McDonald Mollie Ann, Lu Lisa H, Curtiss Glenn, Cooper Douglas B, Bowles Amy O, Ray Melissa R, LeBlanc M Marina, Eapen Blessen C, Shura Robert, Turkstra Lyn
Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC), Salisbury VAMC, Salisbury, NC, United States.
Traumatic Brain Injury Center of Excellence (TBICoE), Military Health System, Silver Spring, MD, United States.
Front Neurol. 2025 Jul 23;16:1621265. doi: 10.3389/fneur.2025.1621265. eCollection 2025.
To develop an activity-focused self-report tool to guide selection of treatment targets in cognitive rehabilitation for adults with mild traumatic brain injury (mTBI).
Military and veteran treatment facilities.
Twenty-one service members and 32 veterans with a history of mTBI; 25 veterans with orthopedic injury (OI).
Clinical tool development.
Common Cognitive Complaints after Concussion (C4) questionnaire.
We reviewed measures used in mTBI research or clinic, to identify items that could be used for selecting activity-level therapy targets as part of a treatment planning tool. To establish face and content validity, an initial item pool was reviewed by five speech-language pathology or occupational therapy mTBI experts who selected items relevant to their clinical practice, gave feedback on item wording, and suggested additional items. The result was a questionnaire with 22 activity-based items and one bias-check item. The C4 was then used in a feasibility mTBI treatment trial to identify treatment targets, and clinicians provided feedback on its utility. The C4 was also administered to an OI group to evaluate the distinctiveness of the items to mTBI symptoms.
The C4 adequately captured activity-level functional impairments common to mTBI, and clinicians endorsed its utility as a useful tool to personalize treatment targets.
开发一种以活动为重点的自我报告工具，以指导轻度创伤性脑损伤（mTBI）成人认知康复治疗目标的选择。
军事和退伍军人治疗机构。
21名有mTBI病史的现役军人和32名退伍军人；25名有骨科损伤（OI）的退伍军人。
临床工具开发。
脑震荡后常见认知主诉（C4）问卷。
我们回顾了mTBI研究或临床中使用的测量方法，以确定可作为治疗计划工具一部分用于选择活动水平治疗目标的项目。为了建立表面效度和内容效度，由五名言语语言病理学或职业治疗mTBI专家对初始项目池进行了审查，他们选择了与其临床实践相关的项目，对项目措辞提供了反馈，并提出了其他项目。结果形成了一份包含22个基于活动的项目和一个偏差检查项目的问卷。然后将C4用于mTBI治疗可行性试验以确定治疗目标，临床医生对其效用提供了反馈。C4也被施用于OI组，以评估这些项目与mTBI症状的区别。
C4充分捕捉了mTBI常见的活动水平功能障碍，临床医生认可其作为个性化治疗目标的有用工具的效用。
