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Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community

Nick Alderman, Claire Williams Orcid Logo, Rodger Wood

Neuropsychological Rehabilitation, Volume: 32, Issue: 9, Pages: 1 - 28

Swansea University Authors: Nick Alderman, Claire Williams Orcid Logo, Rodger Wood

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Abstract

Studies using the St Andrew’s - Swansea Neurobehavioural Outcome Scale (SASNOS) confirm neurobehavioural disability (NBD) is highly prevalent in inpatient Neurobehavioural Rehabilitation and Stroke samples. However, a recent study amongst a Danish community sample of acquired brain injury survivors...

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Published in: Neuropsychological Rehabilitation
ISSN: 0960-2011 1464-0694
Published: Informa UK Limited 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa57158
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spelling 2023-01-04T15:31:23.1025032 v2 57158 2021-06-17 Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community 1593af77d08757805fa8874face821b5 Nick Alderman Nick Alderman true false 21dc2ebf100cf324becc27e8db6fde8d 0000-0002-0791-744X Claire Williams Claire Williams true false 7d67e475699a3b3ab820b4a5d2602dc9 Rodger Wood Rodger Wood true false 2021-06-17 FGMHL Studies using the St Andrew’s - Swansea Neurobehavioural Outcome Scale (SASNOS) confirm neurobehavioural disability (NBD) is highly prevalent in inpatient Neurobehavioural Rehabilitation and Stroke samples. However, a recent study amongst a Danish community sample of acquired brain injury survivors found a relative paucity of NBD symptoms; and when symptoms were present, they tended to be of mild severity. The current observational study employed the SASNOS to explore prevalence of NBD in individuals with traumatic brain injury (TBI) living in the community, the extent of survivors’ self-awareness of NBD symptoms, and constructed prediction models of NBD. A de-identified data set was compiled, comprising data for 97 TBI survivors (74.2% men, mean time since injury 2.8 years). In addition to SASNOS self- and proxy-ratings, various demographic, clinical and injury related characteristics were captured. NBD was found to be highly characteristic, although severity varied depending on subtype. Statistical comparison of self-and proxy-ratings did not support reduced self- awareness regarding NBD, whereas treating the problem as one of inter-rater reliability suggested this was an issue. Executive impairment, depressed mood and sex were especially prognostic of NBD. Reasons accounting for differences in NBD between the community samples are discussed and recommendations for future research made. Journal Article Neuropsychological Rehabilitation 32 9 1 28 Informa UK Limited 0960-2011 1464-0694 Traumatic Brain Injury; Neurobehavioural Disability; Outcomes; Outcome Measurement; Inter-rater Reliability 28 6 2021 2021-06-28 10.1080/09602011.2021.1946092 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2023-01-04T15:31:23.1025032 2021-06-17T09:02:58.6463797 Faculty of Medicine, Health and Life Sciences School of Psychology Nick Alderman 1 Claire Williams 0000-0002-0791-744X 2 Rodger Wood 3 57158__20190__b9fb6b527bf84a62a474a3a6b966ac39.pdf 57158.pdf 2021-06-17T16:30:46.2747879 Output 481577 application/pdf Accepted Manuscript true 2022-06-28T00:00:00.0000000 Released under the terms of a Creative Commons Attribution Non-Commercial License true eng http://creativecommons.org/licenses/by-nc/4.0/ 57158__20191__5eccf2c6c0384d408b81bdfaad9d9cbb.pdf 57158_Supplementary.pdf 2021-06-17T16:33:27.5709168 Output 146652 application/pdf Supplemental material true 2022-06-28T00:00:00.0000000 Released under the terms of a Creative Commons Attribution Non-Commercial License (CC-BY-NC). true eng http://creativecommons.org/licenses/by-nc/4.0/
title Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
spellingShingle Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
Nick Alderman
Claire Williams
Rodger Wood
title_short Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
title_full Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
title_fullStr Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
title_full_unstemmed Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
title_sort Using the St Andrew’s – Swansea Neurobehavioural Outcome Scale (SASNOS) to determine prevalence and predictors of neurobehavioural disability amongst survivors with traumatic brain injury in the community
author_id_str_mv 1593af77d08757805fa8874face821b5
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author_id_fullname_str_mv 1593af77d08757805fa8874face821b5_***_Nick Alderman
21dc2ebf100cf324becc27e8db6fde8d_***_Claire Williams
7d67e475699a3b3ab820b4a5d2602dc9_***_Rodger Wood
author Nick Alderman
Claire Williams
Rodger Wood
author2 Nick Alderman
Claire Williams
Rodger Wood
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publishDate 2021
institution Swansea University
issn 0960-2011
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doi_str_mv 10.1080/09602011.2021.1946092
publisher Informa UK Limited
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department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
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description Studies using the St Andrew’s - Swansea Neurobehavioural Outcome Scale (SASNOS) confirm neurobehavioural disability (NBD) is highly prevalent in inpatient Neurobehavioural Rehabilitation and Stroke samples. However, a recent study amongst a Danish community sample of acquired brain injury survivors found a relative paucity of NBD symptoms; and when symptoms were present, they tended to be of mild severity. The current observational study employed the SASNOS to explore prevalence of NBD in individuals with traumatic brain injury (TBI) living in the community, the extent of survivors’ self-awareness of NBD symptoms, and constructed prediction models of NBD. A de-identified data set was compiled, comprising data for 97 TBI survivors (74.2% men, mean time since injury 2.8 years). In addition to SASNOS self- and proxy-ratings, various demographic, clinical and injury related characteristics were captured. NBD was found to be highly characteristic, although severity varied depending on subtype. Statistical comparison of self-and proxy-ratings did not support reduced self- awareness regarding NBD, whereas treating the problem as one of inter-rater reliability suggested this was an issue. Executive impairment, depressed mood and sex were especially prognostic of NBD. Reasons accounting for differences in NBD between the community samples are discussed and recommendations for future research made.
published_date 2021-06-28T04:12:40Z
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