TY - JOUR
T1 - The Feasibility of Telephone-Administered Cognitive Testing in Individuals 1 and 2 Years after Inpatient Rehabilitation for Traumatic Brain Injury
AU - Dams-O'Connor, Kristen
AU - Sy, Karla Therese L.
AU - Landau, Alexandra
AU - Bodien, Yelena
AU - Dikmen, Sureyya
AU - Felix, Elizabeth R.
AU - Giacino, Joseph T.
AU - Gibbons, Laura
AU - Hammond, Flora M.
AU - Hart, Tessa
AU - Johnson-Greene, Doug
AU - Lengenfelder, Jeannie
AU - Lequerica, Anthony
AU - Newman, Jody
AU - Novack, Thomas
AU - O'Neil-Pirozzi, Therese M.
AU - Whiteneck, Gale
N1 - Funding Information:
This work was funded by Grants from the National Institute on Disability, Independent Living, and Rehabilitation Research to the Traumatic Brain Injury Model Systems National Data and Statistical Center (Grant Number is 90DP0010), the New York TBI Model System (Grant Number 90DP0038), Indiana University/Rehabilitation Hospital of Indiana TBI Model System (Grant Number 90DP0036), University of Washington Traumatic Brain Injury Model System (Grant Number 90DP0031), Spaulding-Harvard TBI Model System (Grant Number 90DP0039), University of Alabama at Birmingham Traumatic Brain Injury Care System (Grant Number 90DP0044), Moss TBI Model System (Grant Number 90DP0037), Rocky Mountain Regional Brain Injury System (Grant Number 90DP0034), Northern New Jersey Traumatic Brain Injury System (Grant Number 90DP0032), South Florida TBI Model System (Grant Number 90DP0046).
Funding Information:
This work was funded by Grants from the National Institute on Disability, Independent Living, and Rehabilitation Research to the Traumatic Brain Injury Model Systems National Data and Statistical Center (Grant Number is 90DP0010), the New York TBI Model System (Grant Number 90DP0038), Indiana University/Rehabilitation Hospital of Indiana TBI Model System (Grant Number 90DP0036), University of Washington Traumatic Brain Injury Model System (Grant Number 90DP0031), Spaulding-Harvard TBI Model System (Grant Number 90DP0039), University of Alabama at Birmingham Traumatic Brain Injury Care System (Grant Number 90DP0044), Moss TBI Model System (Grant Number 90DP0037), Rocky Mountain Regional Brain Injury System (Grant Number 90DP0034), Northern New Jersey Traumatic Brain Injury System (Grant Number 90DP0032), South Florida TBI Model System (Grant Number 90DP0046)
Publisher Copyright:
© Copyright 2018, Mary Ann Liebert, Inc.
PY - 2018/5/15
Y1 - 2018/5/15
N2 - Traumatic brain injury (TBI) often results in cognitive impairment, and trajectories of cognitive functioning can vary tremendously over time across survivors. Traditional approaches to measuring cognitive performance require face-to-face administration of a battery of objective neuropsychological tests, which can be time- and labor-intensive. There are numerous clinical and research contexts in which in-person testing is undesirable or unfeasible, including clinical monitoring of older adults or individuals with disability for whom travel is challenging, and epidemiological studies of geographically dispersed participants. A telephone-based method for measuring cognition could conserve resources and improve efficiency. The objective of this study is to examine the feasibility and usefulness of the Brief Test of Adult Cognition by Telephone (BTACT) among individuals who are 1 and 2 years post-moderate-to-severe TBI. A total of 463 individuals participated in the study at Year 1 post-injury, and 386 participated at Year 2. The sample was mostly male (73%) and white (59%), with an average age of (mean ± standard deviation) 47.9 ± 20.9 years, and 73% experienced a duration of post-traumatic amnesia (PTA) greater than 7 days. A majority of participants were able to complete the BTACT subtests (61-69% and 56-64% for Years 1 and 2 respectively); score imputation for those unable to complete a test due to severity of cognitive impairment yields complete data for 74-79% of the sample. BTACT subtests showed expected changes between Years 1-2, and summary scores demonstrated expected associations with injury severity, employment status, and cognitive status as measured by the Functional Independence Measure. Results indicate it is feasible, efficient, and useful to measure cognition over the telephone among individuals with moderate-severe TBI.
AB - Traumatic brain injury (TBI) often results in cognitive impairment, and trajectories of cognitive functioning can vary tremendously over time across survivors. Traditional approaches to measuring cognitive performance require face-to-face administration of a battery of objective neuropsychological tests, which can be time- and labor-intensive. There are numerous clinical and research contexts in which in-person testing is undesirable or unfeasible, including clinical monitoring of older adults or individuals with disability for whom travel is challenging, and epidemiological studies of geographically dispersed participants. A telephone-based method for measuring cognition could conserve resources and improve efficiency. The objective of this study is to examine the feasibility and usefulness of the Brief Test of Adult Cognition by Telephone (BTACT) among individuals who are 1 and 2 years post-moderate-to-severe TBI. A total of 463 individuals participated in the study at Year 1 post-injury, and 386 participated at Year 2. The sample was mostly male (73%) and white (59%), with an average age of (mean ± standard deviation) 47.9 ± 20.9 years, and 73% experienced a duration of post-traumatic amnesia (PTA) greater than 7 days. A majority of participants were able to complete the BTACT subtests (61-69% and 56-64% for Years 1 and 2 respectively); score imputation for those unable to complete a test due to severity of cognitive impairment yields complete data for 74-79% of the sample. BTACT subtests showed expected changes between Years 1-2, and summary scores demonstrated expected associations with injury severity, employment status, and cognitive status as measured by the Functional Independence Measure. Results indicate it is feasible, efficient, and useful to measure cognition over the telephone among individuals with moderate-severe TBI.
KW - Adult brain injury
KW - Cognitive function
KW - Neuropsychology
KW - Rehabilitation
KW - Traumatic brain injury
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U2 - 10.1089/neu.2017.5347
DO - 10.1089/neu.2017.5347
M3 - Article
C2 - 29648959
AN - SCOPUS:85046888591
VL - 35
SP - 1138
EP - 1145
JO - Central Nervous System Trauma
JF - Central Nervous System Trauma
SN - 0897-7151
IS - 10
ER -