Functional Cognition-Patient Reported Outcomes Short Forms and Keyform Ability Maps.
Pey-Shan Wen, Julia Kay Waid-Ebbs, Craig A Velozo
PMID 40463786WHAT IT FOUND
Short forms of the FC-PRO for attention, memory, speed, and emotion maintain high correlation with the full versions.
Keyform maps visualize a patient's specific functional challenges, offering therapists concrete items for collaborative goal setting and treatment planning.
Key findings
01Short forms reduced item counts by 54% to 71% while maintaining high correlations (r = 0.91-0.97) with the full item banks.
02Short forms met criteria for separating patients into distinct ability strata, though Emotional Management fell marginally below the reliability criterion of 0.80.
03Keyform ability maps identify items at a patient's 'just-right' challenge level, allowing therapists to select specific activities for goal setting based on difficulty.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The findings do not apply to patients in the acute or inpatient stage of TBI recovery, as they may not have experienced the functional activities measured. The study did not include patients with mild TBI, so the stability of these short forms in that population is unknown. 8% to 10% of participants did not provide responses that fit the statistical model, meaning keyform maps may not be valid for those individuals. The measures rely on self-report, which can be biased by deficits in self-awareness common in TBI. The short forms and keyform maps have not yet been tested in actual clinical practice settings.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume these short forms are validated for clinical use or for patients with mild TBI or acute injuries. The study was a statistical derivation, not a clinical trial, and the tools have not yet been tested in practice.