Development and validity of the Brain Injury Alert (BI Alert) screening tool for cognitive, emotional and social problems after paediatric acquired brain injury

S. Rasquin, C. van Heugten, I. Winkens, W. Ritzen, J. Hendriksen, H. Vles

Research output: Contribution to journalArticleAcademicpeer-review


Purpose: Validation of a new screening tool, viz., the Brain Injury Alert (BI Alert) for identification of cognitive and emotional problems after traumatic brain injury (TBI) in children.

Methods: Parents and teachers of children with TBI as well as controls were interviewed using the BI Alert. Validity was determined using reference instruments (CBCL and TRF; neuropsychological functioning).

Results: The BI Alert was feasible; Required assessment time: 15 minutes. Parents and teachers of children with TBI (n = 42) reported significantly more problems compared to controls (n = 29). Internal consistency (alpha = 0.68 for parents and 0.82 for teachers) and inter-rater reliability (r > 0.66) were good. Test-re-test reliability was reasonable (r > 0.46). Correlations with CBCL were statistically significant for the parents (r range from 0.36-0.66) and TRF emotion for the teachers (r = 0.62). The correlations with the TRF cognition and school were statistically significant for the teachers (r range from 0.43-0.63). There were only low correlations with the neuropsychological tests.

Conclusions: The BI Alert is a useful, feasible and valid instrument for the cognitive screening of children with TBI by health professionals in primary care.

Original languageEnglish
Pages (from-to)777-786
Number of pages10
JournalBrain Injury
Issue number7-8
Publication statusPublished - Jul 2011


  • Children
  • cognition
  • traumatic brain injury
  • TERM

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