Information Papers: Concussion/Mild Traumatic Brain Injury Health Care Outcomes

The following information papers for medical providers have been produced by DVBIC to provide clarification on general topics of interest related to TBI medical providers. DVBIC also produces TBI research information papers.

Neurobehavioral Symptom Inventory (NSI): Recommendations for Scoring and Serial Administration for Concussion Health Care Outcomes Standardization

The purpose of this paper is to provide a survey of the literature and best practices in scoring and measurement frequency for the NSI, one of two core measures selected for concussion health care outcomes in the Military Health System. This review provides the basis for recommendations for standardization by the Office of Outcomes and Assessments (OOA) at the Defense and Veterans Brain Injury Center (DVBIC). The paper was disseminated to stakeholders to initiate discussion on the use of the NSI in serial assessment for health care outcomes so as to develop consensus for a quad service solution to standardized implementation.

Patient Global Impression of Change (PGIC): Recommendations for Scoring and Serial Administration for Concussion Health Care Outcomes Standardization

Five domains of outcome and five measures were recommended for consideration of DOD stakeholders in the Military Health System (MHS) by the Office of Outcomes and Assessment (OOA) at the Defense and Veterans Brain Injury Center (DVBIC) for serial assessment of health care outcomes of military personnel diagnosed and treated for concussion. The PGIC was selected as one of the two core measures for concussion health care outcomes. This paper provides a survey of the literature and best practices in scoring and measurement frequency for the PGIC, a measure of domain of global outcome. This review informed the recommendations for standardization by the OOA at DVBIC. The paper was disseminated to stakeholders to summarize consensus on the use of the PGIC in serial assessment of concussion health care outcomes.

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