CDE Detailed Report

Disease: Sport-Related Concussion
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Health and Behavior Inventory (HBI) Parent Retrospective Version

Displaying 1 - 22 of 22
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C07223 Health and Behavior Inventory (HBI) - parent retrospective completion difficulty scale HBIParRetCompletDfcltyScale Scale for how often the parent thinks the patient/subject had difficulty completing tasks four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had difficulty completing tasks four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has difficulty completing tasks 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07234 Health and Behavior Inventory (HBI) - parent retrospective tired easily scale HBIParRetTrdEslyScale Scale for how often the parent thinks the patient/subject had gotten tired easily four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had gotten tired easily four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Gets tired easily 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07224 Health and Behavior Inventory (HBI) - parent retrospective poor problem solve skill scale HBIParRetPrProbSlveSklScale Scale for how often the parent thinks the patient/subject had poor problem-solving skills four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had poor problem-solving skills four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has poor problem-solving skills 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07237 Health and Behavior Inventory (HBI) - Parent Retrospective Version cognitive total score HBIPRVCognitvTotlScore Sum of cognitive items 1-11 (0-33), on parent retrospective version of Health and Behavior Inventory (HBI) Sum of cognitive items 1-11 (0-33) Cognitive total score (items 1-11) Numeric Values Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C07225 Health and Behavior Inventory (HBI) - parent retrospective learn problem scale HBIParRetLernProbScale Scale for how often the parent thinks the patient/subject had problems learning four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had problems learning four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has problems learning 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07238 Health and Behavior Inventory (HBI) - Parent Retrospective Version somatic total score HBIPRVSomatTotlScore Sum of somatic items 12-20 (0-27), on parent retrospective version of Health and Behavior Inventory (HBI) Sum of somatic items 12-20 (0-27) Somatic total score (items 12-20) Numeric Values Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C07215 Health and Behavior Inventory (HBI) - parent retrospective sustain attention trouble scale HBIParRetSustAttenTroubScale Scale for how often the parent thinks the patient/subject had trouble sustaining attention four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had trouble sustaining attention four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has trouble sustaining attention 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07226 Health and Behavior Inventory (HBI) - parent retrospective headache frequency scale HBIParRetHeadachFreqScale Scale for how often the parent thinks the patient/subject had headaches four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had headaches four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has headaches 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07216 Health and Behavior Inventory (HBI) - parent retrospective easily distract scale HBIParRetEslyDistrctScale Scale for how often the parent thinks the patient/subject had been easily distracted four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had been easily distracted four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Is easily distracted 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07227 Health and Behavior Inventory (HBI) - parent retrospective dizziness scale HBIParRetDizScale Scale for how often the parent thinks the patient/subject had felt dizzy four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had felt dizzy four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Feels dizzy 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07217 Health and Behavior Inventory (HBI) - parent retrospective concentration difficulty scale HBIParRetConcenDfcltyScale Scale for how often the parent thinks the patient/subject had difficulty concentrating four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had difficulty concentrating four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has difficulty concentrating 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07228 Health and Behavior Inventory (HBI) - parent retrospective room spin scale HBIParRetRoomSpinScale Scale for how often the parent thinks the patient/subject had a feeling that the room is spinning during the past week, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had a feeling that the room is spinning during the past week, as a part of Health Behavior Inventory (HBI Has a feeling that the room is spinning 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07218 Health and Behavior Inventory (HBI) - parent retrospective memory problem scale HBIParRetMemProbScale Scale for how often the parent thinks the patient/subject had problems remembering what he/she was told four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had problems remembering what he/she was told four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has problems remembering what he/she is told 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07229 Health and Behavior Inventory (HBI) - parent retrospective feel faint scale HBIParRetFeelFantScale Scale for how often the parent thinks the patient/subject had felt faint four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had felt faint four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Feels faint 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07219 Health and Behavior Inventory (HBI) - parent retrospective direction difficulty scale HBIParRetDirDfcltyScale Scale for how often the parent thinks the patient/subject had difficulty following directions four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had difficulty following directions four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has difficulty following directions 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07230 Health and Behavior Inventory (HBI) - parent retrospective blur vision scale HBIParRetBlurVisScale Scale for how often the parent thinks the patient/subject had blurred vision four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had blurred vision four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has blurred vision 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07220 Health and Behavior Inventory (HBI) - parent retrospective daydream scale HBIParRetDaydrmScale Scale for how often the parent thinks the patient/subject tended to daydream four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject tended to daydream four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Tends to daydream 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07231 Health and Behavior Inventory (HBI) - parent retrospective double vision scale HBIParRetDblVisScale Scale for how often the parent thinks the patient/subject had double vision four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had double vision four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Has double vision 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07221 Health and Behavior Inventory (HBI) - parent retrospective confusion scale HBIParRetConfusScale Scale for how often the parent thinks the patient/subject had gotten confused four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had gotten confused four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Gets confused 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07232 Health and Behavior Inventory (HBI) - parent retrospective nausea scale HBIParRetNausScale Scale for how often the parent thinks the patient/subject experienced nausea four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject experienced nausea four weeks prior to the injury, as a part of Health Behavior Inventory (HBI experiences nausea 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07222 Health and Behavior Inventory (HBI) - parent retrospective forgetful scale HBIParRetFrgtflScale Scale for how often the parent thinks the patient/subject was forgetful four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject was forgetful four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Is forgetful 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C07233 Health and Behavior Inventory (HBI) - parent retrospective tired frequency scale HBIParRetTiredFreqScale Scale for how often the parent thinks the patient/subject had gotten tired a lot four weeks prior to the injury, as a part of Health Behavior Inventory (HBI) Scale for how often the parent thinks the patient/subject had gotten tired a lot four weeks prior to the injury, as a part of Health Behavior Inventory (HBI Gets tired a lot 0;1;2;3 Never;Rarely;Sometimes;Often Numeric Values

For each problem, please rate your child based on the 4 weeks prior to the injury using the scale below.

Ayr, L., Yeates, K., Taylor, H., and Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc 15, 19-30. Fay, T., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (2010). Cognitive reserve as a moderator of postconcussive symptoms in children with complicated and uncomplicated mild traumatic brain injury. J Int Neuropsychol Soc 16, 94-105. Hajek, C., Yeates, K., Taylor, H., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., and Wright, M. (in press). Agreement between parents and children on ratings of postconcussive symptoms following mild traumatic brain injury. Child Neuropsychol. Moran, L., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., and Yeates, K. (in press). Do post-concussive symptoms discriminate injury severity in pediatric mild traumatic brain injury? J Head Trauma Rehabil. Taylor, H., Dietrich, A., Nuss, K., Wright, M., Rusin, J., Bangert, B., Minich, N., and Yeates, K. (2010). Post-concussive symptoms in children with mild traumatic brain injury. Neuropsychology 24, 148-159. Pediatric Supplemental-Highly Recommended 3.00 2013-07-19 21:21:51.533 Health and Behavior Inventory (HBI) Parent Retrospective Version Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

CSV