Validity of the Brief Test of Adult Cognition by Telephone in Level 1 Trauma Center Patients Six Months Post-Traumatic Brain Injury: A TRACK-TBI Study.
Validity of the Brief Test of Adult Cognition by Telephone in Level 1 Trauma Center Patients Six Months Post-Traumatic Brain Injury: A TRACK-TBI Study.
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通过电话对 1 级创伤中心患者创伤性脑损伤后六个月进行成人认知能力简短测试的有效性：一项 TRACK-TBI 研究。
DOI：
10.1089/neu.2020.7295
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发表时间：
2021
影响因子：
4.2
通讯作者：
BritishNeurosurgicalTrai
中科院分区：
文献类型：
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作者：
Nelson,LindsayD;Barber,JasonK;Temkin,NancyR;Dams-O'Connor,Kristen;Dikmen,Sureyya;Giacino,JosephT;Kramer,MarkD;Levin,HarveyS;McCrea,MichaelA;Whyte,John;Bodien,YelenaG;Yue,JohnK;Manley,GeoffreyT;BritishNeurosurgicalTrai
我们的目的是检验成人电话认知简短测验（BTACT）的构效度及其与不同程度的创伤性脑损伤（TBI）的关系。本文分析了来自多中心TBI转化研究和临床知识研究（TRACK-TBI）的1422例TBI患者和170例骨科创伤对照组（OTC）的数据。参与者在受伤后6个月用BTACT和现场神经心理电池进行评估。我们检验了BTACT的因子结构、因子组不变性、收敛效度和判别效度，以及与TBI和TBI严重程度的关系。验证性因子分析支持1因素模型和2因素模型，包括相关情景记忆和执行功能（EF）因素。两种模型都显示了TBI严重程度和OTC组之间的严格不变性。BTACT和标准测量之间的相关性表明，BTACT记忆指数主要反映言语情景记忆，而BTACT EF因素与多种认知测试相关。虽然EF因子和其他BTACT指数显示与TBI和TBI严重程度有显著关系，但对于更全面的面对面认知测试，某些组效应值比BTACT更大。BTACT是一种很有前途的、简短的、基于手机的TBI患者认知筛查工具。虽然BTACT的记忆项目似乎是对言语情景记忆的索引，但那些旨在评估ef的项目可能反映了更广泛的认知领域。BTACT对TBI严重程度的敏感性低于特定领域的神经心理学测量，这表明它不应该被用作TBI后6个月全面的、面对面的认知测试的替代品。
Our objective was to examine the construct validity of the Brief Test of Adult Cognition by Telephone (BTACT) and its relationship to traumatic brain injury (TBI) of differing severities. Data were analyzed on 1422 patients with TBI and 170 orthopedic trauma controls (OTC) from the multi-center Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) study. Participants were assessed at 6 months post-injury with the BTACT and an in-person neuropsychological battery. We examined the BTACT's factor structure, factorial group invariance, convergent and discriminant validity, and relationship to TBI and TBI severity. Confirmatory factor analysis supported both a 1-factor model and a 2-factor model comprising correlated Episodic Memory and Executive Function (EF) factors. Both models demonstrated strict invariance across TBI severity and OTC groups. Correlations between BTACT and criterion measures suggested that the BTACT memory indices predominantly reflect verbal episodic memory, whereas the BTACT EF factor correlated with a diverse range of cognitive tests. Although the EF factor and other BTACT indices showed significant relationships with TBI and TBI severity, some group effect sizes were larger for more comprehensive in-person cognitive tests than the BTACT. The BTACT is a promising, brief, phone-based cognitive screening tool for patients with TBI. Although the BTACT's memory items appear to index verbal Episodic Memory, items that purport to assess EFs may reflect a broader array of cognitive domains. The sensitivity of the BTACT to TBI severity is lower than domain-specific neuropsychological measures, suggesting it should not be used as a substitute for comprehensive, in-person cognitive testing at 6 months post-TBI.