Responsiveness of instruments to assess disorders of consciousness: a literature review

Doig, Emmah J. and Lane-Brown, Amanda T. (2012) Responsiveness of instruments to assess disorders of consciousness: a literature review. Brain Impairment, 13 3: 285-315. doi:10.1017/BrImp.2012.29


Author Doig, Emmah J.
Lane-Brown, Amanda T.
Title Responsiveness of instruments to assess disorders of consciousness: a literature review
Journal name Brain Impairment   Check publisher's open access policy
ISSN 1443-9646
1839-5252
Publication date 2012-12
Year available 2012
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1017/BrImp.2012.29
Volume 13
Issue 3
Start page 285
End page 315
Total pages 31
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2013
Language eng
Formatted abstract
Objectives: To summarise available evidence for responsiveness of six key assessments used with patients with disorders of consciousness: Coma Recovery Scale –Revised (CRS-R), Disorders Of Consciousness Scale (DOCS), Sensory Modality Assessment and Rehabilitation Technique (SMART), Sensory Stimulation Assessment Measure (SSAM), Wessex Head Injury Matrix (WHIM), and the Western
Neuro Sensory Stimulation Profile (WNSSP).

Method:
A literature search of five electronic databases was conducted using a
systematic search strategy. Relevant literature was evaluated and pertinent information extracted.

Results: Database searches using key terms initially yielded 132 articles. Following
review for inclusion identified 24 articles. No studies were specifically designed to
investigate responsiveness of any of the measures and therefore responsiveness
data were either based on statistical significance of change post-treatment or
descriptive analysis of change scores. The majority of studies identified used the
CRS-R (n = 11), WHIM (n = 5) and WNSSP (n = 6) and have established responsiveness to change. There is some preliminary evidence for the responsiveness of the other measures, based on very few available studies: DOCS (n = 2), SMART (n = 1) or SSAM (n = 1).

Conclusion: Future studies should seek to include responsiveness analysis, particularly in relation to the DOCS, SMART and SSAM.
Keyword Outcome Measures
Consciousness
Assessment
Acquired Brain Injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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