and factor analyses supported the unidimensionality of the Mobility and Upper Extremity banks. Descriptive statistics showed a ceiling effect for both measures. Simulated computer adaptive tests (CATs) showed that measurement precision was maintained across administration formats for both measures. The Upper Extremity CAT showed a loss of precision for individuals without impairment and that a higher number of items were required to achieve sufficiently precise measurement, compared to theMobility CAT. Conclusions: The TBI-QOL Upper Extremity and Mobility item banks achieved good breadth of coverage, particularly among those individuals who have experienced some degree of functional limitation. The use of CAT administration minimizes respondent burden, while allowing for the comprehensive assessment of adults with TBI. The combined use of the TBI-QOL with performance-based measures could guide the development of targeted rehabilitation treatments.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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