Table of Recommended Outcome Measures

Document Sample
Table of Recommended Outcome Measures Powered By Docstoc
					                                                                                             TBI CDE Recommendations - Instruments and Scales

Measures in gray cells are classified as Core or as Basic by at least one of the Subgroups
Line       Sub-Domain            Instrument/ Scale Name                        Population                Acute             Moderate/     Epidemiology            Concussion/   Additional Notes
 #                                                                                                    Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                         Rehabilitation
    1 Academics              Child Behavior Checklist, School      Pediatric TBI                    Supplemental        Supplemental    Supplemental           Supplemental
                             Competence scale
    2 Academics              Comprehensive Test of                 Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
                             Phonological Processing (CTOPP)

    3 Academics              Gray Oral Reading Test, 4th     Pediatric TBI                          Supplemental        Supplemental            Supplemental   Supplemental
                             Edition (GORT-4)
    4 Academics              KeyMath-3 Diagnostic Assessment Pediatric TBI                          Supplemental        Supplemental            Supplemental   Supplemental

    5 Academics              Test of Word Reading Efficiency       Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
                             (TOWRE)
    6 Academics              Woodcock-Johnson, 3rd Edition         Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
                             (WJ-III); Achievement Tests

    7 Adaptive and Daily      Adaptive Behavior Assessment         Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
      Living Skills           System-Revised (ABAS-2)
    8 Adaptive and Daily      Functional Independence Measure      Pediatric TBI                    Basic               Basic                   Supplemental   Supplemental
      Living Skills           for Children (WeeFIM)
    9 Adaptive and Daily      Pediatric Evaluation of Disability   Pediatric TBI                    Basic               Basic                   Supplemental   Basic
      Living Skills           Inventory (PEDI) Self Care
                              subscales
   10 Adaptive and Daily      Vineland Adaptive Behavior Scales,   Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
      Living Skills           2nd Edition (VABS-II)
   11 Adult: Global Outcome; Mayo-Portland Adaptability            Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
      Pediatric: Adaptive and Inventory (MPAI-4)
      Daily Living Skills



   12 Behavioral Function    Frontal Systems Behavior Scale    Adult TBI                            Supplemental        Supplemental            Supplemental   Supplemental
                             (FrSBe)
   13 Cognitive Activity     Functional Independence Measure - Adult TBI                            Basic               Basic                   Supplemental   Supplemental
      Limitations            Cognition Subscale (Cog-FIM)

   14 Cognitive Activity     Brief Test of Adult Cognition by      Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
      Limitations            Telephone
   15 Effort/Symptom         Medical Symptom Validity Test         Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
      Validity
   16 Effort/Symptom         Test of Memory Malingering            Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
      Validity               (TOMM)
   17 Effort/Symptom         Victoria Symptom Validity Test        Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
      Validity
   18 Effort/Symptom         Word Memory Test                      Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
      Validity                                                                                                                                                                                    Page 1 of 9
                                                                                              TBI CDE Recommendations - Instruments and Scales

Line      Sub-Domain             Instrument/ Scale Name                         Population                Acute             Moderate/     Epidemiology            Concussion/   Additional Notes
 #                                                                                                     Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                          Rehabilitation
  19 Family and               Child and Adolescent Scale of         Pediatric TBI                    Supplemental        Supplemental    Supplemental           Supplemental
     Environment              Environment (CASE)
  20 Family and               Conflict Behavior Questionnaire       Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Environment              (CBQ)/Interaction Behavior
                              Questionnaire (IBQ)
  21 Adult: Psychiatric and   Family Assessment Device (FAD)        Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status;
     Pediatric: Family and
     Environment

  22 Family and               Family Burden of Injury Interview Pediatric TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Environment              (self-report or interview)

  23 Family and               Family History Research               Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Environment              Diagnostic Criteria (FHRDC)
  24 Global Outcome           Disability Rating Scale (DRS)         Adult TBI                        Supplemental        Basic                   Supplemental   Supplemental
  25 Global Outcome           Glasgow Outcome Scale                 Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
  26 Global Outcome           Glasgow Outcome Scale –               Adult TBI                        Core                Core                    Core           Core
                              Extended (GOSE)
  27 Global Outcome           Glasgow Outcome Scale –               Pediatric TBI                    Basic               Basic                   Supplemental   Supplemental
                              Extended Pediatric Revision (GOS-
                              E Peds)
  28 Global Outcome           Pediatric Quality of Life Inventory   Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
                              (PedsQL)
  29 Global Outcome           Pediatric Test of Brain Injury        Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
  30 Global Outcome           Short Form-12 Health Survey (SF-      Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
                              12)
  31 Global Outcome           Short Form-36 Medical Outcome         Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
                              Study (SF-36 v2)
  32 Health-Economic          EuroQOL                               Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Measures
  33 Infant and Toddler       Bayley Scales of Infant and        Pediatric TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Measures                 Toddler Development-III (full, not
                              screen)
  34 Infant and Toddler       Brief Infant Toddler Social        Pediatric TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Measures                 Emotional Assessment (BITSEA)

  35 Infant and   Toddler     Child Behavior Checklist (CBCL) for Pediatric TBI                      Supplemental        Supplemental            Supplemental   Supplemental
     Measures                 ages 1.5 to 5
  36 Infant and   Toddler     Mullen Scales of Early Learning     Pediatric TBI                      Supplemental        Supplemental            Supplemental   Supplemental
     Measures
  37 Infant and   Toddler     Shape School                          Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Measures
  38 Infant and   Toddler     Trails-Preschool (Trails-P)           Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Measures
                                                                                                                                                                                                   Page 2 of 9
                                                                                       TBI CDE Recommendations - Instruments and Scales

Line      Sub-Domain         Instrument/ Scale Name                       Population               Acute             Moderate/     Epidemiology            Concussion/                    Additional Notes
 #                                                                                              Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                   Rehabilitation
  39 Language and         Bedside Western Aphasia Battery - Adult TBI                         Supplemental        Supplemental    Supplemental           Supplemental
     Communication        Revised
  40 Language and         Caregiver Unintelligible Speech   Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Rating
  41 Language and         Clinical Evaluation of Language   Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Fundamentals (CELF-4)
  42 Language and         Comprehensive Assessment of       Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Spoken Language (CASL)
  43 Language and         Goldman-Fristoe Test of           Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Articulation
  44 Language and         Language Sample                   Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
     Communication
  45 Language and         National Adult Reading Test         Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Communication
  46 Language and         Peabody Picture Vocabulary Test,    Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Communication        4th Edition (PPVT-4)
  47 Language and         Percentage of Consonants Correct-   Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Revised (PCC)
  48 Language and         Test of Language Competence-        Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Expanded (TLCE)
  49 Language and         Verbal Motor Production             Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Communication        Assessment for Children (VMPAC)

  50 Language and         Wechsler Abbreviated Scale of       Pediatric TBI                   Basic               Basic                   Supplemental   Basic           This subtest is a portion of the Wechsler Abbreviated
     Communication        Intelligence (WASI II) -                                                                                                                       Scale of Intelligence (WASI II); 2 subtest version,
                          Vocabulary subtest                                                                                                                             also recommended in the Neuropsychological
                                                                                                                                                                         Impairment domain.
  51 Language and         Wechsler Test of Adult Reading      Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Communication
  52 Military Studies     Combat Exposure Scale (CES)         Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
  53 Military Studies     Military Acute Concussion           Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
                          Evaluation
  54 Military Studies     Veterans Rand 36 Item Health        Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
                          Survey (VR-36)
  55 Neuropsychological   Automated Neuropsychological        Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Assessment Metrics (ANAM)
  56 Neuropsychological   Beery-Buktenica Developmental       Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Test of Visual-Motor Integration,
                          6th edition (Beery VMI)

  57 Neuropsychological   Behavioral Rating Inventory of      Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Executive Function (BRIEF)
  58 Neuropsychological   Block Design from the WISC-         Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           4/WPPSI-3
  59 Neuropsychological   Brief Visuospatial Memory Test –    Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
                                                                                                                                                                                                                      Page 3 of 9
     Impairment           Revised (BVMT-R)
                                                                                        TBI CDE Recommendations - Instruments and Scales

Line     Sub-Domain          Instrument/ Scale Name                       Population                Acute             Moderate/     Epidemiology            Concussion/   Additional Notes
 #                                                                                               Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                    Rehabilitation
  60 Neuropsychological   California Verbal Learning Test for Pediatric TBI                    Basic               Basic           Supplemental           Basic
     Impairment           Children (CVLT-C)
  61 Neuropsychological   Color-Word Interference Test        Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  62 Neuropsychological   Conners’ Continuous Performance Pediatric TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Test-Revised (CPT-2)

  63 Neuropsychological   Contingency Naming Test (CNT)       Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  64 Neuropsychological   Controlled Oral Word Association    Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Test (COWAT)
  65 Neuropsychological   Delis-Kaplan Executive Function     Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           System (D-KEFS) Trail Making
                          Test
  66 Neuropsychological   Delis-Kaplan Executive Function     Pediatric TBI                    Basic               Basic                   Supplemental   Basic
     Impairment           System (D-KEFS) Verbal Fluency

  67 Neuropsychological   Eriksen Flanker Test                Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  68 Neuropsychological   Functional Assessment of Verbal     Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Reasoning and Executive
                          Strategies – Student Version
                          (FAVRES-S)
  69 Neuropsychological   Grooved Pegboard Test               Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  70 Neuropsychological   NIH Toolbox Cognitive Battery       Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  71 Neuropsychological   Rey Auditory Verbal Learning Test Adult TBI and Pediatric TBI        Basic               Basic                   Supplemental   Basic
     Impairment           (RAVLT)
  72 Neuropsychological   Symbol Digit Modalities Test      Adult TBI and Pediatric TBI        Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  73 Neuropsychological   Test of Everyday Attention (Tea-    Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Ch)
  74 Neuropsychological   Test of Executive Control (TEC)     Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  75 Neuropsychological   Test of Memory and Learning-        Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment           Revised (TOMAL-2)
  76 Neuropsychological   Test of Strategic Learning (TOSL)   Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment
  77 Neuropsychological   Trail Making Test (TMT)             Adult TBI                        Basic               Basic                   Supplemental   Basic
     Impairment
  78 Neuropsychological   Wechsler Abbreviated Scale of       Pediatric TBI                    Basic               Basic                   Supplemental   Basic
     Impairment           Intelligence (WASI II); 2 subtest
                          version
                                                                                                                                                                                             Page 4 of 9
                                                                                            TBI CDE Recommendations - Instruments and Scales

Line     Sub-Domain             Instrument/ Scale Name                        Population                Acute             Moderate/     Epidemiology            Concussion/                   Additional Notes
 #                                                                                                   Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                        Rehabilitation
  79 Neuropsychological      Wechsler Adult Intelligence Scale    Adult TBI                        Supplemental        Supplemental    Supplemental           Supplemental
     Impairment              (WAIS-IV), Digit Span subtest

  80 Neuropsychological      Wechsler Adult Intelligence Scale    Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Impairment              (WAIS-IV), Letter-Number
                             Sequencing subtest
  81 Neuropsychological      Wechsler Adult Intelligence Scale    Adult TBI                        Basic               Basic                   Supplemental   Basic
     Impairment              (WAIS-IV), Processing Speed
                             Index
  82 Neuropsychological      Wide-Range Assessment of             Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Impairment              Memory and Learning-Revised
                             (WRAML-2)
  83 Neuropsychological      WISC-IV/WPPSI-III Processing         Pediatric TBI                    Basic               Basic                   Supplemental   Basic
     Impairment              Speed Index
  84 Neuropsychological      Word Reading Subtest of the Wide     Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Impairment              Range Achievement Test (WRAT-
                             4)
  85 Patient Reported        Neuro-QOL                            Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Outcomes (Future
     Multidimensional
     Tools)
  86 Patient Reported         Patient Reported Outcomes           Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Outcomes (Future         Measurement Information System
     Multidimensional         (PROMIS)
     Tools)
  87 Patient Reported         TBI-QOL                             Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Outcomes (Future
     Multidimensional
     Tools)
  88 Perceived Generic and Pediatric Quality of Life Inventory:   Pediatric TBI                    Basic               Basic                   Supplemental   Basic           The full PedsQL is also recommended in the Global
     Disease-Specific Health- Generic core                                                                                                                                    Outcome domain.
     Related Quality of Life

  89 Perceived Generic and Quality of Life after Brain Injury     Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Disease-Specific Health- (QOLIBRI)
     Related Quality of Life

  90 Perceived Generic and Satisfaction with Life Scale           Adult TBI                        Supplemental        Basic                   Supplemental   Basic
     Disease-Specific Health- (SWLS)
     Related Quality of Life

  91 Physical Functioning    Balance Error Scoring System      Adult TBI and Pediatric TBI         Supplemental        Supplemental            Supplemental   Supplemental
                             (Modified)
  92 Physical Functioning    Bruininks-Oseretsky Test of Motor Pediatric TBI                       Supplemental        Supplemental            Supplemental   Supplemental
                             Proficiency-2 (BOT-2)
                                                                                                                                                                                                                         Page 5 of 9
                                                                                           TBI CDE Recommendations - Instruments and Scales

Line     Sub-Domain            Instrument/ Scale Name                        Population                Acute             Moderate/     Epidemiology            Concussion/                   Additional Notes
 #                                                                                                  Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                       Rehabilitation
  93 Physical Functioning   Functional Independence Measure Adult TBI                             Basic               Basic           Supplemental           Supplemental
                            (FIM) - Motor Subscale

  94 Physical Functioning   Functional Independence Measure      Pediatric TBI                    Basic               Basic                   Supplemental   Supplemental    The full WeeFIM is also recommended in the
                            for Children (WeeFIM) - Motor                                                                                                                    Adaptive and Daily Living Skills domain.
                            Subscale
  95 Physical Functioning   Gross Motor Function Measure         Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
                            (GMFM-88, GMFM-66)
  96 Physical Functioning   Neurophysical Outcome Scale          Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
                            (NOS)
  97 Physical Functioning   NeuroQOL mobility/ambulation         Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental    Neuro-QOL is also recommended in the Patient
                            domain                                                                                                                                           Reported Outcomes (Future Multidimensional Tools)
                                                                                                                                                                             domain.
  98 Physical Functioning   NIH Toolbox Motor Battery            Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
  99 Physical Functioning   NIH Toolbox Sensory Battery          Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
 100 Physical Functioning   Patient-Reported outcomes            Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental    PROMIS is also recommended in the Patient
                            Measurement Information System                                                                                                                   Reported Outcomes (Future Multidimensional Tools)
                            (PROMIS), Mobility and upper                                                                                                                     domain.
                            extremity domains
 101 Physical Functioning   Peabody Developmental Motor          Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
                            Scales, 2nd Edition
 102 Physical Functioning   Pediatric Evaluation of Disability   Pediatric TBI                    Basic               Basic                   Supplemental   Basic
                            Inventory (PEDI) - Mobility
                            subscale
 103 Post-concussive/TBI-   Health and Behavior Inventory        Pediatric TBI                    Supplemental        Supplemental            Supplemental   Basic
     Related Symptoms       (HBI)
 104 Post-concussive/TBI-   Neurobehavioral Symptom              Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Related Symptoms       Inventory (NSI)
 105 Post-concussive/TBI-   Post-concussion Symptom              Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Related Symptoms       Inventory (PCSI)
 106 Post-concussive/TBI-   Rivermead Postconcussive             Adult TBI                        Supplemental        Supplemental            Supplemental   Basic
     Related Symptoms       Symptom Questionnaire (RPQ)
 107 Psychiatric and        Alcohol Use Disorders                Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Identification Test: Self-Report
                            Version (AUDIT)
 108 Psychiatric and        Alcohol, Smoking, and Substance      Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Use Involvement Screening Test
                            (ASSIST)
 109 Psychiatric and        Beck Depression Inventory - 2        Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   (BDI-2)
 110 Psychiatric and        Brief Symptom Inventory -- 18        Adult TBI                        Basic               Basic                   Supplemental   Basic
     Psychological Status   Item (BSI-18)
 111 Psychiatric and        Center for Epidemiologic Studies     Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Depression Scale (CES-D)
                                                                                                                                                                                                                          Page 6 of 9
                                                                                           TBI CDE Recommendations - Instruments and Scales

Line     Sub-Domain            Instrument/ Scale Name                         Population               Acute             Moderate/     Epidemiology            Concussion/   Additional Notes
 #                                                                                                  Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                       Rehabilitation
 112 Psychiatric and        Child Behavior Checklist (CBCL)       Pediatric TBI                   Supplemental        Supplemental    Supplemental           Supplemental
     Psychological Status   Problem Behaviors subscale

 113 Psychiatric and        Child Behavior Checklist (CBCL)       Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Teacher Report Form

 114 Psychiatric and        Children’s Affective Lability Scale   Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   (CALS)
 115 Psychiatric and        Children’s Motivation Scale (CMS)     Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status
 116 Psychiatric and        Clinician-Administered PTSD Scale Adult TBI                           Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   (CAPS)
 117 Psychiatric and        Minnesota Multiphasic Personality Adult TBI                           Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Inventory – 2 – Restructured Form
                            (MMPI-2-RF)

 118 Psychiatric and        Modified Overt Aggression Scale       Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   (MOAS)
 119 Psychiatric and        Neuropsychiatric Rating Schedule      Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   (NPRS)
 120 Psychiatric and        NIH Toolbox Emotional Battery         Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status
 121 Psychiatric and        Patient Health Questionnaire (9      Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Item) (PHQ-9)
 122 Psychiatric and        PTSD Checklist                       Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   –Civilian/Military/Stressor Specific
                            (PCL- C/M/S)
 123 Psychiatric and        Schedule for Affective Disorders     Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   and Schizophrenia for School-Age
                            Children-Present and Lifetime
                            Version (K-SADS-PL)

 124 Psychiatric and        Screen for Child Anxiety Related      Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Emotional Disorders (SCARED)

 125 Psychiatric and        Short Mood and Feelings               Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Questionnaire (SMFQ)
 126 Psychiatric and        Strengths and Difficulties            Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   Questionnaire (SDQ)
 127 Psychiatric and        Substance Abuse Questions from        Adult TBI                       Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status   the TBI Model Systems Database

 128 Psychiatric and        UCLA PTSD Index for the DSM-IV        Pediatric TBI                   Supplemental        Supplemental            Supplemental   Supplemental
     Psychological Status
                                                                                                                                                                                                Page 7 of 9
                                                                                                TBI CDE Recommendations - Instruments and Scales

Line      Sub-Domain                 Instrument/ Scale Name                       Population                Acute             Moderate/     Epidemiology            Concussion/                    Additional Notes
 #                                                                                                       Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                            Rehabilitation
 129 Recovery of                  Children's Orientation and          Pediatric TBI                    Supplemental        Supplemental    Supplemental           Supplemental
     Consciousness and            Amnesia Test (COAT)
     Memory Recovery
 130 Recovery of                  Galveston Orientation and           Adult TBI and Pediatric TBI      Supplemental        Supplemental            Supplemental   Supplemental
     Consciousness and            Amnesia Test (GOAT)
     Memory Recovery
 131 Recovery of                  JFK Coma Recovery Scale –           Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Consciousness and            Revised (CRS-R)
     Memory Recovery
 132 Social Cognition             Interpersonal Negotiations         Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
                                  Strategies (INS)
 133 Social Cognition             Reading the Mind in the Eyes Test- Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
                                  Child Version
 134 Social Cognition             Video Social Inference Test (VSIT) Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental

 135 Social Role                Child and Adolescent Scale of         Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Participation and   Social Participation (CASP)
     Competence
 136 Social Role                Child Behavior Checklist: Social      Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Participation and   Social Competence Scale
     Competence
 137 Social Role                Craig Handicap and Assessment         Adult TBI                        Supplemental        Basic                   Supplemental   Supplemental
     Participation and   Social Reporting Technique (CHART-SF)
     Competence
 138 Social Role                Participation Assessment with         Adult TBI                        Supplemental        Supplemental            Supplemental   Supplemental
     Participation and   Social Recombined Tools (PART)
     Competence
 139 Social Role                Pediatric Evaluation of Disability   Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental
     Participation and   Social Inventory (PEDI): Social
     Competence                 Functioning Scale
 140 Social Role                Pediatric Quality of Life Inventory: Pediatric TBI                     Supplemental        Supplemental            Supplemental   Supplemental    The full PedsQL is also recommended in the Global
     Participation and   Social Social subscale                                                                                                                                   Outcome Domain.
     Competence
 141 Social Role                  Social Skills Rating Scale (SSRS)   Pediatric TBI                    Supplemental        Supplemental            Supplemental   Supplemental
     Participation and   Social
     Competence
 142 Social Role                Strengths and Difficulties        Pediatric TBI                        Supplemental        Supplemental            Supplemental   Supplemental    The full SDQ is also recommended in the Psychiatric
     Participation and   Social Questionnaire, Peer Relations and                                                                                                                 and Psychological Status domain.
     Competence                 Prosocial Behavior subscales

 143 Social Role              Vineland-II, Socialization scale Pediatric TBI                           Supplemental        Supplemental            Supplemental   Supplemental    The full VABS is also recommended in the Adaptive
     Participation and Social                                                                                                                                                     and Daily Living Skills domain.
     Competence
 144 Sports-Related Studies Axon Sports Computerized           Adult TBI and Pediatric TBI             Supplemental        Supplemental            Supplemental   Supplemental
                              Cognitive Assessment Tool (CCAT)
                                                                                                                                                                                                                              Page 8 of 9
                                                                                        TBI CDE Recommendations - Instruments and Scales

Line     Sub-Domain            Instrument/ Scale Name                  Population                   Acute             Moderate/     Epidemiology            Concussion/   Additional Notes
 #                                                                                               Hospitalized        Severe TBI:                              Mild TBI
                                                                                                                    Rehabilitation
 145 Sports-Related Studies CNS Vital Signs                   Adult TBI and Pediatric TBI      Supplemental        Supplemental    Supplemental           Supplemental

 146 Sports-Related Studies Headminder Concussion            Adult TBI and Pediatric TBI       Supplemental        Supplemental            Supplemental   Supplemental
                            Resolution Index
 147 Sports-Related Studies Immediate Post-Concussion        Adult TBI and Pediatric TBI       Supplemental        Supplemental            Supplemental   Supplemental
                            Assessment and Cognitive Testing
                            (imPACT)
 148 Sports-Related Studies Sport Concussion Assessment Tool Adult TBI and Pediatric TBI       Supplemental        Supplemental            Supplemental   Supplemental
                            (SCAT-2)




                                                                                                                                                                                             Page 9 of 9

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:380
posted:9/19/2012
language:English
pages:9