Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Other |
Demographics |
Age, sex, race/ethnicity, education, pre-injury occupation, insurance status, annual income |
baseline (24-72 hours pre-discharge) |
|
Other |
Clinical Factors |
TBI severity, length of stay, comorbidities (via chart review) |
baseline (24-72 hours pre-discharge) |
|
Primary |
Change in patient SF-36 (36-item Short Form Survey) score |
The SF-36 is a quality of life (QOL) measurement with a score range of 0 to 100, where a higher score indicates a better outcome. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient cognitive function (Neuro-QOL, Cognitive functioning) |
The Neuro-QOL is a self-report of health related quality of life for individuals with neurological disorders. Raw scores are converted to T-scores with a mean of 50 and standard deviation of 10. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient physical functioning (Neuro-QOL, Upper & Lower extremity functioning) |
The Neuro-QOL is a self-report of health related quality of life for individuals with neurological disorders. Raw scores are converted to T-scores with a mean of 50 and standard deviation of 10. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient sleep disturbance (NeuroQOL Sleep Disturbance, short-form) |
The Neuro-QOL is a self-report of health related quality of life for individuals with neurological disorders. Raw scores are converted to T-scores with a mean of 50 and standard deviation of 10. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient TBI-related symptoms (Rivermead Post-concussion questionnaire) |
The Rivermead Post-concussion questionnaire is a self-reported measures of TBI-related symptoms. Scores on the first 3 items of the RPQ can range from 0 to 12, with higher scores indicated higher severity of early symptom clusters of post-concussive symptoms; scores on items 4 to 16 can range from 0 to 52, with higher scores indicating higher severity of later post-concussive symptoms |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient participation [Participation Assessment with Recombined Tools-Objective (PART-O)] |
Participation will be measured using the Participation Assessment with Recombined Tools-Objective (PART-O), an objective measure of societal participation developed for patients with TBI with 24-items, with higher scores indicating higher levels of participation |
8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient process of care transition [Care Transitions Measure-3 (CTM-3)] |
The process of care transitions will be measured by the Care Transitions Measure-3, a 3-item scale with scores ranging from 0 to 100, with higher scores indicating less challenges with the transitional care process |
8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient and caregiver difficulty accessing services [Service Obstacles Scale (SOS)] |
Difficulty accessing services will be measured by the Service Obstacles Scale, a 6-item scale with scores ranging from 7 to 42, with higher scores indicating more difficulty accessing services |
8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient and caregiver quality of life / health status (Euro Qol, 5 Item [EQ-5D-5L]) + VAS (visual analog scale) + Cognitive domain (C) |
The EQ-5D-5L is a patient reported outcome consisting of 5 items asking about quality of life. EQ-5D-5L index scores range from -0.59 to 1, where 1 is the best possible health state. The VAS (visual analog scale) captures self-rated health. Patients with TBI will also complete the cognitive domain of the EuroQol (EQ-5D-5L+C), to capture condition specific issues, but caregivers will not. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient and caregiver multi-dimensional interpersonal processes of care in the clinical encounter [Interpersonal Processes of Care (IPC) short-form] |
Multi-dimensional interpersonal processes in the clinical encounter, particularly discrimination in the clinical encounter, will be measured using the Interpersonal Processes of Care survey (short-form). The measure, which contains 18-items, has 7 domains using a 1 to 5 scale, with scores ranging from 18 to 90. Higher scores indicate a higher frequency of interpersonal challenges and discrimination in the clinical encounter. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient and caregiver depressive symptoms [PHQ-9 (Patient Health Questionnaire-9)] |
The PHQ-9 assesses degree of depression severity via questionnaire. It has a score range of 0 to 27, where a higher score indicates greater depression. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient and caregiver Self-Efficacy for Management of Chronic Conditions Scale |
The Self-Efficacy to Manage Chronic Disease Scale is made up of 6 items on a visual analog scale, ranging from 1 (not at all confident) to 10 (totally confident). The total score range is 6 to 60, where a higher score indicates greater confidence. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in patient and caregiver alcohol and substance abuse (CAGE-AID Substance Abuse Screening Tool) |
Alcohol and substance use will be measured using the CAGE-AID Substance Use Screening Tool, a 5-item measure with scores ranging from 0 to 4, with higher scores indicating higher possibility of substance use disorder and need for possible testing |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Score on patient and family personal health literacy (Self-Reported Health Literacy Questions) |
Health literacy will be measured using the Self-Reported Health Literacy Questions, a 3-item measure with scores ranging from 3-15, with higher scores indicating lower self-reported health literacy. |
baseline (24-72 hours pre-discharge) |
|
Secondary |
Number and type of healthcare services utilized |
Measured by patient and/or caregiver proxy report of patient transitional health care utilization, using a survey developed by the team. |
8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in caregiver Modified Caregiver Strain Index (MCSI) |
The MCSI can quickly screen for caregiver strain in long-term caregivers. Scoring is 2 points for each 'yes', 1 point for each 'sometimes', and 0 for each 'no' response. The total score ranges from 0 to 26, where a higher score indicates a higher level of caregiver strain. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Change in caregiver Preparedness for Caregiving Scale |
The Preparedness for Caregiving Scale is a caregiver self-rated instrument that consists of eight items that asks caregivers how well prepared they believe they are for multiple domains of caregiving. Responses are rated on a 5 point scale with scores ranging from 0 (not at all prepared) to 4 (very well prepared). The scale is scored by calculating the mean of all items answered with a score range of 0 to 4. The higher the score the more prepared the caregiver feels for caregiving. |
baseline (24-72 hours pre-discharge); 8-, 16-, and 24-weeks post-discharge |
|
Secondary |
Score on Pittsburgh Rehabilitation Participation Scale (PRPS) |
The interventionist/transitional care manager will rate the patient and the caregiver on the Pittsburgh Rehabilitation Participation Scale (PRPS) to capture their level of engagement in Brain Injury Coping Skills (BICS) sessions. The PRPS is a clinician-rated instrument designed to assess a patient's participation in therapy. The PRPS will only be used for treatment arm participants. |
weekly from 1- to 16-weeks post-discharge |
|