Feasibility and Utility of a Flexible Outcome Assessment Battery for Longitudinal Traumatic Brain Injury Research: A TRACK-TBI Study
The effects of traumatic brain injury (TBI) are difficult to measure in longitudinal cohort studies, because disparate pre-injury characteristics and injury mechanisms produce variable impairment profiles and recovery trajectories. In preparation for the Transforming Research and Clinical Knowledge...
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| Veröffentlicht in: | Journal of neurotrauma 2023-02, Vol.40 (3-4), p.337-348 |
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| creator | Bodien, Yelena G Barber, Jason Taylor, Sabrina R Boase, Kim Corrigan, John D Dikmen, Sureyya Gardner, Raquel C Kramer, Joel H Levin, Harvey Machamer, Joan McAllister, Thomas Nelson, Lindsay D Ngwenya, Laura B Sherer, Mark Stein, Murray B Vassar, Mary Whyte, John Yue, John K Markowitz, Amy McCrea, Michael A Manley, Geoffrey T Temkin, Nancy Giacino, Joseph T |
| description | The effects of traumatic brain injury (TBI) are difficult to measure in longitudinal cohort studies, because disparate pre-injury characteristics and injury mechanisms produce variable impairment profiles and recovery trajectories. In preparation for the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) study, which followed patients with injuries ranging from uncomplicated mild TBI to coma, we designed a multi-dimensional Flexible outcome Assessment Battery (FAB). The FAB relies on a decision-making algorithm that assigns participants to a Comprehensive (CAB) or Abbreviated Assessment Battery (AAB) and guides test selection across all phases of recovery. To assess feasibility of the FAB, we calculated the proportion of participants followed at 2 weeks (2w) and at 3, 6, and 12 months (3m, 6m, 12m) post-injury who completed the FAB and received valid scores. We evaluated utility of the FAB by examining differences in 6m and 12m Glasgow Outcome Scale-Extended (GOSE) scores between participant subgroups derived from the FAB-enabled versus traditional approach to outcome assessment applied at 2w. Among participants followed at 2w (
n
= 2094), 3m (
n
= 1871), 6m (
n
= 1736), and 12m (
n
= 1607) post-injury, 95–99% received valid completion scores on the FAB, in full or in part, either in person or by telephone. Level of function assessed by the FAB-enabled approach at 2w was associated with 6m and 12m GOSE scores (proportional odds
p
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| doi_str_mv | 10.1089/neu.2022.0141 |
| format | Article |
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n
= 2094), 3m (
n
= 1871), 6m (
n
= 1736), and 12m (
n
= 1607) post-injury, 95–99% received valid completion scores on the FAB, in full or in part, either in person or by telephone. Level of function assessed by the FAB-enabled approach at 2w was associated with 6m and 12m GOSE scores (proportional odds
p
< 0.001). These findings suggest that the participant classification methodology afforded by the FAB may enable more effective data collection to improve detection of natural history changes and TBI treatment effects.</description><identifier>ISSN: 0897-7151</identifier><identifier>EISSN: 1557-9042</identifier><identifier>DOI: 10.1089/neu.2022.0141</identifier><identifier>PMID: 36097759</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Brain Injuries, Traumatic - diagnosis ; Brain Injuries, Traumatic - therapy ; Brain research ; Cognition & reasoning ; Cognitive ability ; Coma ; Consciousness ; Decision making ; Decision trees ; Feasibility Studies ; Glasgow Outcome Scale ; Humans ; Longitudinal Studies ; Neuropsychology ; Original ; Original Articles ; Outcome Assessment, Health Care ; Participation ; Quality of life ; Trauma ; Traumatic brain injury</subject><ispartof>Journal of neurotrauma, 2023-02, Vol.40 (3-4), p.337-348</ispartof><rights>2023, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright Mary Ann Liebert, Inc. Feb 2023</rights><rights>Copyright 2023, Mary Ann Liebert, Inc., publishers 2023 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-28732cda3204a62f3aeb1d8353ee01f9a323b09e015791c6804b844fc5f7c5573</citedby><cites>FETCH-LOGICAL-c420t-28732cda3204a62f3aeb1d8353ee01f9a323b09e015791c6804b844fc5f7c5573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36097759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bodien, Yelena G</creatorcontrib><creatorcontrib>Barber, Jason</creatorcontrib><creatorcontrib>Taylor, Sabrina R</creatorcontrib><creatorcontrib>Boase, Kim</creatorcontrib><creatorcontrib>Corrigan, John D</creatorcontrib><creatorcontrib>Dikmen, Sureyya</creatorcontrib><creatorcontrib>Gardner, Raquel C</creatorcontrib><creatorcontrib>Kramer, Joel H</creatorcontrib><creatorcontrib>Levin, Harvey</creatorcontrib><creatorcontrib>Machamer, Joan</creatorcontrib><creatorcontrib>McAllister, Thomas</creatorcontrib><creatorcontrib>Nelson, Lindsay D</creatorcontrib><creatorcontrib>Ngwenya, Laura B</creatorcontrib><creatorcontrib>Sherer, Mark</creatorcontrib><creatorcontrib>Stein, Murray B</creatorcontrib><creatorcontrib>Vassar, Mary</creatorcontrib><creatorcontrib>Whyte, John</creatorcontrib><creatorcontrib>Yue, John K</creatorcontrib><creatorcontrib>Markowitz, Amy</creatorcontrib><creatorcontrib>McCrea, Michael A</creatorcontrib><creatorcontrib>Manley, Geoffrey T</creatorcontrib><creatorcontrib>Temkin, Nancy</creatorcontrib><creatorcontrib>Giacino, Joseph T</creatorcontrib><creatorcontrib>the TRACK-TBI Investigators</creatorcontrib><title>Feasibility and Utility of a Flexible Outcome Assessment Battery for Longitudinal Traumatic Brain Injury Research: A TRACK-TBI Study</title><title>Journal of neurotrauma</title><addtitle>J Neurotrauma</addtitle><description>The effects of traumatic brain injury (TBI) are difficult to measure in longitudinal cohort studies, because disparate pre-injury characteristics and injury mechanisms produce variable impairment profiles and recovery trajectories. In preparation for the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) study, which followed patients with injuries ranging from uncomplicated mild TBI to coma, we designed a multi-dimensional Flexible outcome Assessment Battery (FAB). The FAB relies on a decision-making algorithm that assigns participants to a Comprehensive (CAB) or Abbreviated Assessment Battery (AAB) and guides test selection across all phases of recovery. To assess feasibility of the FAB, we calculated the proportion of participants followed at 2 weeks (2w) and at 3, 6, and 12 months (3m, 6m, 12m) post-injury who completed the FAB and received valid scores. We evaluated utility of the FAB by examining differences in 6m and 12m Glasgow Outcome Scale-Extended (GOSE) scores between participant subgroups derived from the FAB-enabled versus traditional approach to outcome assessment applied at 2w. Among participants followed at 2w (
n
= 2094), 3m (
n
= 1871), 6m (
n
= 1736), and 12m (
n
= 1607) post-injury, 95–99% received valid completion scores on the FAB, in full or in part, either in person or by telephone. Level of function assessed by the FAB-enabled approach at 2w was associated with 6m and 12m GOSE scores (proportional odds
p
< 0.001). These findings suggest that the participant classification methodology afforded by the FAB may enable more effective data collection to improve detection of natural history changes and TBI treatment effects.</description><subject>Brain Injuries, Traumatic - diagnosis</subject><subject>Brain Injuries, Traumatic - therapy</subject><subject>Brain research</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>Coma</subject><subject>Consciousness</subject><subject>Decision making</subject><subject>Decision trees</subject><subject>Feasibility Studies</subject><subject>Glasgow Outcome Scale</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Neuropsychology</subject><subject>Original</subject><subject>Original Articles</subject><subject>Outcome Assessment, Health Care</subject><subject>Participation</subject><subject>Quality of life</subject><subject>Trauma</subject><subject>Traumatic brain injury</subject><issn>0897-7151</issn><issn>1557-9042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1vEzEQxS0EoqFw5Ioscellgz924zUHpCQibUSkSiU9W17vbOto1y62F5E7fzhepVTAhZNHfj-_8cxD6C0lc0pq-cHBOGeEsTmhJX2GZrSqRCFJyZ6jWdZFIWhFz9CrGA-EUL5g4iU64wsihajkDP3cgI62sb1NR6xdi2_TqfYd1njTww_b9ICvx2T8AHgZI8Q4gEt4pVOCcMSdD3jn3Z1NY2ud7vE-6HHQyRq8Cto6vHWHMXM3EEEHc_8RL_H-Zrn-UuxXW_w1vzq-Ri863Ud483ieo9vN5_36qthdX27Xy11hSkZSwWrBmWk1Z6TUC9ZxDQ1ta15xAEI7mQXeEJnrSkhqFjUpm7osO1N1wuS18HP06eT7MDYDtCaPEXSvHoIddDgqr636W3H2Xt3570pKknvybHDxaBD8txFiUoONBvpeO_BjVEzQkiwqVtYZff8PevBjyPuZqIxxTiuZqeJEmeBjDNA9fYYSNeWrcr5qyldN-Wb-3Z8TPNG_A80APwHTtXaut9BASP-x_QUQL7Ke</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Bodien, Yelena G</creator><creator>Barber, Jason</creator><creator>Taylor, Sabrina R</creator><creator>Boase, Kim</creator><creator>Corrigan, John D</creator><creator>Dikmen, Sureyya</creator><creator>Gardner, Raquel C</creator><creator>Kramer, Joel H</creator><creator>Levin, Harvey</creator><creator>Machamer, Joan</creator><creator>McAllister, Thomas</creator><creator>Nelson, Lindsay D</creator><creator>Ngwenya, Laura B</creator><creator>Sherer, Mark</creator><creator>Stein, Murray B</creator><creator>Vassar, Mary</creator><creator>Whyte, John</creator><creator>Yue, John K</creator><creator>Markowitz, Amy</creator><creator>McCrea, Michael A</creator><creator>Manley, Geoffrey T</creator><creator>Temkin, Nancy</creator><creator>Giacino, Joseph T</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230201</creationdate><title>Feasibility and Utility of a Flexible Outcome Assessment Battery for Longitudinal Traumatic Brain Injury Research: A TRACK-TBI Study</title><author>Bodien, Yelena G ; 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In preparation for the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) study, which followed patients with injuries ranging from uncomplicated mild TBI to coma, we designed a multi-dimensional Flexible outcome Assessment Battery (FAB). The FAB relies on a decision-making algorithm that assigns participants to a Comprehensive (CAB) or Abbreviated Assessment Battery (AAB) and guides test selection across all phases of recovery. To assess feasibility of the FAB, we calculated the proportion of participants followed at 2 weeks (2w) and at 3, 6, and 12 months (3m, 6m, 12m) post-injury who completed the FAB and received valid scores. We evaluated utility of the FAB by examining differences in 6m and 12m Glasgow Outcome Scale-Extended (GOSE) scores between participant subgroups derived from the FAB-enabled versus traditional approach to outcome assessment applied at 2w. Among participants followed at 2w (
n
= 2094), 3m (
n
= 1871), 6m (
n
= 1736), and 12m (
n
= 1607) post-injury, 95–99% received valid completion scores on the FAB, in full or in part, either in person or by telephone. Level of function assessed by the FAB-enabled approach at 2w was associated with 6m and 12m GOSE scores (proportional odds
p
< 0.001). These findings suggest that the participant classification methodology afforded by the FAB may enable more effective data collection to improve detection of natural history changes and TBI treatment effects.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>36097759</pmid><doi>10.1089/neu.2022.0141</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0897-7151 |
| ispartof | Journal of neurotrauma, 2023-02, Vol.40 (3-4), p.337-348 |
| issn | 0897-7151 1557-9042 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Brain Injuries, Traumatic - diagnosis Brain Injuries, Traumatic - therapy Brain research Cognition & reasoning Cognitive ability Coma Consciousness Decision making Decision trees Feasibility Studies Glasgow Outcome Scale Humans Longitudinal Studies Neuropsychology Original Original Articles Outcome Assessment, Health Care Participation Quality of life Trauma Traumatic brain injury |
| title | Feasibility and Utility of a Flexible Outcome Assessment Battery for Longitudinal Traumatic Brain Injury Research: A TRACK-TBI Study |
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