Development of a Structured Interview for the American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury

In 2023, the American Congress of Rehabilitation Medicine Brain Injury Interdisciplinary Special Interest Group (ACRM BI-ISIG) Mild Traumatic Brain Injury (TBI) Task Force published updated diagnostic criteria for mild TBI. These criteria were developed in collaboration with a panel of 32 subject matter experts in mild TBI using the Delphi method. The 2023 ACRM diagnostic criteria marked the first update since 1993, incorporating three decades of research advancements in our understanding of mild TBI. To facilitate the consistent use of the new diagnostic criteria, the ACRM BI-ISIG Mild TBI Task Force initiated a special project in September 2023 to develop a structured interview to apply the ACRM diagnostic criteria for mild TBI in clinical and research settings. The purpose of this article is to describe the development of the ACRM Structured TBI Interview and the accompanying documents. The ACRM Structured TBI Interview was developed in four phases: (1) initial development of a draft interview by two project leads, (2) review and revision over three rounds by 17 members of the ACRM BI-ISIG Mild TBI Task Force, (3) external review by 19 subject matter experts in mild TBI, and (4) field testing of the ACRM Structured TBI Interview by 11 interviewers who completed 25 diagnostic interviews. In addition to the ACRM Structured TBI Interview, three other documents were developed to help facilitate the administration of the interview (Administration Guide) and to apply the diagnostic criteria (Diagnostic Coding Form and Diagnostic Flow Diagram). A Short Form was also developed for use in contexts where administering the full structured interview is not feasible due to time constraints.

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Publication Details

Journal
Journal of Neurotrauma
Published
2025-11-26
DOI
https://doi.org/10.1177/08977151251396077
Primary Topic
Traumatic Brain Injury Research
Type
article
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article

Development of a Structured Interview for the American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury

Alice Kam, Rael T. Lange, Drew Nagele, Tracey Wallace et al.
Journal of Neurotrauma
Traumatic Brain Injury Research
article

Development of a Structured Interview for the American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury

Alice Kam, Rael T. Lange, Drew Nagele, Tracey Wallace, Amanda R. Rabinowitz, Deborah L. Snell, Jennifer V. Wethe, Jacob I. McPherson, Zainab Al Lawati, Jaclyn A. Stephens, Min Jeong P. Graf, Anthony H. Lequerica, William J. Panenka, Gary McKinney, Richard Delmonico, Noah D. Silverberg, Kristen Dams-O’Connor, Kelly C. Gillow, Quratulain Khan, Josh Kamins
article en

Abstract

In 2023, the American Congress of Rehabilitation Medicine Brain Injury Interdisciplinary Special Interest Group (ACRM BI-ISIG) Mild Traumatic Brain Injury (TBI) Task Force published updated diagnostic criteria for mild TBI. These criteria were developed in collaboration with a panel of 32 subject matter experts in mild TBI using the Delphi method. The 2023 ACRM diagnostic criteria marked the first update since 1993, incorporating three decades of research advancements in our understanding of mild TBI. To facilitate the consistent use of the new diagnostic criteria, the ACRM BI-ISIG Mild TBI Task Force initiated a special project in September 2023 to develop a structured interview to apply the ACRM diagnostic criteria for mild TBI in clinical and research settings. The purpose of this article is to describe the development of the ACRM Structured TBI Interview and the accompanying documents. The ACRM Structured TBI Interview was developed in four phases: (1) initial development of a draft interview by two project leads, (2) review and revision over three rounds by 17 members of the ACRM BI-ISIG Mild TBI Task Force, (3) external review by 19 subject matter experts in mild TBI, and (4) field testing of the ACRM Structured TBI Interview by 11 interviewers who completed 25 diagnostic interviews. In addition to the ACRM Structured TBI Interview, three other documents were developed to help facilitate the administration of the interview (Administration Guide) and to apply the diagnostic criteria (Diagnostic Coding Form and Diagnostic Flow Diagram). A Short Form was also developed for use in contexts where administering the full structured interview is not feasible due to time constraints.

Journal of Neurotrauma
Rutgers, The State University of New Jersey (US), Philadelphia College of Osteopathic Medicine (US), University of Minnesota (US), General Dynamics (United States) (US), Vancouver Coastal Health (CA), University of British Columbia (CA), Uniformed Services University of the Health Sciences (US), Thomas Jefferson University (US), University of California, Los Angeles (US), University of Toronto (CA), Kessler Foundation (US), Toronto Western Hospital (CA), Toronto Rehabilitation Institute (CA), Defense Health Agency (US), Shepherd Center (US), Spinal Cord Injury BC (CA), St Michael’s Hospital (IE), BC Mental Health & Substance Use Services (CA), Mayo Clinic in Arizona (US), Moss Rehabilitation Hospital (US), Colorado Permanente Medical Group (US), Meeting the Challenge (United States) (US), University of Minnesota Medical Center (US), Kaiser Foundation Hospital (US), Vancouver Coastal Health Research Institute (CA), Hennepin Healthcare Research Institute (US), Indiana University School of Medicine, Indiana University – Purdue University Indianapolis (US), University at Buffalo, State University of New York (US), University of Otago (NZ), Colorado State University (US), Icahn School of Medicine at Mount Sinai (US)
Openalex Percentile: Top 52%
Traumatic Brain Injury Research
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