التفاصيل البيبلوغرافية
| العنوان: |
Reliable Change Indices for the Serial Administration of the Concussion Clinical Profiles Screening Tool. |
| المؤلفون: |
Durfee, Kori J.1, Schatz, Philip2, Kontos, Anthony P.3, Collins, Michael W.3, Womble, Melissa N.4, Jennings, Sabrina4, Ceola, Madison F.1, Elbin, R. J.1 rjelbin@uark.edu |
| المصدر: |
Journal of Athletic Training (Allen Press). Sep2024, Vol. 59 Issue 9, p934-940. 7p. |
| مصطلحات موضوعية: |
*BRAIN concussion diagnosis, *REFERENCE values, *DATA analysis, *RESEARCH funding, *MANN Whitney U Test, *DESCRIPTIVE statistics, *LONGITUDINAL method, *STATISTICAL reliability, *STATISTICS, *INTRACLASS correlation, *CONFIDENCE intervals, *COLLEGE students, *DATA analysis software |
| مستخلص: |
The Concussion Clinical Profiles Screening Tool (CP Screen) self-report concussion symptom inventory is often administered at weekly intervals. However, 1-week reliable change indices (RCIs) for clinical cutoffs and the test–retest reliability of the CP Screen are unknown. To document RCI cutoff scores and 1-week test–retest reliability for each profile and modifier of the CP Screen for men and women. Case series. A large US university. One hundred seventy-three healthy college students. Participants completed 2 administrations of the CP Screen 7 days apart. The CP Screen items yielded 5 clinical profiles and 2 modifiers. Spearman ρ coefficients (rs), intraclass correlation coefficients (ICCs), single measures, and unbiased estimates of reliability (UERs) were used to assess test-retest reliability. Wilcoxon signed-rank tests assessed differences across time. Reliable change index values and cutoff scores are provided at 90%/95% CIs. All analyses were performed for the total sample and separately for men and women. Reliable change index cutoffs for clinically significant change (increase/decrease) at a 90% CI for men were as follows: ocular, vestibular >2/>4; anxiety/mood, cognitive/fatigue, and migraine >3/>3; sleep >4/>6; and neck >2/>2. Reliable change index cutoffs for clinically significant change (increase/decrease) at a 90% CI for women were as follows: anxiety/mood ≥2/≥4; cognitive/fatigue, migraine, ocular, vestibular, and sleep ≥3/≥3; and neck ≥1/≥1. Correlations for the CP Screen ranged from 0.51 (migraine) to 0.79 (anxiety/mood) for the total sample, from 0.48 (migraine) to 0.84 (vestibular) for men, and from 0.51 (migraine) to 0.77 (ocular) for women. Test-retest indices for each profile and modifier were moderate to good for the total sample (ICC, 0.64–0.82; UER, 0.79–0.90), men (ICC, 0.60–0.87; UER, 0.76–0.94), and women (ICC, 0.64–0.80; UER, 0.78–0.89). The CP Screen is reliable and stable across a 1-week interval, and established RCIs for men and women can help identify meaningful change throughout recovery. [ABSTRACT FROM AUTHOR] |
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