3.3 - TBI - Formal Assessment Flashcards
What 2 factors should we consider for formal TBI assessments?
Test length and ease of administration
How test is perceived by patients
What are 4 questions we should ask before choosing a formal TBI assessment?
Is it appropriate for the testing environment
Is it appropriate for the patient’s cognitive Level
Is it likely to facilitate or increase patient’s level of agitation
Can you finish the test in one session and what are the implications of not finishing (e.g. change in cognitive level)
What is the Cognitive-Linguistic Quick Test?
A test to quickly identify strengths and weaknesses in five cognitive domains
What cognitive domains are assessed in the Cognitive-Linguistic Quick Test?
Attention
Memory
Executive functions
Language
Visuospatial skills
How long does it take to administer the Cognitive-Linguistic Quick Test?
5 - 30 minutes
Where can the Cognitive-Linguistic Quick Test be administered?
(2)
At a table
At patient’s bedside
What testing languages can be used to administer the Cognitive-Linguistic Quick Test?
(2)
English
Spanish
What is the Ross Information Processing Assessment Second Edition (RIPA-2)?
(1+2)
A test to…
- Quickly quantify levels of cognitive-linguistic deficits in TBI victims
- Compare severity levels in each of 10 areas tested:
What 10 areas are assessed in the Ross Information Processing Assessment Second Edition (RIPA-2)?
Immediate Memory
Recent Memory
Temporal Orientation (Recent Memory)
Temporal Orientation (Remote Memory)
Spatial Orientation
Orientation to Environment
Recall of General Information
Problem Solving and Abstract Reasoning
Organization
Auditory Processing and Retention
What is the Brief Test of Head Injury (BTHI)?
2
A test to quickly probes cognitive, linguistic, and communicative abilities of patients with severe head trauma
Ideal first assessment post-coma
How long does it take to administer the Brief Test of Head Injury (BTHI)?
To score it?
25 - 30 minutes
10 minutes to score
What are the benefits of the Brief Test of Head Injury (BTHI)?
It’s sensitive to small performance changes
It’s useful for tracking recovery patterns during the period of spontaneous recovery
What are the 7 Subtests in the Brief Test of Head Injury (BTHI)?
Orientation + Attention
Following Commands
Linguistic Organization
Reading Comprehension
Naming
Memory
Visual- Spatial Skills
At what Glasgow Coma Scale would you give the Brief Test of Head Injury (BTHI)??
IV-V
What are the Scales of Cognitive Ability in Traumatic Brain Injury (SCATBI)?
An assessment of cognitive and linguistic abilities of adolescent and adult patients with head injuries
How long does it take to administer the Scales of Cognitive Ability in Traumatic Brain Injury (SCATBI)?
30 minutes – 2 hours
What 5 subtests are contained in the Scales of Cognitive Ability in Traumatic Brain Injury (SCATBI)
Perception
Discrimination
Orientation
Organization
Recall + Reasoning
What does the Test of Everyday Attention (TEA) measure?
1+3
Three aspects of attention
- Selective attention
- Sustained attention
- Attentional switching
How long does it take to administer the Test of Everyday Attention (TEA)?
45 - 60 minutes
What are the 8 subtests on the Test of Everyday Attention (TEA)?
Map Search
Elevator Counting
Elevator Counting with Distractions
Visual Elevator
Auditory Elevator with Reversal
Telephone Search
Telephone Search Dual Task
Lottery
What is the Rivermead Behavioral Memory Test (RBMT) designed to assess?
Memory skills related to everyday situations
What is the Riverbed Behavioral Memory Test (RBMT) useful for?
Predicting everyday life task memory problems
How long does it take to administer the Riverbed Behavioral Memory Test (RBMT)?
20 - 30 minutes
What are the 9 subtests in the Riverbed Behavioral Memory Test (RBMT)?
Remembering an appointment
Remembering a short route: immediate and delayed
Remembering a belonging
Remembering to deliver a message
Picture recognition
Orientation
Story recall: immediate and delayed
Remembering a name
Face recognition
What is the Wechler Memory Scale (WMS-IV) designed to assess?
(3)
Learning
Memory
Working memory
How long does it take to administer the Wechler Memory Scale (WMS-IV)?
30 - 35 minutes
How many primary indexes are in the Wechler Memory Scale (WMS-IV)?
How many supplemental indexes?
8 primary indexes
4 supplemental
What are the 8 primary indexes of the Wechler Memory Scale (WMS-IV)?
Auditory Immediate
Visual Immediate
Immediate Memory
Auditory Delayed
Visual Delayed
Auditory Reception Delayed
General Memory
Working Memory
Why is proper test administration important?
Assures reliability & validity of results
Satisfies ethical standards and codes of responsibility
What is “standardization”?
Uniform procedures for administering tests for
- Observation
- Equipment
- Materials
- Scoring rules
Why is formal assessment standardization important?
To keep results as objective as possible
To compare test results
Can accommodations be added to formal assessments?
Do these changes the validity of the score?
Yes but this needs to be modified
No
What kinds of accommodations can be added to formal assessments?
Format
Response
Setting
Timing
Scheduling
What is a modification to a formal assessment?
A change in administration that alters the comparability of scores
