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Functional Cognition-Patient Reported Outcomes Short Forms and Keyform Ability Maps.
Pey-Shan Wen1, Julia Kay Waid-Ebbs2,3, Craig A Velozo4
1Department of Occupational Therapy, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA.
Summary
Developed Functional Cognition-Patient Reported Outcome (FC-PRO) short forms and ability maps offer efficient measurement of cognitive challenges post-traumatic brain injury (TBI). These tools aid therapists and patients in collaborative goal setting for rehabilitation.
Area of Science:
- Rehabilitation Medicine
- Neuroscience
- Psychometrics
Background:
- Cognitive impairments are common after traumatic brain injury (TBI), impacting daily functioning.
- Existing measures may lack efficiency or patient-centered goal-setting capabilities.
- The Functional Cognition-Patient Reported Outcome (FC-PRO) is a patient-reported outcome measure designed to assess functional cognition.
Purpose of the Study:
- To develop and validate item-level psychometrics for FC-PRO short forms.
- To create keyform ability maps for enhanced measurement efficiency and collaborative goal setting.
- To assess the utility of these tools for patients with moderate to severe TBI.
Main Methods:
- Rasch modeling was applied to existing FC-PRO data from a cross-sectional study of TBI survivors.
- Short forms (13-15 items) were developed for Attention, Memory, Processing Speed, and Emotional Management domains.
- Keyform ability maps were generated for each cognitive domain.
Main Results:
- Person separation reliability for short forms ranged from 0.77 to 0.82.
- Strong correlations (0.91-0.97) were observed between short-form and long-form person measures.
- Keyform ability maps effectively identified functional cognitive challenges appropriate for individual patients.
Conclusions:
- FC-PRO short forms provide efficient assessment of everyday cognitive challenges.
- Keyform ability maps facilitate goal setting and treatment planning for patients and therapists.
- Empowering patients to identify rehabilitation priorities through superimposed response patterns.
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