Comparison of FIM™ communication ratings for English versus non-English speakers in the traumatic brain injury model systems (TBIMS) national database

Anthony Lequerica; Denise Krch; Jean Lengenfelder; Nancy Chiaravalloti; Juan Carlos Arango-Lasprilla; Flora Hammond; Therese M. Oneil-Pirozzi; Paul B. Perrin; Angelle M. Sander

doi:10.3109/02699052.2015.1075144

Comparison of FIM™ communication ratings for English versus non-English speakers in the traumatic brain injury model systems (TBIMS) national database

Anthony Lequerica, Denise Krch, Jean Lengenfelder, Nancy Chiaravalloti, Juan Carlos Arango-Lasprilla, Flora Hammond, Therese M. Oneil-Pirozzi, Paul B. Perrin, Angelle M. Sander

Physical Medicine & Rehabilitation

Research output: Contribution to journal › Article

4 Scopus citations

Abstract

Objective: To examine the effect of primary language on admission and discharge FIM™ communication ratings in a sample of individuals with moderate-to-severe traumatic brain injury (TBI).Design and methods: Secondary data analysis of rehabilitation admission and discharge FIM™ communication ratings of 2795 individuals hospitalized at a Traumatic Brain Injury Model Systems (TBIMS) centre between 2007-2012.Results: Individuals who spoke no English were rated worse on functional communication outcomes at inpatient rehabilitation discharge relative to individuals whose primary language was English.Conclusions: These findings may reflect systematic bias in FIM™ communication ratings of non-English-speaking individuals with TBI and/or TBI-induced communication difficulties in non-English-speaking individuals. Clinical and research implications are discussed.

Original language	English (US)
Pages (from-to)	1445-1451
Number of pages	7
Journal	Brain Injury
Volume	29
Issue number	12
DOIs	https://doi.org/10.3109/02699052.2015.1075144
State	Published - Oct 15 2015

Keywords

language
rehabilitation
Traumatic brain injury

ASJC Scopus subject areas

Clinical Neurology
Arts and Humanities (miscellaneous)
Developmental and Educational Psychology

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Lequerica, A., Krch, D., Lengenfelder, J., Chiaravalloti, N., Arango-Lasprilla, J. C., Hammond, F., Oneil-Pirozzi, T. M., Perrin, P. B., & Sander, A. M. (2015). Comparison of FIM™ communication ratings for English versus non-English speakers in the traumatic brain injury model systems (TBIMS) national database. Brain Injury, 29(12), 1445-1451. https://doi.org/10.3109/02699052.2015.1075144

Comparison of FIM™ communication ratings for English versus non-English speakers in the traumatic brain injury model systems (TBIMS) national database. / Lequerica, Anthony; Krch, Denise; Lengenfelder, Jean; Chiaravalloti, Nancy; Arango-Lasprilla, Juan Carlos; Hammond, Flora; Oneil-Pirozzi, Therese M.; Perrin, Paul B.; Sander, Angelle M.

In: Brain Injury, Vol. 29, No. 12, 15.10.2015, p. 1445-1451.

Research output: Contribution to journal › Article

Lequerica, A, Krch, D, Lengenfelder, J, Chiaravalloti, N, Arango-Lasprilla, JC, Hammond, F, Oneil-Pirozzi, TM, Perrin, PB & Sander, AM 2015, 'Comparison of FIM™ communication ratings for English versus non-English speakers in the traumatic brain injury model systems (TBIMS) national database', Brain Injury, vol. 29, no. 12, pp. 1445-1451. https://doi.org/10.3109/02699052.2015.1075144

Lequerica, Anthony ; Krch, Denise ; Lengenfelder, Jean ; Chiaravalloti, Nancy ; Arango-Lasprilla, Juan Carlos ; Hammond, Flora ; Oneil-Pirozzi, Therese M. ; Perrin, Paul B. ; Sander, Angelle M. / Comparison of FIM™ communication ratings for English versus non-English speakers in the traumatic brain injury model systems (TBIMS) national database. In: Brain Injury. 2015 ; Vol. 29, No. 12. pp. 1445-1451.

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abstract = "Objective: To examine the effect of primary language on admission and discharge FIM{\texttrademark} communication ratings in a sample of individuals with moderate-to-severe traumatic brain injury (TBI).Design and methods: Secondary data analysis of rehabilitation admission and discharge FIM{\texttrademark} communication ratings of 2795 individuals hospitalized at a Traumatic Brain Injury Model Systems (TBIMS) centre between 2007-2012.Results: Individuals who spoke no English were rated worse on functional communication outcomes at inpatient rehabilitation discharge relative to individuals whose primary language was English.Conclusions: These findings may reflect systematic bias in FIM{\texttrademark} communication ratings of non-English-speaking individuals with TBI and/or TBI-induced communication difficulties in non-English-speaking individuals. Clinical and research implications are discussed.",

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