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

Published online by Cambridge University Press:  02 May 2018

Karen A. Sullivan  and
Rebecca Cox
Karen A. Sullivan*
Affiliation:
School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, Queensland, Australia Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Queensland, Australia
Rebecca Cox
Affiliation:
School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, Queensland, Australia
*
Address for correspondence: Karen A. Sullivan, O Block B Wing, Kelvin Grove Campus, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland 4059, Australia. E-mail: [email protected]
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Abstract

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 (MVAphysicalt(53) = 7.373; SPORTphysicalt(41) = 9.281; MVAcognitivet(41) = 9.367; SPORTcognitivet(51) = −3.521) and a significant planned increase in restful behaviours, such as sleep (MVArestfult(72) = 10.006; SPORTrestfult(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.

Keywords

Mild traumatic brain injuryhead injuryconcussionpsychological testphysical activityrest
Type
Articles
Information
Brain Impairment , Volume 19 , Special Issue 2: Mild Traumatic Brain Injury , September 2018 , pp. 141 - 152
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2018 

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