title: Development and validity of the Brain Injury Alert (BI Alert) screening tool for cognitive, emotional and social problems after paediatric acquired brain injury.
abstract: OBJECTIVE
  Validation of a new screening tool, viz., the Brain Injury Alert (BI Alert) for identification of cognitive and emotional problems after traumatic brain injury (TBI) in children.
  
  
  METHODS
  Parents and teachers of children with TBI as well as controls were interviewed using the BI Alert. Validity was determined using reference instruments (CBCL and TRF; neuropsychological functioning).
  
  
  RESULTS
  The BI Alert was feasible; Required assessment time: 15 minutes. Parents and teachers of children with TBI (n = 42) reported significantly more problems compared to controls (n = 29). Internal consistency (α = 0.68 for parents and 0.82 for teachers) and inter-rater reliability (r > 0.66) were good. Test-re-test reliability was reasonable (r > 0.46). Correlations with CBCL were statistically significant for the parents (r range from 0.36-0.66) and TRF emotion for the teachers (r = 0.62). The correlations with the TRF cognition and school were statistically significant for the teachers (r range from 0.43-0.63). There were only low correlations with the neuropsychological tests.
  
  
  CONCLUSIONS
  The BI Alert is a useful, feasible and valid instrument for the cognitive screening of children with TBI by health professionals in primary care.
authors.affiliation: Adelante Center of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands. s.rasquin@adelante-zorggroep.nl
authors.forename: Sascha
authors.initials: S
authors.lastname: Rasquin
authors.forename: Caroline
authors.initials: C
authors.lastname: van Heugten
authors.forename: Ieke
authors.initials: I
authors.lastname: Winkens
authors.forename: Wilma
authors.initials: W
authors.lastname: Ritzen
authors.forename: Jos
authors.initials: J
authors.lastname: Hendriksen
authors.forename: Hans
authors.initials: H
authors.lastname: Vles
mesh_terms: D000293:Adolescent; D001930:Brain Injuries / Q000523:psychology*; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis* / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests / Q000592:standards*; D011788:Quality of Life / Q000523:psychology; D011795:Surveys and Questionnaires