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  • Publications

    Measuring Grief and Loss after Spinal Cord Injury: Development, Validation, and Psychometric Characteristics of the SCI-QOL Grief and Loss Item Bank and Short Form. Journal of Spinal Cord Medicine

    Article describes the development and psychometric properties of the Spinal Cord Injury – Quality of Life (SCI-QOL) Grief and Loss item bank and short form. A literature review guided framework development of grief/loss. New items were created from focus groups. Items were revised based on expert review and patient feedback ...
  • Publications

    Measuring Positive Affect & Well-Being after Spinal Cord Injury: Development and Psychometric Characteristics of the SCI-QOL Positive Affect & Well-Being Item Bank and Short Form

    Article describes the development and psychometric properties of the Spinal Cord Injury – Quality of Life (SCI-QOL) Positive Affect and Well-Being (PAWB) item bank and short form. Qualitative feedback from patient and provider focus groups was used to expand on the Neurological Disorders and Quality of Life (Neuro-QOL) positive affect ...
  • Publications

    Measuring positive affect and well-being after spinal cord injury: Development and psychometric characteristics of the SCI-QOL Positive Affect and Well-being bank and short form

    Article describes the development and psychometric properties of the Spinal Cord Injury – Quality of Life (SCI-QOL) Positive Affect and Well-Being (PAWB) item bank and short form. Qualitative feedback from patient and provider focus groups was used to expand on the Neurological Disorders and Quality of Life (Neuro-QOL) positive affect ...
  • Publications

    Measuring stigma after spinal cord injury: Development and psychometric characteristics of the SCI-QOL Stigma item bank and short form

    Article describes the development and psychometric properties of the Spinal Cord Injury-Quality of Life (SCI-QOL) item bank and computer adaptive test (CAT) to assess the effects of stigma on health-related quality of life in individuals with spinal cord injury (SCI). The project included grounded-theory based qualitative item development methods, large-scale ...
  • Publications

    Measuring the Community Re-integration of Burn Injuries in Adults: Conceptual Foundation for Future Development of a Computer Adaptive Test (CAT)

  • Nancy Hsu

    Nancy Hsu, Psy.D. is Principal Investigator of the Virginia TBI Model System Resilience and Adjustment Site Specific Study. She is the Rosa Schwartz Cifu Professor and Director of Outpatient Neuropsychology and Rehabilitation Psychology in the VCU Department ...
  • Publications

    Medical and social issues related to posttraumatic seizures in persons with traumatic brain injury.

    BACKGROUND: The incidence of late posttraumatic seizures (LPTS) in individuals with traumatic brain injury (TBI) ranges anywhere from 5% to 18.9% in civilian populations up to 32% to 50% in military personnel. OBJECTIVE: This article reviews the current knowledge about the incidence and prevalence of LPTS following a TBI, the ...
  • Publications

    Medical care costs associated with traumatic brain injury over the full spectrum of disease: a controlled population-based study.

    Data on traumatic brain injury (TBI) economic outcomes are limited. We used Rochester Epidemiology Project (REP) resources to estimate long-term medical costs for clinically-confirmed incident TBI across the full range of severity after controlling for pre-existing conditions and co-occurring injuries. All Olmsted County, Minnesota, residents with diagnoses indicative of potential ...
  • Publications

    Methodology for the development and calibration of the SCI-QOL item banks

    Article describes the development and calibration of the Spinal Cord Injury -- Quality of Life (SCI-QOL), a patient-reported outcomes measurement system for individuals with spinal cord injury (SCI). Specifically, the authors detail the methods and results of the five phases of the SCI-QOL development: (1) domain/subdomain selection, (2) item development ...
  • Publications

    Midodrine as a Cause of Severe Bradycardia in Paraplegia: A Case Report

  • Publications

    Mild traumatic brain injury in an insured population: subjective complaints and return to employment.

    The great majority of traumatic brain injury (TBI) is of mild severity, with Glasgow Coma Scores (GCS) of 13-15, post-traumatic amnesia of less than 48 hours and brief, if any, hospitalization. All mild TBI admissions to hospital were provided with education in the form of a brief interview and a ...
  • Publications

    Mothers with spinal cord injuries: Impact on marital, family, and children's adjustment

    Study investigate how mothers with spinal cord injury (SCI) adjust to parenting, their marriages, and their families, and how their children adjust to their mothers' disability. The experimental group consisted of 88 mothers with SCI, 46 of their partners, and 31 of their children. The control group was composed of ...
  • Publications

    Natural History of Headache Five Years after Traumatic Brain Injury.

    Headache is one of the most frequently reported symptoms following traumatic brain injury (TBI). Little is known about how these headaches change over time. We describe the natural history of headache in individuals with moderate to severe TBI over 5 years after injury. A total of 316 patients were prospectively ...
  • Publications

    One program's experience of OSCE vs. written board certification results

    Article examining the clinical competency of medical school residents by comparing their results on the written board certification examination and the Objective Structured Clinical Examination (OSCE). Discusses the OSCE testing method and the need for quality clinical training and evaluation.
  • Publications

    Opioid creep is real and may be the cause of "fluid creep"

    Recent studies have shown that burn patients receive larger volumes of fluids than predicted by the Baxter formula and the reason for this is unclear. One potential reason is that increased analgesics are used which couldblunt the response to fluid resuscitation. The purpose of this study was to compare the ...
  • Publications

    Outcomes evaluation in TBI Rehabilitation. Part I: overview and system principles.

    Questions of how to measure outcomes are commonly heard in rehabilitation today. In this supplement we review the current state of the art of outcomes measurement in traumatic brain injury rehabilitation, discuss key issues, and identify steps that need to be taken. The underlying question is not simply that of ...
  • Daniel Klyce

    Daniel Klyce, PhD, is a Clinical Psychologist in the Polytrauma Rehabilitation Center and Co-Director of the Veterans TBIMS Center at the Central Virginia Veterans Healthcare System. He is Associate Professor in the PM&R/CERSE. Dr. Klyce is Co-PI on the Virginia TBI Model System site specific study, and co-I on the ...
  • Publications

    Outcomes evaluation in TBI Rehabilitation. Part II: measurement tools for a nationwide data system.

    In Part II we address tools for describing general functional levels of clients in acute care, in traumatic brain injury (TBI) rehabilitation programs, and in the community. Tools must be brief, have proven reliability, and measure characteristics common to moderately and severely brain-injured individuals. Possible components of a uniform dataset ...
  • Publications

    Participation: The insider's perspective

    Article discusses the insider-outsider distinction in the context of people with disabilities. Insiders to disability are likely to have different subjective responses to life situations than do those who experience disability as onlookers. The importance of including the insider’s perspective is discussed with respect to assessing participation in terms of ...
  • Publications

    Patient Reported Longitudinal Outcomes for Adult Burn Survivors

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.