Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Department of Rehabilitation Counseling, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Brain Inj. 2021 Jan 5;35(1):130-137. doi: 10.1080/02699052.2020.1857838. Epub 2020 Dec 29.
: Develop and validate the Behavioral Assessment Screening Tool for Adolescents with brain injury.: Concussion clinics: Adolescents with mild traumatic brain injury 3 months after initial concussion clinic visit (n = 138).: Assessment development and validation (cross-sectional cohort) study: Behavioral Assessment Screening Tool - Adolescent: Expert panel members added or modified items specific to adolescents to the original Behavioral Assessment Screening Tool for adults. The Content Validity Index was 97.2%. Exploratory factor analysis of the Behavioral Assessment Screening Tool - Adolescent reduced the initial 70 items to 46 primary items with a 3-factor solution: Negative Affect & Fatigue, Executive & Social Function, and Risk Behaviors. Internal consistency reliabilities ranged from good to excellent for all factors (Cronbach's α =.80-.95). We retained four secondary maladaptive coping items (from an initial six), though these require further modification and testing (Cronbach's α =.67).: The Behavioral Assessment Screening Tool for Adolescents, a measure of neurobehavioral symptoms after mild traumatic brain injury in adolescents, has a multidimensional factor structure with evidence of good internal consistency reliabilities. Future work will further evaluate its convergent and discriminant validity and employ item response theory analyses for validation in a new sample of adolescents with concussion.
行为评估筛查工具用于青少年脑损伤：脑震荡门诊：青少年脑震荡后 3 个月（n=138）。评估开发和验证（横断面队列）研究：青少年行为评估筛查工具——专家小组成员在成人原始行为评估筛查工具的基础上添加或修改了特定于青少年的项目。内容效度指数为 97.2%。青少年行为评估筛查工具的探索性因素分析将最初的 70 个项目减少到 46 个主要项目，有 3 个因素解决方案：负性情绪和疲劳、执行和社会功能以及风险行为。所有因素的内部一致性信度均为良好至优秀（克朗巴赫α=0.80-0.95）。我们保留了四个次要的适应性应对项目（最初有六个），尽管这些项目需要进一步修改和测试（克朗巴赫α=0.67）。青少年脑震荡后行为评估筛查工具是一种评估青少年轻度创伤性脑损伤后神经行为症状的工具，具有多维的因子结构，具有良好的内部一致性信度。未来的工作将进一步评估其收敛性和区分效度，并在新的脑震荡青少年样本中采用项目反应理论分析进行验证。
