Using the OSU TBI-ID method for screening rural, older adults: a mixed methods feasibility study
Whitney Schneider-Cline1, Erin Bush2, Miechelle McKelvey1
1a Department of Communication Disorders , University of Nebraska Kearney , Kearney , NE , USA.
Brain Injury
|April 27, 2019
Summary
Training rural health professionals on the Ohio State University Traumatic Brain Injury Identification Method (OSU TBI-ID) is feasible. This screening tool effectively identified brain injuries in older adults, with 15% testing positive.
Area of Science:
- Gerontology
- Neurology
- Public Health
Background:
- Traumatic brain injuries (TBIs) are a significant concern in older adults.
- Screening tools are crucial for early detection, especially in underserved rural populations.
- Area Agencies on Aging (AAAs) health professionals are well-positioned to identify TBI.
Purpose of the Study:
- To assess the feasibility of training rural AAA health professionals on the OSU TBI-ID.
- To evaluate the implementation of the OSU TBI-ID screening process in AAA settings.
- To determine the prevalence of undiagnosed TBIs among older adults served by AAAs.
Main Methods:
- A mixed-methods design was employed.
- Training on the OSU TBI-ID was provided to AAA health professionals.
- Health professionals utilized the OSU TBI-ID to screen older adult clients, with qualitative focus groups conducted.
Main Results:
- AAA health professionals demonstrated rapid learning and correct application of the OSU TBI-ID.
- 15% of screened older adult clients tested positive for potential brain injury.
- Of those screening positive, 87% had no prior TBI diagnosis, indicating a high rate of underdiagnosis.
Conclusions:
- Training rural AAA health professionals on the OSU TBI-ID is feasible and effective.
- Implementing the OSU TBI-ID screening process is viable within AAA settings.
- The OSU TBI-ID can successfully identify previously undiagnosed TBIs in older adults.
Related Concept Videos
Methods for Studying Drug Absorption: In vitro
587
In vitro experiments are crucial for understanding the transport and absorption of drugs through biological materials. These studies employ varied methods such as the diffusion cell method, the everted sac technique, and the everted ring technique.
The diffusion cell method uses a two-compartment cell, including a donor compartment with the drug solution, which simulates the environment where the drug is applied, and a receptor compartment with a buffer solution, which simulates the environment...
The diffusion cell method uses a two-compartment cell, including a donor compartment with the drug solution, which simulates the environment where the drug is applied, and a receptor compartment with a buffer solution, which simulates the environment...
587
Methods for Studying Drug Absorption: In situ
651
In situ experiments, such as the Doluisio method and Single-Pass Perfusion technique, provide critical insights into drug uptake by simulating in vivo conditions for drug absorption.
The Doluisio method involves perfusing a prepared segment of a rat's small intestine with a solution of radiolabeled drug and a non-absorbable marker. This helps to differentiate between absorbed and non-absorbed drug concentrations. The intestinal segment is connected at both ends using tubing and syringes,...
The Doluisio method involves perfusing a prepared segment of a rat's small intestine with a solution of radiolabeled drug and a non-absorbable marker. This helps to differentiate between absorbed and non-absorbed drug concentrations. The intestinal segment is connected at both ends using tubing and syringes,...
651
Methods of Sterilization I: Physical Methods
23.5K
As used in a healthcare facility, sterilization destroys all microorganisms through physical or chemical methods. The physical method includes steam, dry heat, boiling water, and radiation.
Steam sterilization uses non-toxic, low-cost moist heat in the form of saturated steam under pressure, which is fast, microbicidal, and sporicidal, and quickly warms and penetrates fabrics. Autoclaves, or steam sterilizers, expose each item to direct steam contact for a predetermined time at the necessary...
Steam sterilization uses non-toxic, low-cost moist heat in the form of saturated steam under pressure, which is fast, microbicidal, and sporicidal, and quickly warms and penetrates fabrics. Autoclaves, or steam sterilizers, expose each item to direct steam contact for a predetermined time at the necessary...
23.5K
The Scientific Method
65.5K
Chemistry is an empirical science. Scientists often pose questions to understand the chemistry in everyday life and seek answers to these questions. To achieve this, scientists follow a definitive series of steps that together make up the Scientific Method. This approach involves making observations, asking questions, building a hypothesis, conducting experiments, analyzing results, and forming a conclusion.
65.5K
The Scientific Method
261.2K
The scientific method is a detailed, empirical problem-solving process used by biologists and other scientists. This iterative approach involves formulating a question based on observation, developing a testable potential explanation for the observation (called a hypothesis), making and testing predictions based on the hypothesis, and using the findings to create new hypotheses and predictions.
Generally, predictions are tested using carefully-designed experiments. Based on the outcome of these...
Generally, predictions are tested using carefully-designed experiments. Based on the outcome of these...
261.2K
Methods of Sterilization II: Chemical Methods
8.9K
In healthcare, the chemical method of sterilization uses chemical sterilants to treat surgical instruments and medical supplies to help prevent the transmission of infectious pathogens to patients. Due to heat sensitivity, most medical supplies and equipment should not be exposed to high temperatures. These parts include rubber, plastic, glass, and other similar elements.
Using chemical sterilization rather than heat to clean out equipment is recommended. It eradicates and removes all bacteria,...
Using chemical sterilization rather than heat to clean out equipment is recommended. It eradicates and removes all bacteria,...
8.9K


