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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.

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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.

Keywords:
Brain injuryCognitionOutcome assessmentPsychometricsRehabilitation

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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.