Reliability, Sensitivity, and Specificity of the VA Traumatic Brain Injury Screening Tool
| Autor: | C. J. Kittleson, Michelle Alt, Gary C. Warner, Charles B. Bradshaw, Janet E. Constance, Mina Dunnam, James P. Donnelly, Kerry Donnelly |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Invasive mycoses and compromised host Translational research [N4i 2] medicine.medical_specialty Psychometrics Traumatic brain injury Poison control Physical Therapy Sports Therapy and Rehabilitation Sensitivity and Specificity Young Adult Surveys and Questionnaires Injury prevention medicine Humans Outpatient clinic Prospective cohort study Psychiatry Iraq War 2003-2011 Veterans Afghan Campaign 2001 business.industry Rehabilitation Neuropsychology Odds ratio Middle Aged medicine.disease Polytrauma United States humanities Brain Injuries Physical therapy Female Neurology (clinical) business |
| Zdroj: | Journal of Head Trauma Rehabilitation, 26, 439-453 Journal of Head Trauma Rehabilitation, 26, 6, pp. 439-453 |
| ISSN: | 0885-9701 |
| Popis: | Item does not contain fulltext OBJECTIVE:: To provide item analyses, estimates of temporal reliability and internal consistency, and examination of the sensitivity and specificity of a traumatic brain injury-screening tool. PARTICIPANTS:: Five hundred veterans of the wars in Iraq and Afghanistan enrolled in the study, approximately half of whom (248) volunteered. The remaining 252 participants were referred to Veteran Affairs (VA) neuropsychology or polytrauma clinics. DESIGN:: This psychometric study constitutes part of a larger 4-year, multisite prospective cohort study of veterans returning from Iraq and Afghanistan. SETTING:: Five VA medical centers and one VA outpatient clinic. MAIN MEASURES:: Veteran traumatic brain injury screening tool (VATBIST), a structured diagnostic interview for traumatic brain injury; a military-oriented posttraumatic stress disorder checklist. RESULTS:: The VATBIST appeared to have high-internal consistency (0.77) and test-retest reliability (0.80), high sensitivity (0.94) and moderate specificity (0.59). Diagnostic odds ratios for the screening tool ranged from 12.6 for the total sample to 24, when veterans with probable posttraumatic stress disorder were excluded from analysis. CONCLUSIONS:: The VATBIST appears to be a reliable and valid instrument. The presence of significant posttraumatic stress disorder symptoms, however, reduces the accuracy of the measure and highlights the need for careful clinical follow-up of persons who screen positive. |
| Databáze: | OpenAIRE |
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