TY - JOUR
T1 - Predictors of follow-up completeness in longitudinal research on traumatic brain injury
T2 - Findings from the national institute on disability and rehabilitation research traumatic brain injury model systems program
AU - Krellman, Jason W.
AU - Kolakowsky-Hayner, Stephanie A.
AU - Spielman, Lisa
AU - Dijkers, Marcel
AU - Hammond, Flora M.
AU - Bogner, Jennifer
AU - Hart, Tessa
AU - Cantor, Joshua B.
AU - Tsaousides, Theodore
N1 - Funding Information:
Supported by the National Institute on Disability and Rehabilitation Research , U.S. Department of Education (grants nos. H133P050004 , H133B980013 , and H133A070038 [Mt. Sinai]; H133A070038 [Santa Clara]; H133A120035 and H133A070042 [Indiana University]; H133A070029 and H133A120086 [Ohio State], and H133A070040 and H133A120037 [Moss]) and the Centers for Disease Control and Prevention (grant no. 1R49CE001171-01 [Mt. Sinai]).
PY - 2014/4
Y1 - 2014/4
N2 - Objective To identify baseline participant variables in the domains of demographics, medical/psychosocial history, injury characteristics, and postinjury functional status associated with longitudinal follow-up completeness in persons with traumatic brain injury (TBI) using the TBI Model Systems (TBIMS) National Database (NDB). Design Exhaustive chi-square automatic interaction detection was used to identify factors that classified participants according to level of follow-up completeness. Setting Retrospective analysis of a multi-center longitudinal database. Participants Individuals (N=8249) enrolled in the TBIMS NDB between 1989 and 2009 who were eligible for at least the first (year 1) follow-up up to the fifth (year 15) follow-up. Interventions None. Main Outcome Measures Follow-up completeness as defined by 6 different longitudinal response patterns (LRPs): completing all follow-ups, wave nonresponse, dropping out, completing no follow-ups without formally withdrawing, formally withdrawing before completing any follow-ups, and formally withdrawing after completing some follow-ups. Results Completing all follow-ups was associated with higher levels of education, living with parents or others, and having acute care payer data entered in the NDB. Subgroups more vulnerable to loss to follow-up (LTFU) included those with less education, racial/ethnic minority backgrounds, those with better motor functioning on rehabilitation discharge, and those for whom baseline data on education, employment, and acute care payer were not collected. No subgroups were found to be more likely to have the LRPs of dropping out or formal withdrawal. Conclusions These data identify subgroups in which retention strategies beyond those most commonly used might reduce LTFU in longitudinal studies of persons with TBI, such as the TBIMS, and suggest future investigations into factors associated with missing baseline data.
AB - Objective To identify baseline participant variables in the domains of demographics, medical/psychosocial history, injury characteristics, and postinjury functional status associated with longitudinal follow-up completeness in persons with traumatic brain injury (TBI) using the TBI Model Systems (TBIMS) National Database (NDB). Design Exhaustive chi-square automatic interaction detection was used to identify factors that classified participants according to level of follow-up completeness. Setting Retrospective analysis of a multi-center longitudinal database. Participants Individuals (N=8249) enrolled in the TBIMS NDB between 1989 and 2009 who were eligible for at least the first (year 1) follow-up up to the fifth (year 15) follow-up. Interventions None. Main Outcome Measures Follow-up completeness as defined by 6 different longitudinal response patterns (LRPs): completing all follow-ups, wave nonresponse, dropping out, completing no follow-ups without formally withdrawing, formally withdrawing before completing any follow-ups, and formally withdrawing after completing some follow-ups. Results Completing all follow-ups was associated with higher levels of education, living with parents or others, and having acute care payer data entered in the NDB. Subgroups more vulnerable to loss to follow-up (LTFU) included those with less education, racial/ethnic minority backgrounds, those with better motor functioning on rehabilitation discharge, and those for whom baseline data on education, employment, and acute care payer were not collected. No subgroups were found to be more likely to have the LRPs of dropping out or formal withdrawal. Conclusions These data identify subgroups in which retention strategies beyond those most commonly used might reduce LTFU in longitudinal studies of persons with TBI, such as the TBIMS, and suggest future investigations into factors associated with missing baseline data.
KW - Bias (epidemiology)
KW - Brain injuries
KW - Follow-up studies
KW - Lost to follow-up
KW - Outcome assessment (health care)
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=84897113237&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2013.10.016
DO - 10.1016/j.apmr.2013.10.016
M3 - Article
C2 - 24211496
AN - SCOPUS:84897113237
SN - 0003-9993
VL - 95
SP - 633
EP - 641
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 4
ER -