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Gainesville, FL, United States

Heaton S.C.,University of Florida | Donovan N.J.,Louisiana State University | Velozo C.,Rehabilitation Outcome Research Center | Velozo C.,University of Florida
Brain Injury | Year: 2012

Primary objective: To determine whether the psychometrics of the BRIEF-A are adequate for individuals diagnosed with TBI. Research design: A prospective observational study in which the BRIEF-A was collected as part of a larger study. Methods and procedures: Informant ratings of the 75-item BRIEF-A on 89 individuals diagnosed with TBI were examined to determine items level psychometrics for each of the two BRIEF-A indexes: Behaviour Rating Index (BRI) and Metacognitive Index (MI). Patients were either outpatients or at least 1 year post-injury. Main outcomes and results: Each index measured a latent trait, separating individuals into five-to-six ability levels and demonstrated good reliability (0.94 and 0.96). Four items were identified that did not meet the infit criteria. Conclusions: The results provide support for the use of the BRIEF-A as a supplemental assessment of executive function in TBI populations. However, further validation is needed with other measures of executive function. Recommendations include use of the index scores over the Global Executive Composite score and use of the difficulty hierarchy for setting therapy goals. © 2012 Informa UK Ltd.

Jia H.,Rehabilitation Outcome Research Center | Ried L.D.,Southwestern Oklahoma State University | Feng H.,Rehabilitation Outcome Research Center | Cameon R.,Rehabilitation Outcome Research Center | Wang X.,Rehabilitation Outcome Research Center
Journal of the American Pharmacists Association | Year: 2011

Objective: To examine the association between dispensing of a selective serotonin reuptake inhibitor (SSRI) antidepressant medication and inpatient and outpatient service use in a cohort of veterans with confirmed acute stroke. Design: Retrospective study. Setting: Southeastern U.S. Veterans Health Administration (VHA) network, from October 1, 2000, to September 30, 2001. Patients: 785 veterans with confirmed acute stroke. Intervention: VHA and Medicare databases were used to obtain outcome information during the 12 months after the index stroke date. Main outcome measures: Number of inpatient admissions, length of inpatient stays, and number of outpatient clinic stops for all causes. Results: Among the study cohort (n = 785), 12% had an SSRI dispensed 30 days or less poststroke, 19% had an SSRI dispensed between 31 and 365 days poststroke, and 69% were not dispensed an SSRI poststroke. After adjusting for risk factors, no significant association was found between time to first SSRI dispensing and inpatient use. However, patients with an early SSRI dispensing were more likely to have a greater number of all-cause outpatient stops compared with patients with later or no SSRI dispensing. Regardless of time to first dispensing, patients dispensed an SSRI had more outpatient clinic stops than patients without the medication. Conclusion: SSRI dispensing was not predictive of inpatient use but was a strong predictor of all-cause outpatient clinic stops.

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