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When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support
Brain Injury, Volume: 32, Issue: 2, Pages: 218 - 229
Swansea University Author:
Claire Williams
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DOI (Published version): 10.1080/02699052.2017.1406989
Abstract
Context is critical to the interpretation of measurement instruments that capture acquired brain injury (ABI) outcomes. Ratings reflect behaviours and abilities observed in a particular setting; it cannot be assumed that results are generalizable beyond these. This study explored the utility of a me...
Published in: | Brain Injury |
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ISSN: | 0269-9052 1362-301X |
Published: |
Taylor and Francis
2017
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URI: | https://cronfa.swan.ac.uk/Record/cronfa37300 |
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2020-07-14T15:44:33.1673456 v2 37300 2017-12-01 When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support 21dc2ebf100cf324becc27e8db6fde8d 0000-0002-0791-744X Claire Williams Claire Williams true false 2017-12-01 HPS Context is critical to the interpretation of measurement instruments that capture acquired brain injury (ABI) outcomes. Ratings reflect behaviours and abilities observed in a particular setting; it cannot be assumed that results are generalizable beyond these. This study explored the utility of a method to convey the impact of context-dependent support given on ratings of neurobehavioural disability (NBD) using the St Andrews-Swansea Neurobehavioural Outcome Scale (SASNOS). A supplementary SASNOS scoring system was developed using a mixed-methods approach. Dependency ratings were used to recalibrate standardised SASNOS scores to reflect support received. To aid interpretation, an expert panel reviewed SASNOS ratings for 50 ABI cases participating in residential neurobehavioural rehabilitation programmes. An end-user survey was undertaken to explore some of its psychometric properties. Finally, a representative case study was employed to illustrate its clinical utility. The expert panel identified three dependency profiles: (1) Normal/Independent; (2) Normal/Dependent; and (3) Abnormal/Review. Survey results supported face and construct validity of the supplementary system; the case study demonstrated benefits of discriminating between dependency profiles. The supplementary scoring system enables SASNOS to convey the impact of support received on ratings of NBD, solidifying its usefulness for measuring outcomes in rehabilitation. Journal Article Brain Injury 32 2 218 229 Taylor and Francis 0269-9052 1362-301X Head injury, traumatic brain injury, assessment, neurobehavioural, rehabilitation 31 12 2017 2017-12-31 10.1080/02699052.2017.1406989 http://www.tandfonline.com/doi/full/10.1080/02699052.2017.1406989 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2020-07-14T15:44:33.1673456 2017-12-01T20:40:27.0804351 Faculty of Medicine, Health and Life Sciences School of Psychology Nick Alderman 1 Claire Williams 0000-0002-0791-744X 2 Rodger Ll. Wood 3 0037300-16022018155553.pdf 37300.pdf 2018-02-16T15:55:53.6200000 Output 584275 application/pdf Accepted Manuscript true 2018-11-30T00:00:00.0000000 true eng |
title |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support |
spellingShingle |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support Claire Williams |
title_short |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support |
title_full |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support |
title_fullStr |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support |
title_full_unstemmed |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support |
title_sort |
When normal scores don’t equate to independence: Recalibrating ratings of neurobehavioural disability from the ‘St Andrew’s – Swansea Neurobehavioural Outcome Scale’ to reflect context-dependent support |
author_id_str_mv |
21dc2ebf100cf324becc27e8db6fde8d |
author_id_fullname_str_mv |
21dc2ebf100cf324becc27e8db6fde8d_***_Claire Williams |
author |
Claire Williams |
author2 |
Nick Alderman Claire Williams Rodger Ll. Wood |
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Journal article |
container_title |
Brain Injury |
container_volume |
32 |
container_issue |
2 |
container_start_page |
218 |
publishDate |
2017 |
institution |
Swansea University |
issn |
0269-9052 1362-301X |
doi_str_mv |
10.1080/02699052.2017.1406989 |
publisher |
Taylor and Francis |
college_str |
Faculty of Medicine, Health and Life Sciences |
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facultyofmedicinehealthandlifesciences |
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Faculty of Medicine, Health and Life Sciences |
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Faculty of Medicine, Health and Life Sciences |
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School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology |
url |
http://www.tandfonline.com/doi/full/10.1080/02699052.2017.1406989 |
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description |
Context is critical to the interpretation of measurement instruments that capture acquired brain injury (ABI) outcomes. Ratings reflect behaviours and abilities observed in a particular setting; it cannot be assumed that results are generalizable beyond these. This study explored the utility of a method to convey the impact of context-dependent support given on ratings of neurobehavioural disability (NBD) using the St Andrews-Swansea Neurobehavioural Outcome Scale (SASNOS). A supplementary SASNOS scoring system was developed using a mixed-methods approach. Dependency ratings were used to recalibrate standardised SASNOS scores to reflect support received. To aid interpretation, an expert panel reviewed SASNOS ratings for 50 ABI cases participating in residential neurobehavioural rehabilitation programmes. An end-user survey was undertaken to explore some of its psychometric properties. Finally, a representative case study was employed to illustrate its clinical utility. The expert panel identified three dependency profiles: (1) Normal/Independent; (2) Normal/Dependent; and (3) Abnormal/Review. Survey results supported face and construct validity of the supplementary system; the case study demonstrated benefits of discriminating between dependency profiles. The supplementary scoring system enables SASNOS to convey the impact of support received on ratings of NBD, solidifying its usefulness for measuring outcomes in rehabilitation. |
published_date |
2017-12-31T03:46:57Z |
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1763752245800730624 |
score |
11.021648 |