Table 3.
COMPASSgoal assessment battery
| Domain | Test | Description | Administered |
|---|---|---|---|
| Cognitive functioning and TBI severity | VHA TBI Comprehensive Evaluation screening tool [67] | This is a reliable measure for detecting cognitive impairment in service members. If the veteran does not have a CTBIE available in the medical record, questions 6–8 will be collected by an IRB-approved member of the Polytrauma team. | Exclusionary screening |
| Demographic information | Patient Information Form | 8 questions about demographics | Exclusionary Screening |
| Mental health | M.I.N.I. International Neuropsychiatric Interview (M.I.N.I.) 7.0.0 [69–72] | This is a reliable measure of mental disorders from DSM-V. | Exclusionary Screening |
| Executive dysfunction | FrSBe [68, 78, 79] | 46-items. Both self-report and family-report. | Exclusionary screening, T2, and T3 |
| Trail Making Test (TMT) [80, 81] | This is a measure of cognitive processing speed, mental sequencing, visual search and motor speed that consists of two components: Part A and Part B. Part A requires the subject to connect 15 encircled numbers that are randomly arranged on a page in numerical order. Part B requires the subject to connect 15 encircled numbers and letters in alternating order. The score provided is the time required to complete the task. | T1, T2, and T3 | |
| Controlled Oral Word Association Test (COWAT) [82, 83] | This is a measure of word generation and is considered an executive functioning measure. Letter fluency requires the person to generate words that start with a specific letter. Each trial lasts one minute, and the score is based on the number of words provided. | T1, T2, and T3 | |
| PTSD-related functional impairment | Brief Inventory of Psychosocial Functioning (B-IPF) [88] | The B-IPF is a 14-item self-report instrument that measures functional impairment across several domains, including self-care, intimate relationships, familial relationships, work, friendship and socializing, parenting, and education. Each domain is composed of two questions. The first asks respondents to rate how much difficulty they have experienced in a domain during the past 30 days. The second question asks respondents to rate the amount of distress they have experienced related to those difficulties during the past 30 days. | T1, T2, and T3 |
| TBI self-efficacy | TBI Self-efficacy Questionnaire [91] | A 15-item TBI-specific scale of self-efficacy with regard to trauma to measure individual abilities to manage TBI consequences. | T1, T2, and T3 |
| Emotional status and resilience | Brief Symptom Inventory −18 (BSI-18) assessment [86, 87] | A paper-and-pencil scale that consists of 18 items to measure depression, anxiety, somatic concerns, and general distress. It is a 5-point rating scale and is part of the CDE set. | T1, T2, and T3 |
| Post-traumatic Stress Disorder Checklist for DSM-V (PCL-V) [84] | The presence of PTSD symptoms. PCL-V is a 20-item self-report scale updated for the DSM-V to measure stress signs, intrusive thoughts, avoidance, behavior, and arousal symptoms. | T1, T2, and T3 | |
| CRIS (Fixed Form; Resnik L.) [93–95] | 107 veteran-specific items assessing extent of participation, perceived limitation in participation, and participation satisfaction | T1, T2, and T3 | |
| Social participation via ICF qualifiers: Return to work and/or to school as defined by the ICF framework [60] | Work status/educational attainment confirmed by a family member/immediate caregiver or another reliable source | T1, T2, and T3 | |
| Overall well-being | Libin Verbal-Pictorial Association Standardized Personality Test (LIS) [89, 90] | The purpose of the test is to explore the personal meaning of drawings made as a response to 15 standardized verbal concepts 12. | T1, T2, and T3 |
| Global measure of well-being and life satisfaction | Satisfaction with Life Scale (SWLS) [96] | Self-report based on a 5-item scale | T1, T2, and T3 |
*Tests performed by attending clinician or as part of the routine care at the DC VAMC