Ages: Adolescents and Adults with TBI
Testing Time: 25 to 30 minutes
The Brief Test of Head Injury
(BTHI) can quickly probe cognitive, linguistic, and communicative
abilities of patients with severe head trauma. The BTHI provides useful
diagnostic information for immediate treatment and a baseline for
charting recovery. It is an ideal first assessment post-coma because it
is brief and efficient (25 to 30 minutes to administer and 10 minutes to
BTHI can be given to an individual in one or more short
sessions, if necessary. Its sensitivity to small performance changes
makes it useful for tracking recovery patterns during the period of
spontaneous recovery. Results can be used in advising other team members
on the best approaches for communicating with a patient and structuring
individualized treatment. Experienced clinicians can identify problem
areas to investigate more thoroughly, using modality specific
standardized tests or informal measures.
Item clusters include:
Orientation and Attention, Following Commands, Linguistic Organization,
Reading Comprehension, Naming, Memory, and Visual-Spatial Skills. The
test yields cluster raw and standard scores and a total. The Total Raw
Score can be converted to a percentile rank, standard score, or a
normative Severity Score (Severe, Moderate, Mild, or Borderline Normal).
Internal consistency coefficients were generally high: .65 to
.86 for item clusters and .95 for the BTHI Total Score. Test-retest
(average 17 days interim) yielded significantly higher retest means.
Correlations with the Glasgow Coma Scale at admission (.29) and at time of BTHI testing (.35) were low. Correlations with the Rancho Los Amigos Scale at time of BTHI testing were moderately high (.75).
COMPLETE BTHI KIT INCLUDES:Manual, 25 Record Forms, Stimulus Cards, and Manipulatives, all in a carrying case. (1991)