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The Mild Traumatic Brain Injury Rest and Activity Questionnaire (MTBI-RAQ): A Pilot Study

机译：轻度创伤性脑损伤休息和活动问卷（MTBI-RAQ）：试点研究

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摘要

Objective: To develop a tool for assessing intentions to continue or change activities for recovery following mild traumatic brain injury (mTBI) and determine if they are dependent on injury context or activity type. Method: Adult volunteers with no (or no recent) history of mTBI were randomly allocated to one of two vignette conditions, each with a different injury context. The vignette described an mTBI due to a motor vehicle accident (MVA, n = 76) or sport (SPORT, n = 89). Volunteers reported their rest or activity plans for 39 behaviours comprising three behaviour types (cognitive, physical, and restful). Results: Compared to a cut-score representing no change, on average there was a significant (p <= .001) planned decrease in physical and cognitive behaviours (MVAphysical t(53) = 7.373; SPORTphysical t(41) = 9.281; MVAcognitive t(41) = 9.367; SPORTcognitive t(51) = ?3.521) and a significant planned increase in restful behaviours, such as sleep (MVArestful t(72) = 10.006; SPORTrestful t(86) = 9.566). An overall within-group effect for behaviour-type was not identified and there was no effect of condition (MVA vs. SPORT). Conclusion: The acute rest and activity plans for a simulated mTBI are behaviour specific and not dependent on context. An expectation for blanket-rest was not was observed but rest was planned for specific behaviours. This tool could be used to guide discussions with mTBI patients about their recovery so that their plans align with advice, and it could aid further research into the relation between intended and actual rest and activity and the effect on eventual outcomes.
机译：目的：开发一种用于评估意图的工具，以继续或改变在轻度创伤性脑损伤（MTBI）之后进行恢复的活动，并确定它们是否依赖于损伤背景或活动类型。方法：没有（近期）MTBI历史的成人志愿者被随机分配给两个小插图条件中的一个，每条小插图条件中的一个，每个伤害环境都有不同的伤害。 Vignette描述了由于机动车辆事故（MVA，N = 76）或运动（Sport，N = 89）引起的MTBI。志愿者报告了39项行为的休息或活动计划，包括三种行为类型（认知，物理和安宁）。结果：与表示没有变化的切割得分相比，平均值有显着的（P <= .001）的物理和认知行为（Mvaphysical T（53）= 7.373; Sportphysical T（41）= 9.281; mvAcognity T（41）= 9.367;运动认知T（51）=？3.521）和重大行为的重大计划增加，例如睡眠（Mvarestful T（72）= 10.006; Sportrestful T（86）= 9.566）。没有识别出行为类型的整体内部效果，并且没有任何影响（MVA对阵运动）。结论：模拟MTBI的急性休息和活动计划是特定的行为，不依赖于上下文。没有观察到毯子休息的期望，但休息是针对具体行为的计划。该工具可用于指导与MTBI患者讨论其恢复的讨论，以便他们的计划与建议保持一致，并且可以进一步研究预期和实际休息和活动之间的关系以及对最终结果的影响。

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