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The Boston Assessment of Traumatic Brain Injury–Lifetime (BAT-L) Semistructured Interview: Evidence of Research Utility and Validity
Open accessAbstract
OBJECTIVE: Report the prevalence of lifetime and military-related traumatic brain injuries (TBIs) in Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans and validate the Boston Assessment of TBI-Lifetime (BAT-L). SETTING: The BAT-L is the first validated, postcombat, semistructured clinical interview to characterize head injuries and diagnose TBIs throughout the life span. PARTICIPANTS: Community-dwelling convenience sample of 131 OEF/OIF veterans. DESIGN: TBI criteria (alteration of mental status, posttraumatic amnesia, and loss of consciousness) were evaluated for all possible TBIs, including a novel evaluation of blast exposure. MAIN MEASURES: BAT-L, Ohio State University TBI Identification Method (OSU-TBI-ID). RESULTS: About 67% of veterans incurred a TBI in their lifetime. Almost 35% of veterans experienced at least 1 military-related TBI; all were mild in severity, 40% of them were due to blast, 50% were due to some other (ie, blunt) mechanism, and 10% were due to both types of injuries. Predeployment TBIs were frequent (45% of veterans). There was strong correspondence between the BAT-L and the OSU-TBI-ID (Cohen κ = 0.89; Kendall τ-b = 0.95). Interrater reliability of the BAT-L was strong (κs >0.80). CONCLUSIONS: The BAT-L is a valid instrument with which to assess TBI across a service member's lifetime and captures the varied and complex nature of brain injuries across OEF/OIF veterans' life span.
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“our use of validated, semistructured diagnostic interviews (i., BAT-L [18], Clinician Administered PTSD Scale [20], SCID-I [19]) assured that Veterans met eligibility criteria and allowed comprehensive assessment of their mental and physical health.”
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Self-citation
Metadata
- Authors
- Fortier, C. B., Amick, M. M., Grande, L., McGlynn, S., Kenna, A., Morra, L., Clark, A., Milberg, W. P., & McGlinchey, R. E.
- Affiliations
- Boston University (US)
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2014-01
- Volume
- 29
- Issue
- 1
- Pages
- 89-98
- ISSN
- 0885-9701 (ISSN-L)
- PMC
- PMC3997066
- OpenAlex
- W2083910073
- Cited by
- 193
- References
- 19
- Citations by year
- 2026: 13 · 2025: 19 · 2024: 18 · 2023: 12 · 2022: 19 · 2021: 14 · 2020: 20 · 2019: 13 · 2018: 10 · 2017: 15 · 2016: 12 · 2015: 11 · 2014: 10
- FWCI
- 9.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Head Trauma Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- Traumatic Brain Injury Center of Excellence
- National Institutes of Health
- National Institute on Aging (K01AG024898, K23AG034258)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- traumatic brain injury, semi-structured interviews, military veterans, Operation Enduring Freedom, Iraq War, blast exposure, inter-rater reliability, instrument validation
- MeSH terms
- Adult, Blast Injuries, Boston, Brain Injuries, Cross-Sectional Studies, Female, Humans, Interview, Psychological, Male, Middle Aged, Neuropsychological Tests, Psychometrics, Veterans, Reproducibility of Results, Biomedical Research, Iraq War, 2003-2011, Young Adult, Afghan Campaign 2001-
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