The overt behaviour scale (OBS): A tool for measuring challenging behaviours following ABI in community settings

Kelly, Glenn; Todd, Jenny; Simpson, Grahame; Kremer, Peter; Martin, Cheree

doi:10.1080/02699050500488074

Cited by 88 publications

(39 citation statements)

References 30 publications

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“…The current study took an empirically derived approach to address this problem, by utilizing a standardized set of behaviors and descriptive criteria. This approach was previously developed by Kelly et al 3 After reviewing 534 referrals to a specialized tertiary acquired brain injury (ABI) behavior consultancy service, Kelly et al 3 found that 9 behavioral domains (verbal aggression, physical aggression against objects, physical acts against self, physical aggression against people, inappropriate sexual behavior, perseverative/repetitive behavior, wandering/absconding, inappropriate social behavior, lack of initiation) accounted for approximately 90% of all presentations, with each domain appearing in at least 10% of cases. Challenging behaviors such as these have profound consequences, disrupting an individual's independence, interpersonal relationships, community integration, and occupational functioning.…”

mentioning

confidence: 99%

Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

Sabaz

Simpson

Walker

et al. 2014

Journal of Head Trauma Rehabilitation

127

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confidence: 99%

Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

Sabaz

Simpson

Walker

et al. 2014

Journal of Head Trauma Rehabilitation

127

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“…The challenge, then, is for brain injury services to develop ways of supporting the person with ABI and managing their behaviours in the community, in less intensive and less restrictive settings 34,35 , taking into account family support needs.…”

Section: Introductionmentioning

confidence: 99%

Family involvement in behaviour management following acquired brain injury (ABI) in community settings: A systematic review

et al. 2015

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Objectives: To examine family involvement in the management of behavioural problems following ABI in the community.Research Design: Systematic literature review.Methods: Six electronic databases relevant to the field of brain injury were searched between 1980-2013. Citation indexes were used, and references from articles hand searched for further literature. Studies that met the broad inclusion criteria were screened for relevance, and articles selected for full-text review independently considered by two reviewers. Those found to be relevant were analysed using PEDro and McMasters critical appraisal tools.Results: Three hundred and three studies were identified after duplicates were removed and 56 were assessed for relevance, yielding 10 studies for review. Although the majority of studies were weak in design, 5 revealed significant findings supportive of family involvement in the management of behavioural problems following ABI, especially where interventions consisted of both educational components and individualised behavioural plans. Findings revealed no significant changes in family burden following behavioural interventions.Conclusions: There is limited research and lack of high evidence studies evaluating family involvement in behaviour management following ABI; therefore no conclusions can be drawn regarding its efficacy. More research is needed, with larger sample sizes and more rigorous design, including proper comparison groups.

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“…All agreed to participate. Subsequently, these persons were evaluated by their therapist using the Overt Behavior Scale (OBS) [27], an instrument designed to assess the types and severity of challenging behaviors, to ensure their behavioral profile matched the inclusion criteria (e.g., score of 1 or higher on the Inappropriate Social Behavioral scale); only one person was not tested, due to the unavailability of that person’s therapist. Figure 1 presents the behavioral profile for the subjects with TBI-ISB.…”

Section: Methodsmentioning

confidence: 99%

“…In Part A, subjects were asked to read the scenario, which was followed by a behavior that was either socially appropriate or inappropriate, and then to indicate the extent to which they would have reacted in the same way if they had been in that situation. The inappropriate social behaviors proposed in the behavioral responses were inspired by those in the OBS scale [27]. Once constructed, the task underwent content validation for the behavioral responses with 14 healthy participants living in the community.…”

Section: Methodsmentioning

confidence: 99%

Response to Hypothetical Social Scenarios in Individuals with Traumatic Brain Injury Who Present Inappropriate Social Behavior: A Preliminary Report

Gagnon

Henry

Decoste

et al. 2013

Behavioral Sciences

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Background: Very little research thus far has examined the decision making that underlies inappropriate social behavior (ISB) post-TBI (traumatic brain injury). Objectives: To verify the usefulness of a new instrument, the Social Responding Task, for investigating whether, in social decision making, individuals with TBI, who present inappropriate social behavior (ISB), have difficulty anticipating their own feelings of embarrassment and others’ angry reactions following an ISB. Methods: Seven subjects with TBI presenting with inappropriate social behavior (TBI-ISB), 10 presenting with appropriate social behavior (TBI-ASB), and 15 healthy controls were given 12 hypothetical scenarios three times, each time ending with a different behavioral response. Subjects were asked to gauge the likelihood of their displaying the behavior in that situation (part A) and of it being followed by an angry reaction from the other or by feelings of embarrassment in themselves (part B). Results: TBI-ISB subjects scored higher than TBI-ASB and healthy controls on a scale of likelihood of displaying an ISB. Results regarding expectations of angry reactions from others and feelings of embarrassment after an ISB were similar among groups. Negative correlations between endorsement of an inappropriate behavior and anticipation of negative emotional consequences were significant for both TBI-ASB and control subjects, but not for TBI-ISB subjects. Conclusions: Results suggest that the TBI-ISB participants were likely to endorse an ISB despite being able to anticipate a negative emotional response in themselves or others, suggesting that there were other explanations for their poor behavior. A self-reported likely response to hypothetical social scenarios can be a useful approach for studying the neurocognitive processes behind the poor choices of individuals with TBI-ISB, but the task needs further validation studies. A comprehensive discussion follows on the underlying mechanisms affecting social behaviors after a TBI.

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The overt behaviour scale (OBS): A tool for measuring challenging behaviours following ABI in community settings

Abstract: The OBS shows promise as a reliable, valid and responsive measure that can be used for the systematic assessment of challenging behaviours in community settings.

Cited by 88 publications

References 30 publications

Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

Family involvement in behaviour management following acquired brain injury (ABI) in community settings: A systematic review

Response to Hypothetical Social Scenarios in Individuals with Traumatic Brain Injury Who Present Inappropriate Social Behavior: A Preliminary Report

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