Model System:

TBI

Reference Type:

Journal

Accession No.:

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 101, , 54-61

Publication Website:

https://www.archives-pmr.org/article/S0003-9993(18)30043-1/pdf

Abstract:

Objective: To assess the responsiveness of the Traumatic Brain InjuryeQuality of Life (TBI-QOL) measurement system.

Design: Participants completed the 20 TBI-QOL item banks and the Participation Assessment with Recombined ToolseObjective (PART-O) Productivity Subscale at baseline and 6-month follow-up assessments. Participants were categorized into 4 groups (increased productivity, unchanged productivity, and decreased productivity) based on PART-O Productivity scores. Paired sample t tests were used to compare TBI-QOL scores at baseline and 6 months, and standardized response means and Cohen’s d were computed to estimate effect sizes.

Setting: Three traumatic brain injury (TBI) Model Systems rehabilitation centers in the United States.

Participants: Two hundred one community-dwelling adults with TBI.

Interventions: Not applicable.

Main Outcome Measures: 20 TBI-QOL item banks.

Results: As expected, given that there was no intervention, group mean TBI-QOL subdomain scores for the entire sample showed no change or small improvement over the 6-month study period. At the follow-up assessment, 72 participants reported increased productivity, 71 reported decreased productivity, and 58 reported the same level of productivity as they had 6 months prior. When compared with participants who reported unchanged or decreased productivity, participants who reported increased productivity on the PART-O subscale had clinically meaningful (d0.30) improvements on 7 TBI-QOL measures. The largest improvement was in the Independence subdomain (mean change, 7.06; dfZ0.84), with differences also observed in the Mobility, Positive Affect and Well-Being, Resilience, Grief/Loss, Ability to Participate, and Satisfaction with Participation subdomains.

Conclusions: The 20 TBI-QOL item banks demonstrate responsiveness to change and measurement stability in a community-dwelling sample. Researchers may use the TBI-QOL to detect changes in HRQOL after a clinical intervention and clinicians may use it in their daily practices to monitor patient recovery.

Full article available at link.

Author(s):


Julia M.P. Poritz, PhD; Mark Sherer, PhD, ABPP; Pamela A. Kisala, MA; David Tulsky, PhD; Luis Leon-Novelo, PhD; Esther Ngan, MS

Participating Centers: