a Department of Physical Medicine and Rehabilitation , University of Texas Southwestern , Dallas , TX , USA.
b Department of Rehabilitation Counseling , University of Texas Southwestern , Dallas , TX , USA.
Disabil Rehabil. 2019 May;41(10):1200-1206. doi: 10.1080/09638288.2017.1423403. Epub 2018 Jan 5.
Develop and establish the content validity of the Behavioral Assessment Screening Tool (BAST), a self-reported measure of behavioral and emotional symptoms after traumatic brain injury.
This was an assessment development study, including two focus groups of individuals with traumatic brain injury (n = 11) and their family members (n = 10) and an expert panel evaluation of content validity by experts in traumatic brain injury rehabilitation (n = 7). We developed and assessed the Content Validity Index of the BAST.
The BAST initial items (n = 77) corresponded with an established conceptual model of behavioral dysregulation after traumatic brain injury. After expert panel evaluation and focus group feedback, the final BAST included 66 items (60 primary, 6 branching logic) rated on a three-level ordinal scale (Never, Sometimes, Always) with reference to the past two weeks, and an Environmental Context checklist including recent major life events (n = 23) and four open-ended questions about environmental factors. The BAST had a high Content Validity Index of 89.3%.
The BAST is a theoretically grounded, multidimensional self-reported assessment of behavioral dysregulation after traumatic brain injury, with good content validity. Future translation into mobile health modalities could improve effectiveness and efficiency of long-term symptom monitoring post-traumatic brain injury. Future work will establish and validate the factor structure, internal consistency reliabilities and other validities of the BAST. Implications for Rehabilitation Behavioral problems after traumatic brain injury is one of the strongest contributing factors to poor mood and community integration outcomes after injury. Behavior is complex and multidimensional, making it a challenge to measure and to monitor long term. The Behavioral Assessment Screening Tool (BAST) is a patient-oriented outcome assessment developed in collaboration with individuals with traumatic brain injury, their care partners, and experts in the field of traumatic brain injury rehabilitation to be relevant and accessible for adults with traumatic brain injuries. The BAST is a long-term monitoring and screening tool for community-dwelling adults with traumatic brain injuries, to improve identification and management of behavioral and emotional sequelae.
开发并建立行为评估筛查工具（BAST）的内容效度，该工具是一种创伤性脑损伤后行为和情绪症状的自我报告测量方法。
这是一项评估开发研究，包括两个创伤性脑损伤患者（n=11）及其家属（n=10）的焦点小组以及创伤性脑损伤康复专家组成的专家小组对内容效度的评估。我们开发并评估了 BAST 的内容效度指数。
BAST 的初始项目（n=77）与创伤性脑损伤后行为失调的既定概念模型相对应。在专家小组评估和焦点小组反馈后，最终的 BAST 包括 66 个项目（60 个主要项目，6 个分支逻辑），采用三级序数量表（从不、有时、总是）进行评分，并参考过去两周的情况，以及包含最近重大生活事件的环境背景检查表（n=23）和四个关于环境因素的开放式问题。BAST 的内容效度指数为 89.3%。
BAST 是一种基于理论的、多维的创伤性脑损伤后行为失调自我报告评估方法，具有良好的内容效度。未来将其转化为移动健康模式可能会提高创伤性脑损伤后长期症状监测的效果和效率。未来的工作将建立和验证 BAST 的因子结构、内部一致性信度和其他有效性。
创伤性脑损伤后的行为问题是导致受伤后情绪和社会融合不良的最强因素之一。行为复杂且多维，因此难以测量和长期监测。行为评估筛查工具（BAST）是一种以患者为中心的结果评估方法，与创伤性脑损伤患者、他们的照顾者以及创伤性脑损伤康复领域的专家合作开发，旨在为创伤性脑损伤患者提供相关性和可及性。BAST 是一种针对社区居住的成年创伤性脑损伤患者的长期监测和筛查工具，旨在提高行为和情绪后遗症的识别和管理。
